What about

Insurance?

 

What Insurance Does Texas Center for Spine Surgery Accept?

We accept most major insurance companies, including Aetna, United Health Care, Blue Cross Blue Shield and Cigna. Making a phone call to your provider is the best and most accurate way to determine your insurance coverage for spine surgery.

 

The Difference Between HMO and PPO Insurance Plans

When researching your coverage, it is important to understand the difference between HMO and PPO insurance plans. Texas Center for Spine Surgery only accepts PPO coverage. 

The ability to select your own physician is only available with full PPO coverage.  PPO is short for “Preferred Provider Organization”.  With a PPO, a patient can select any physician, both inside or outside of their network, and still be covered according to whichever plan was chosen when the policy took effect.

For complete benefit information, contact your insurance provider to determine what your out-of-network insurance coverage for back surgery will be.

HMO is an acronym for “Health Maintenance Organization”, which provides coverage to a specific group of physicians, referred to as a “network”. When a doctor is “in network”, this means they belong to an HMO. An HMO is usually less expensive than a PPO, but you can only choose doctors from the HMO “in network” list.

If you choose to go with a doctor who is not on your HMO, there will be a difference in benefits. Your deductible will probably be higher and your percentage of coinsurance will most likely change when choosing an out of network doctor. Sometimes, there is no coverage at all for doctors that are not within your HMO.

Texas Center for Spine Surgery is not a part of HMO networks. All of our care is offered through a PPO, or Preferred Provider Organization.

 

Medicare and Medicaid

Texas Center for Spine Surgery is not accepting new Medicare or Medicaid patients at this time; our Medicare/Medicaid panel is currently closed.

 

Workers Compensation and Tri-Care

We do not accept Workers Compensation or Tri-Care at this time.

 

Before You Contact Texas Center for Spine Surgery

Texas Center for Spine Surgery is a surgical facility only, therefore, a diagnosis of your condition must be made prior to contacting us for a spine surgery consultation.

We will be happy to assist you and pleased to schedule an appointment to discuss what your options might be for treatment. However, please make sure that you have already taken the following measures to diagnose and treat your back pain before you contact our office:

  • Have a recent MRI performed, which will also need to be released to our office
  • A physician has reviewed your MRI and diagnosed your condition
  • Physical Therapy has been attempted to relieve or cure your back pain symptoms
  • Pain Management has been prescribed to manage back pain or discomfort without surgical intervention

If these criteria have been met and all of the above treatments have been deemed unsuccessful, Texas Center for Spine Surgery welcomes you as a new patient. Please contact us for a consultation with the Best Spine Surgeon in Houston, Dr. Rajesh Bindal.