INSURANCE PLANS

The lists of insurance plans we do and do not accept are provided for your convenience. However, please be aware that the lists may not be entirely accurate due to constant changes and mergers in insurance networks and companies. While we strive to keep the information as up-to-date as possible, it may not be inclusive of all plans.

It's important to note that most plans offer out-of-network benefits. When you contact our office to schedule an appointment, we assume that you have made an informed decision regarding your insurance coverage. We do not verify participating status in our patients' insurance plans.

We aim to provide care to anyone who wishes to consult one of our providers with only a few exceptions. Please refer to the list at the bottom of this section for a list of insurance plans we have chosen not to accept.

COMMERCIAL PLANS ACCEPTED:

• Aetna

  • Aetna incorrectly lists Dr. Dobberfuhl as participating in all plans; we do not accept any HMO plans that require authorizations for referrals.

• Beech Street

  • If you search under Dr. Dobberfuhl’s name, nothing will come up; however, if you search under “Primary Care Providers” in the 78745 zip code, he will show up.

• BlueCross BlueShield of Texas

• Cigna

• HealthSmart

  • HealthSmart ACCEL only

• Humana

• MultiPlan

• Oscar

  • This is individual policy sold through the Affordable Care Act Market

• Seton Health Plan

• UniCare

• UnitedHealthcare

MEDICARE AND MEDICARE ADVANTAGE PLANS WE ACCEPT:

• Traditional Medicare Part B

• BCBS Medicare Advantage PPO (NOT HMO IN 2024)

• We continue to care for our established patients who are Texas RETIRED TEACHERS and State of Texas EMPLOYEES with whatever insurance TRS and ERS choose.

PLANS WE DO NOT ACCEPT AT THIS TIME:

• Any HMO plan INCLUDING BCBC Medicare Advantage HMO

  • NO LONGER ACCEPTING IN 2024

• Medicaid

• Amerigroup

• WellMed

• Workers’ Compensation

• Third-party insurers (automobile or homeowners)

• Market (FirstCare, BCBSTX Market, Ambetter, Molina)

• WE ARE NO LONGER ACCEPTING:

• Humana Gold Plus (HMO) H00028-037

• HumanaChoice (PPO) H0473-001

• HumanaChoice (PPO) H5216-128

• HumanaChoice Regional (PPO) R4182-004

• HumanaChoice Austin (LPPO) H0473-003

• WellCare Texan Plus Classic HMO H0174002000

• WellCare Prime (PPO) H7323-001-000

• Aetna Medicare Premier Plan (HMO) H4523-001

• Aetna Medicare Plus Plan (PPO) H3288-022

• Aetna Medicare Choice Plan (PPO) H3288-004