How To Verify Your Insurance Coverage
Ensuring your insurance coverage is seamless with NextCare. Follow one of these simple steps:
⊕ Contact Your Medical Insurance Provider: Call the number on your insurance card to verify your coverage.
⊕ Visit Provider Website: Check your Texas health insurance provider’s website for more details.
⊕ Speak with Us: Call your local Texas NextCare clinic, and our staff will assist you in verifying your benefits.
Medicare & Medicaid (STAR) Plans in Texas
NextCare Urgent Care proudly accepts your Medicare and Medicaid (STAR) insurance plans at all of our Texas locations. Whether you’re in Dallas, San Antonio, Victoria, Plano, or Waco, we are committed to providing you with accessible and quality healthcare. Our aim is to ensure you receive the medical care you need without the stress of financial concerns, making your visit to NextCare as seamless and convenient as possible.
As a courtesy to our patients we will verify benefits; however, the benefits quoted are not a guarantee of payment. It is the patient’s responsibility to verify and get a thorough understanding of their medical benefits. The patient is responsible for all charges not reimbursed by their insurance carrier including but not limited to coinsurance, deductibles, and any charges associated with collection activity.
Typically, your cost will be the standard urgent care copay set by your insurance provider, often $75 or less. For those without insurance, we offer our Advantage Medical Discount Plan for *$39 per month* and only $39 per visit, which covers most services.
*Enrollment requires pre-payment of the first three months
Use our list below to verify coverage. If you have a question related to your individual insurance plan, please feel free to contact one of our Customer Service Representatives at 1-888-381-4858.
Health Plans in Texas that We Accept
Our accepted insurance plans in the Lone Star State include most medical insurance providers. Use our list below to verify health coverage in Arizona and ensure your visit will be seamless:
Aetna
Aetna AmeriBen
Aetna Houston Market
Alliance (PSWCA)
Amerigroup
Amerigroup CHIP
American Community
Assurant Health (TPA)
Beech St
Blue Cross Blue Shield
BCBS Federal Employee
Program
BCBS TX STAR CHIP Program
Boon Chapman Montgomery
Baylor Scott & White Health Plan
Cigna
Cigna Houston Market
Cigna Great West HealthCare
Cigna Great West Houston Market
Cigna International
Cigna Seton Employee HP
Commercial Insurance
Corporate Remedies Montgomery Only
Corvel
Coventry Health Care (First Health)
Coventry Health Care POS
Definity Health
FirstCare Commercial
Fortified Provider Network
Galaxy
GEHA
Golden Rule
Health Smart/Interplan
Herman Memorial Health System
Hooray Health
Humana
Humana One
Humana PPO
M Health Claims
MAP
Medicaid
Medicare
Medicare Railroad
Medicare Replacement Plan
Medicare UHC
MultiPlan
PHCS
PHCS Choice Scott & White
PHCS Scott & White Senior Plan
Physicians Health Choice (WellMed)
Prime Health Services PPO
Prime Health Services PHS+
Rockport
Samsung
Samsung
Sendero Health Plans
Seton
Seton Employee Health Plan
Seton Star
Star Healthcare Network
Superior Health Plan
Texas Children’s CHIP Health Plan
Texas Children’s STAR Health Plan
Texas Community Care/Arcadian
Texas Medicaid
Texas Medicaid UHC
Texas True Choice
Travis County Health District
Tricare For Life
Tricare Prime
Tricare Standard
UMR
United Health Care
WilCo Care WCCS
Worker Compensation
Having trouble finding your plan? Call our Customer Service Center to verify coverage or learn about our medical discount programs.
NextCare Urgent Care Clinics
Specialized Insurance Plans Accepted
NextCare Urgent Care accepts a variety of specialized insurance plans to cater to the unique healthcare needs of Texas residents:
⊕ Medicare Advantage: Including plans like Wellpoint and Superior HealthPlan, which offer comprehensive coverage with additional benefits tailored to meet your needs.
⊕ Special Needs Plans (SNPs): Designed for individuals with chronic conditions, providing focused care and support to manage health effectively.
⊕ Dual Eligibility Plans: For those who qualify for both Medicare and Medicaid, offering integrated benefits to ensure seamless and coordinated care.
Virtual Care Medical Coverage
Accessing healthcare has never been easier with our telehealth services. Our virtual clinic visits are covered by most insurance plans, offering you convenience and flexibility in Texas:
⊕ Superior HealthPlan: Virtual Care
⊕ Wellpoint: Virtual Care
⊕ Blue Cross Blue Shield of Texas: BlueCare Anywhere
⊕ Cigna TX: Virtual Care Services
⊕ Aetna TX: Telehealth Benefits
⊕ UHC Community Plan TX: Virtual Visits
Texas Medical Insurance FAQs
As of 2019, there is no federal penalty for not having health insurance in Texas due to changes in the Affordable Care Act. However, having health insurance is recommended to avoid high medical costs. NextCare Urgent Care offers a Medical Discount Program for those without insurance, providing affordable healthcare options.
The cost of health insurance in Texas varies based on factors such as age, location, and plan type. On average, monthly premiums can range from $300 to $600 for individual plans.
To obtain health insurance in Texas, you can enroll through the Health Insurance Marketplace during the open enrollment period or qualify for special enrollment due to life events. Additionally, you can explore options through employers, Medicaid, or Medicare, depending on your eligibility.
The best health insurance plan in Texas depends on your specific needs, including coverage, network, and budget. To compare plans effectively, consider using resources like Texas Health Compare to evaluate different options and find the one that suits you best.
Aetna offers a variety of health insurance plans in Texas, known for their extensive network and coverage options. Many Texans choose Aetna for its competitive pricing and comprehensive benefits. NextCare Urgent Care accepts various Aetna plans, making it easier for Aetna members to access quality care.
Many insurance providers in Texas cover telehealth services, allowing you to access medical care virtually. NextCare Urgent Care offers telehealth services covered by most major insurance plans, providing convenient healthcare from the comfort of your home.
The best Medicare supplement plans depend on individual healthcare needs, including coverage and budget. Plans like Medicare Supplement Plan G and Plan N are popular for their comprehensive coverage. For specific guidance, consider consulting resources like Medicare.gov for plan comparisons.
If you stop paying your health insurance premium, your coverage may be canceled after a grace period, leaving you without health benefits. It’s important to maintain payments to ensure continued coverage. NextCare Urgent Care provides a Medical Discount Program for those who find themselves without insurance.

