Insurance Information

At Baylor Scott & White Surgical Hospital at Sherman, we want all areas to be less painful, including filing insurance claims.

We want to make your experience at Baylor Scott & White Surgical Hospital at Sherman as pleasant as possible. And that means helping you with the insurance issues. We can help you determine coverage, assist in the filing of insurance claims and handle all necessary paperwork.

After your physician schedules your procedure, a hospital representative will contact your insurance company to pre-verify coverage, deductibles, and co-payment amounts. You will then be notified of your estimated financial responsibility. This estimate does not include charges for anesthesiology, cardiology, radiology or pathology. These services will be billed separately.

Baylor Scott & White Surgical Hospital at Sherman holds insurance contracts with:

In-Network:
Accountable/ Interplan Health Group HMO, POS, PPO 
Aetna (HMO, POS, PPO) excluding QHP (qualified health plans)
Aetna Whole Health
Aetna Medicare Advantage (HMO, POS, PPO)
Amerigroup – Managed Medicaid CHIP
HMO Blue (excludes Blue Advantage HMO)
BCBS Blue Choice 
BCBS PAR/ Traditional Indemnity 
BCBS Blue Premier
Cigna (HMO, POS, PPO, Local Plus)
Cigna Children’s Medical Center
Cigna HIX (Focus Network)
Government Employees Health Association (GEHA)
HealthChoice
HealthSmart Preferred 
HealthSmart Accel 
HealthSmart GEPO
Humana Preferred
Humana ChoiceCare PPO
Humana Medicare Advantage (HMO, POS, PPO)
Medicare – Traditional Medicare and Railroad 
Oklahoma Medicaid (Sooner Care) 
Oscar Health Exchange 
PHCS/Multiplan/ Beech Street/ Viant (select TPAs and Employer groups)
Scott & White Health Plan HMO & PPO
Scott & White Medicare Advantage
Superior – Managed Medicaid CHIP
Tricare/Humana Military - Prime, Standard, For Life
United Healthcare HMO, POS, PPO (excluding Compass plans)
United Healthcare Medicare Advantage
United Healthcare – City of Dallas
Texas Medicaid (TMHP)
Workers Compensation – select plans 
  
In the process due to change in ownership: 
Amerigroup – Managed Medicaid 
City of Sherman 
Corporate Remedies – Currently working off single case agreements 
DARS 
HealthChoice 
Healthspring – Managed Medicaid/ Medicare Advantage 
Molina – Managed Medicaid/ HIX plans 
Superior – Managed Medicaid CHPs 
Humana Military - Prime, Standard, For Life 
  
Out of Network:
First Health 
Prime Health 
Galaxy Health Network 
Avera Health 
Prominence (new HIX for 2016) 
  

If there is ever a question about network status, please call us.

If we are not contracted with your insurance company, we will make every effort to limit your financial responsibility to your in-network levels by estimating as closely as possible your in-network co-insurance and deductibles. Both you and your insurance company will be given a discounted fee for our services.