Health Insurance & Payment Plans

At Legacy, we believe health care is a right, not a privilege.

We believe that comprehensive health care is a human right. That’s why Legacy’s services and programs are open to all who need us, regardless of the ability to pay, without judgment or exception.

Legacy accepts most health insurance plans including HMO/PPOs, Medicaid, Medicare and CHIP. We also offer programs to lower the cost of health care services. Insurance and eligibility assistance is available at all Legacy locations. You may make an appointment with one of our Eligibility specialists by calling (832) 548 5000 or asking a front desk staff member. You can learn about all of our payment and assistance options below.

If You Are Currently Uninsured, Legacy Can Help You Access Health Care

Accessing health care can be frustrating, confusing, and even intimidating. If you are currently uninsured, Legacy’s Eligibility specialists can help you navigate the health care landscape and help you find the right combination of grants, government assistance, and sliding fee scale to make your health care more affordable. Eligibility specialists are available to anyone who walks through our doors and are available at all of our clinic locations.

Sliding Fee Scale

Patients who do not qualify for assistance programs, can receive a medical visit for a lower rate based on income and family size. Sliding Fee Scale is determined through a meeting with a Legacy Eligibility specialist.

Meet with a Legacy Eligibility Specialist. It’s easy!

You may make an appointment with an Eligibility specialist by asking at the front desk of any our clinics or by calling (832) 548 5223. You will need to supply proof of your identity, income, and other information.

While our goal is to provide affordable care for all our patients, payment must be made at the time of service. Not having payment at the time of service may result in your appointment being rescheduled.

Health Insurance Plans Accepted

Legacy Community Health currently accepts the health insurance plans listed below. In order to better serve you, changes are made to this list over time. Please address any questions about your plan with a Legacy team member when making your appointment.

Please remember to show us your insurance card when you arrive for your appointment. If you do not let us know about your coverage, you will be charged for past visits. For patients with a plan that needs a primary care provider (PCP) to be listed, either Legacy or a Legacy provider must be your PCP with your plan.

Medicare Open Enrollment Runs from October 15 – December 7, 2019!

Legacy Geriatricians provide a wide variety of services, including new patient consultations, annual wellness exams, and linking patients and caregivers to resources and support. If you’re about to become – or – have recently become eligible for Medicare, we encourage you to schedule your Medicare Initial Preventive Physical Examination (IPPE) at Legacy Community Health.

You can learn more about the visit here – or call us today at (832) 548 5000 to schedule an appointment with one of our caring Providers.

Curious about what Medicare plans we accept? See our updated list of 2019 Medicare Advantage Plans.

(updated as of October 2019)

AETNA

Medical

  • Medicare – HMO, PPO, POS
  • Commercial – HMO, POS PPO
  • Marketplace – PPOs

 

Behavioral Health

  • Medicare – HMO, PPO, POS

 

Dental

  • Commercial – DPO, DMO
  • Marketplace – PPO

 

Vision

  • Medicare – HMO, PPO, POS
  • Commercial – HMO, POS, PPO
  • Marketplace – PPO
Ambetter by Superior

Medical

  • Commercial

 

Behavioral Health

  • Commercial

 

Dental

  • Commercial

 

Vision

  • Commercial
Amerigroup

Medical

  • Medicaid – Star, Star+, CHIP, and StarKids
  • Medicare – Medicare HMO

 

Behavioral Health

  • Medicaid – Star, Star+, CHIP, and Starkids

 

Dental

  • Medicaid

 

Vision

  • Medicaid
Ameritas Dental

Dental

  • Commercial – DPO
Assurant Health

Medical

  • Network PPO

 

Behavioral Health

  • Network PPO

 

Dental

  • Dental PPO
Avesis

Dental

  • Medicare – Medicare Advantage DPO

 

Vision

  • Medicare – Medicare Advantage
Blue Cross Blue Shield of Texas

Medical

  • Medicare – Blue Advantage HMO, Medicare Advantage PPO
  • Commercial – Blue Choice PPO
  • Marketplace – Marketplace HMO

 

Behavioral Health

  • Medicare
  • Commercial – PPO

 

Dental

  • See Dental Network of America
Beacon Health Strategies

Behavioral Health

  • Medicaid – STAR, CHIP, 3-Share
BlockVision

Vision

  • Medicaid – Star, Star Plus and CHIP
  • Medicare – Medicare Advantage(Healthsprings Only)
Care Improvement

Medical

  • Medicare – HMO
CENPATICO

Behavioral Health

  • Medicaid – Star, Star+, Star Kids, CHIP
CHC

Medical

  • Medicaid – HMO Star, Star Plus, CHIP, CHIP Perinate, and 3 Share
  • Marketplace

 

Behavioral Health

  • Medicaid – Beacon

 

Dental

  • Medicaid – Dentaquest

 

Vision

  • Medicaid – BlockVision
Cigna

Medical

  • Medicare – CIGNA HealthSpring CAP
  • Commercial – PPO, POS, HMO (Renaissance IPA Provider only), Cigna Great West PPO
  • Marketplace

 

Behavioral Health

  • Medicare – CIGNA HealthSpring – HMO
  • Commercial – Cigna Behavioral Health of Texas Network, Cigna Great West PPO

 

