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Payment Options

UT Health Austin accepts most insurance plans in Central Texas. For patients without insurance or who prefer to pay cash, we offer self-pay options. Self-pay patients are offered a prompt pay discount or payment plans. For questions about our payment options, please ask to speak with an Access Center care team member when you call.

Self-Pay/Uninsured Options

<br>A patient who is uninsured and has no third party option will receive the following options:

  • 38% discount off UT Health Austin Fee Schedule in exchange for payment in full at the time of service, or
  • 25% discount off UT Health Austin Fee Schedule in exchange for establishing or establishing and adhering to a payment plan.

Patients will complete and sign an Uninsured Document Form.

The discounts above will be revoked if:

  • Payment in full is not made or a payment plan is not established

Original fees will be reinstated if a payment plan is not honored until payment in full is reached. For additional details, please review the Uninsured/Self-Pay Policy here.

Billing Process

<br>Prior to Appointment

  • UT Health Austin will verify your insurance
  • Be sure to check with your health insurance carrier for final determination regarding specific covered services since they are subject to change

Day of Service:

  • Bring a personal ID and your insurance card
  • Notify the staff of any additional medical insurance coverage
  • Verify your correct mailing address and let the staff know of any other changes since your last visit (e.g., phone numbers, employer, etc.)
  • Applicable co-payments, co-insurance, and deductible amounts will be collected

Following Visit:

  • You will receive an Explanation of Benefits (EOB) from your carrier
  • UT Health Austin will send you a bill for any remaining financial obligation not paid by your health plan

Bill Payment

Pay your bill online through your MyUTHA patient portal or by phone at 1-833-UT-CARES (1-833-882-2737).

Charity Care and Financial Assistance

UT Health Austin is committed to helping prospective patients access care in a financially sustainable manner. Patients without current insurance coverage can receive assistance with determining eligibility for potential coverage options or may choose to participate in a self-pay plan.

As a state organization and part of The University of Texas System, charity care is available to residents of the state of Texas. Qualification is indexed to the Federal Poverty Index Level (FPIL) and potential patients must demonstrate that their income and relevant assets are at or below 200% of FPIL, pro-rated by family size. In 2019, 200% of FPIL is $51,500 annually for a family of four. In addition, proof of residency is required in the form of a driver’s license, social security card, and other accepted forms that can be found here. Complete details of the UT Health Austin Charity Care and Financial Assistance policy are available here.

If you believe you may be eligible for UT Health Austin financial assistance, please schedule an appointment with a UT Health Austin financial counselor. The financial counselor can assist you with determining eligibility for other coverage programs as well as UT Health Austin charity care. Please call 1-512-495-5875 for assistance. You may also fill out the

Financial Assistance Contact Form and a member of our team will contact you.

Patients who do not qualify for Charity Care and cannot meet self-pay scheduled payments may be referred to:

<br>Non-Acute Needs

Acute Need

Price Transparency for COVID-19 Diagnostic Testing

The Coronavirus Aid, Relief, and Economic Security (CARES) Act includes a number of provisions to provide relief to the public due to issues caused by the pandemic, including price transparency for COVID-19 testing. Section 3202(b) of the CARES Act requires providers of diagnostic tests for COVID-19 to post the cash price for a COVID-19 diagnostic test on their website from March 27 through the end of the public health emergency. For more information, please visit these FAQs.

At UT Health Austin, the self-pay cost for COIVD-19 screening and testing is $80.00 plus an additional lab charge for Clinical Pathology Laboratories of $70.00.

Accepted Insurance Plans

These are the insurance plans that UT Health Austin currently accepts. This list will be updated as we contract with additional insurance providers. To verify that we accept your particular insurance plan, please call our Access Center at 1-833-UT-CARES (1-833-882-2737).

Disclaimer: Insurance plans are subject to change at any time and without notice. A patient’s level of coverage depends on the specific benefits described in their plan. Patients are responsible for verifying that UT Health Austin is a participating provider and that their benefits plan allows them access to care on the day of their first scheduled visit. Please contact your insurance plan or benefits administrator to verify this information.

UT Health Austin Accepted Insurance Plans (In-Network Insurance)

A-G

  • AARP Medicare Complete Focus HMO
  • AARP Medicare Complete Focus Essential HMO
  • Accountable Health Plan/Interplan
  • Aetna Whole Health
  • Aetna Medicare Advantage
  • Aetna PPO/HMO
  • Aetna Seton Health Alliance
  • Ambetter-Superior Health Plan -Exchange Plan
  • Amerigroup/Amerivantage Classic
  • Beech Street PPO (SPHN)
  • Blue Cross Blue Shield Blue Essentials/Blue Essentials Access - Exchange Plan
  • Blue Cross Blue Shield Blue Choice PPO/UT Select
  • Blue Cross Blue Shield Blue Advantage HMO/Health Select
  • Blue Cross Blue Shield PAR Plan
  • CCC MAP/MAP BASIC – (limited to the Musculoskeletal Institute and Women’s Health Institute)
  • Cigna- All plans
  • Cigna Behavioral Health
  • Coventry (SPHN)
  • Dell Children’s Health Plan STAR/CHIP
  • EHN/WEB TPA - (Whole Foods)
  • First Health (SPHN)
  • First Care Access PPO Network (SPHN)
  • Firstcare HMO (SPHN)
  • Galaxy (SPHN)

H-Z

  • Health Payors Organization (SPHN)
  • Healthsmart (SPHN)
  • Humana Medicare Advantage- Primary Care Providers are out of Network for Humana Gold Plus
  • Humana HMOx
  • Humana PPO/HMO/Choice Care
  • Integrated Medical Systems PPO (SPHN)
  • Magellan
  • Medicaid/TMHP (the Walk-In Clinic is not available for Medicaid plans)
  • Medicare Part B Traditional fee for service (Novitas)
  • Multiplan (PHCS is out of network)
  • Optum
  • Oscar Healthcare
  • Seton Health Plan Smarthealth
  • Sendero IdealCare
  • Superior Health Plan STAR/CHIP/STAR KIDS
  • Tri-West
  • United Healthcare AARP PPO
  • United Healthcare Community Plan - Medicaid
  • United Healthcare Dual Complete Focus HMO
  • United Healthcare One
  • United Healthcare Medicare
  • United Healthcare All Savers/Choice/Choice Plus/HMO/PPO
  • United Student Resources PPO (SPHN)
  • USA Managed Care (SPHN)
  • Wellcare
  • Wellmed
    • Amerivantage Select HMO
    • AmerivantageDual Coordination HMO
    • Humana Gold Plus HMO
    • Humana Gold Plus /Any Humana Medicare Advantage HMO Plans

Updated 11/22/21