Check provider status before going to appointment

Confirming that your health, dental or vision provider is in your plan’s network before you go to your next appointment is a good practice.

Even if you’re an established patient, you should check your provider’s status since providers can leave networks during the plan year. Discovering after your appointment that the provider is not in your plan’s network may mean you will owe more than just a network copayment.  

To check your provider’s status, you can contact the provider and ask if he or she is still in your plan’s network or go to the plan’s web site and review the provider list. Toll-free telephone numbers and web addresses are on the back of most plan ID cards and on the System Human Resources web site. For your convenience, the information is also listed below.

BlueCross Blue Shield of Texas (A&M Care Plans)
Texas Network: (866) 295-1212
Outside Texas Network (800) 810-2583

FirstCare
(800) 884-4901

Humana Health Plans
(800) 448-6262

Mercy Health Plan
(800) 617-3433 or (956) 723-7667

Scott & White Health Plan
(800) 791-8777 or (979) 268-7947

Graduate Student Health Plan
(800) 452-5772

Delta Dental (A&M Dental PPO)
(800) 336-8264

DeltaCare USA (Dental HMO)
In Texas
All other areas
(800) 422-4234

Spectera (Vision)
(800) 638-3120

If you know of a vision care provider who is not currently on the network list, you can nominate that individual by completing the vision nomination form. You can contact Delta Dental to nominate a dentist. Most health plans do not take nominations for providers.

If you cannot find the information you need, contact your System member’s Human Resources office for assistance. End of story