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HEALTH INSURANCE

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An Open Letter to Medicare Patients from TruOrtho

Dear Valued Patients,

 

We wanted to take a moment to address an important aspect of our practice that sets us apart. At TruOrtho, the exceptional care provided by our esteemed orthopedic surgeons, Dr. Amanda Marshall-Rodriguez and Dr. Jamie L. Lynch, extends to patients with Medicare insurance. We value each and every patient, and we want to share some information with you regarding our approach to Medicare.

The Medicare program was established in 1965 with a specific provision that prohibits the government from practicing medicine. However, over the years, government involvement in patient care has increased, often leading to additional paperwork and guidelines that may not always serve the best interests of the individual patient. We are committed to providing you with state-of-the-art, personalized care, which is why both Dr. Marshall-Rodriguez and Dr. Lynch have made the decision to opt out of the Medicare program. This allows us to focus on you, our patient, rather than getting caught up in administrative tasks.

What does this mean for you as a patient?

As opted-out physicians, we are more dedicated than ever to providing you with tailored treatment that is specifically designed to address your orthopedic needs. By not accepting Medicare as insurance, we can prioritize the time we spend with you, ensuring that every interaction is focused on your well-being.

Your privacy is of utmost importance to us. While you always have access to your own medical records, rest assured that we safeguard your personal information. Your records will never be shared with anyone outside of our office without a legally required subpoena. This level of privacy is not guaranteed with Medicare providers, as they are obligated to transmit patient information to the government.

It is important to note that when we direct your care to Medicare providers for specialized tests or procedures, such as imaging, surgery, physical therapy, or anesthesia, those services are still covered by Medicare as usual. The only difference is that our services, as opted-out physicians, are provided on a fee-for-service basis under a Medicare Private Contract. If you haven't already done so, we kindly ask you to sign this contract prior to receiving our services.

In conclusion, our utmost commitment is to provide you with exceptional, personalized care at an affordable price. We believe that the value we offer lies in our dedication to your well-being and our ability to focus solely on your orthopedic needs. We sincerely hope you share our vision and continue to entrust us with your care.

Thank you for your continued support and trust in TruOrtho.

Warm regards,

Dr. Amanda Marshall-Rodriguez and Dr. Jamie L. Lynch

Dr. Amanda Marshall-Rodriguez and Dr. Jamie L. Lynch will see Medicare patients but at self-pay.

Insurance We Accept:

  • Aetna Commercial (PPO & HMO)

  • Aetna Medicare Advantage Plan (Dr. Shields only*)

  • Alliance WC

  • Ambetter (Market Place)

  • Amerigroup (Dr. Lynch & Dr. Shields only)

  • BCBS of Texas Medicare Adv Plan (PPO & HMO) (Dr. Shields only*)

  • BCBSSTX: BHC Employees (Tenet)

  • BCBSTX: Commercial PPO & HMO

  • Bright Health

  • Cigna (Open access plus direct, Austin local plus, TX PPO direct, SA Flex Care (PPO product), SA Commercial HMO, STX, HMO)

  • Cigna Medicare Advantage (Dr. Shields only*)

  • Clover Health- Medicare Advantage PPO

  • Community First Commercial Plan

  • CorVel WC

  • Department of Labor (DOL)

  • EBSO CorVel WC

  • Evolutions

  • First Health Coventry

  • Fresenius Health Plan

  • Galaxy

  • Healthcare Highways

  • HealthSmart ACCEL

  • HealthSmart PPO

  • HEI WC

  • Humana & ChoiceCare

  • Imagine Health

  • IMS

  • Managed Care Strategies

  • Medicare* (Dr. Shields only*)

  • Medicare Railroad (Dr.Shields only*)

  • Medicaid (Dr. Shields only*)

  • Methodist Physicians Alliance

  • Molina Market Place

  • Multiplan/PHCS

  • Mutual of Omaha

    • Indemnity Plans

    • Supplement Plans (Dr. Shields only*)

  • Nexcaliber

  • Oscar Health (all plans)

  • PHCS PPO through ACO-just preferred provider

  • Prime Health Services

  • Provider Select-Strategies

  • Rockport/CareWorks

  • Scott & White

  • Medicaid

    • Community First

    • Superior Health Plan

    • Molina

  • Three River Provider Network

  • Toyota- Lonestar WC Network

  • Tricare/Humana Military

  • United Healthcare

    • UMR

    • United Health Shared Services

    • Golden Rule

    • Other plans under UHC Network

  • USA Managed Care

  • WellMed Plans (Dr. Shields only*)

 

 

**Please contact our office for further assistance if your insurance plan is not listed or if you have any questions.**

Patient Forms

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First Visit Guide

When you come for your Appointments, please remember to bring the following:

  • Driver’s License or a valid ID

  • Insurance information

  • Referral Letter (if required)

  • Reports, X-rays, MRIs, CT scans, etc. and any other relevant information

  • List of medications (if any)

To Cancel an Appointment

Telephone the office during business hours and allow at least 1 days’ notice so that we can offer your appointment time to patients on our waiting list.

 

We recognize that your time is valuable, and we make every effort to run on time. Occasionally emergencies or patients require a little more time, and these cause scheduling delays beyond our control. We apologize if we keep you waiting.

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