Dental

  • Medicare – DentalDMO – CIGNA HealthspringMedicare Dental- Owned by First Continental Life (FCL), Cigna HealthSpring Care Plan MMP (Duals) – Managed by Dentaquest.
  • Commercial – DPPO
Compysch

Behavioral Health

  • Commercial – PPO, HMO
Connection Dental

Dental

  • Commercial – Network PPO
Coventry Network

Medical

  • Medicare – Advantage, Medicare Advantra, HMO, PPO, POS
  • Commercial – HMO, POS, and PPO

 

Behavioral Health

  • Medicare – MHNet
Delta Dental (ALPHA)

Dental

  • Medicaid – Medicaid DHMO, CHIP
  • Comercial – Premier, PPO, Alpha Dental
Dental Network of America

Dental

  • Commercial – Preferred Choice PPO
Dentemax

Dental

  • Marketplace – Marketplace DPO
Dentaquest

Dental

  • Medicaid – Medicaid, CHIP, Star, Star Plus
  • Marketplace
Dentegra

Dental

  • Commercial – Dental DPO
Dentistat

Dental

  • Commercial – Dental DPO
First Continental Life

Dental

  • Commercial – Dental DPO
First Health

Medical

  • Medicare – Medicare PPO
  • Commercial – Commercial PPO
Galaxy Health

Medical

  • Commercial – Network PPO

Behavioral Health

  • Commercial – Network PPO
GEHA

Dental

  • Commercial – Network PPO
Guardian Life Insurance Company

Dental

  • Commercial – DHMO, DDPO
  • Marketplace – Dental DMO
HealthSmart

Medical

  • Commercial – PPO, POS
Humana

Medical

  • Medicare – PPO
  • Commercial – PPO, HMO, POS, EPO, Traditional Indemnity Plan
  • Marketplace – HMO, EPO

 

Behavioral Health

  • Medicare – See Lifesynch

 

Dental

  • Commercial – DPO

 

Vision

  • Commercial – Humana
Humana Military

Medical

  • Commercial – Tricare
Imagine Health

Medical

  • Commercial

 

Behavioral Health

  • Commercial

 

Dental

  • Commercial

 

Vision

  • Commercial
Liberty

Dental

  • Medicaid – Star, Star Plus and CHIP
  • Medicare – Medicare Advantage
Lifesynch (Humana Behavioral Health)

Behavioral Health

  • Commercial – PPO, HMO
Magellan Health

Behavioral Health

  • Commercial
MCNA Dental

Medicaid – Star, Star Plus and CHIP

Medicaid Traditional

Medical

  • Medicaid – STAR, STAR+, CHIP, CSHCN, HWP

 

Behavioral Health

  • Medicaid – STAR, STAR+, CHIP, CSHCN, HWP

 

Dental

  • Medicaid – STAR, STAR+, CHIP, CSHCN, HWP

 

Vision – Medicaid STAR, STAR+, CHIP, CSHCN, HWP

Medicare Traditional

Medical – Medicare Part B

 

Behavioral Health – Medicare Part B

 

Vision – Medicare Part B

Metlife

Dental

  • Medicare – Medicare Advantage Dental
  • Commercial – DPO
MHNet

Behavioral Health

  • Commercial – MHNet Behavioral Health
Molina

Medical

  • Medicaid – Star, Star+, CHIP, CHIP Perinate
  • Medicare – Medicare Advantage HMO
  • Marketplace – Molina Marketplace

 

Behavioral Health

  • Medicaid – Star, Star+, CHIP, CHIP Perinate
  • Medicare – Medicare Advantage HMO
  • Marketplace – Molina Marketplace

 

Vision

  • See Opticare
Multiplan Network

Medical

  • Commercial – PPO

 

Behavioral Health

  • Commercial – See Galaxy
Opticare

Vision

  • Medicaid – For Molina
Optum BH

Behavioral Health

  • Medicaid – for UHC
  • Medicare – PPO for UHC
Oraquest Dental

Dental

  • Commercial DMO
Principal Dental

Dental

  • Commercial – DPO
SafeGuard

Dental

  • Commercial – DPO

 

Vision

  • Commercial – PPO
Stardent

Dental

  • Medicaid – Star, Star Plus, and CHIP
  • Medicare MHMO

 

Superior

Medical

  • Medicaid – STAR, STAR+, CHIP, CHIP Perinatal

 

Behavioral Health

  • Medicaid – STAR, STAR+, CHIP, CHIP Perinatal

 

Dental

  • Medicaid – See Dentaquest
  • Medicare – See Dentaquest

 

Vision

  • Commercial – HMO
Tricare

Medical

  • Commercial – Humana Military

 

Behavioral Health

  • Commercial – Value Option Federal (VOFED)

 

Dental

  • Commercial – Humana Military
UHC

Medical

  • Medicaid – Medical – STAR, STAR+, CHIP
  • Medicare Advantage Plans
  • Commercial – Choice, Choice+, Options PPO
  • Marketplace – Bronze, Silver, Gold, Premium

Behavioral Health

  • Medicaid HMO – STAR, STAR+, CHIP
  • Medicare – See Magellan, See Compsych
  • Commercial – PPO

 

Dental

  • Medicaid – STAR, STAR+, CHIP
  • Commercial – DMO
Wellcare
  • Medical—Medicare HMO
  • Behavioral Health—Medicare HMO