Insurance Information

Accepted Insurance Plans

Many private insurances cover both abortion consultation and the abortion procedure offered at Austin Women’s Health Center. To name a few, Austin Women’s Health Center participates with the following networks:

Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Sendero, Humana, First Health

We are able to take some of these insurances for gynecological services as well as abortion services.

Please note that this list is subject to change at any time.

Although you may not see your insurance carrier listed, it doesn’t mean that we cannot take your insurance information and verify your benefits. Please note that we are able to take other insurance plans, but the eligibility and benefits are subject to out-of-network participation.

Austin Women’s Health Center will submit the insurance claims to your carrier, upon your authorization. You will be responsible for the amount determined by your insurance plan; this could be a copay, deductible and/or co-insurance. For some insurance carriers, we have a contracted rate for services rendered, which may discount the amount the carrier will pay on your claim.

If your insurance does not cover the services, after a predetermination of benefits, you may be offered our uninsured fee. If we are given a misquote of benefits, our insurance department may offer you our uninsured fee to pay the balance.

If you have questions about privacy, explanation of benefits or specific insurance information, you should contact your insurance carrier using the customer service phone number located on your insurance card. We cannot guarantee confidentiality of the services billed to your insurance.

Medicaid and Medicare do not cover abortion care in the state of Texas. However, we work with organizations that offer a discount to uninsured patients if you are currently covered under a public aid card. You will need to have your photo identification and current Medicaid card present at the time of your service. Medicaid covers birth control prescriptions and devices when purchased at a Medicaid-participating pharmacy.

FINANCIAL FAQs

Yes, if you are listed as a dependent on their insurance plan you can use your parent(s) insurance. Please note that not all insurance policies cover our services, we will need to check your benefits before your appointment. Once we have this information we will let you know about your benefit details before you come in for your visit. This information will allow you to financially prepare for your visit.

With most insurance carriers, an explanation of benefits or ‘EOB’ is sent to the ‘primary’ person on the policy, your parent, by mail or electronically. While we will never notify your parent(s) about your medical care without your permission, it is possible that your parent(s) may have access to the billing information we provide to your insurance company. If this is a concern for you, we recommend that you contact your insurance company to discuss their policy on confidential services.

With most insurance carriers, an explanation of benefits or ‘EOB’ is sent to the ‘primary’ person on the policy by mail or electronically. While we will never notify your parent(s) about your medical care without your permission, it is possible that your parent(s) may have access to the billing information we provide to your insurance company. If this is a concern for you, we recommend that you contact your insurance company to discuss their policy on confidential services.

If you have a unique concern or special request that would help us protect your privacy, please inform our staff.

Insurance companies will only cover services for patients who are listed on the insurance policy. Since your partner will not be receiving medical treatment from our facility we cannot bill their insurance company for the service unless you are also listed on the plan as a spouse or a domestic partner.

We will never notify your partner about your medical care with your permission. However, if you are using health insurance that has your partner listed as the ‘primary’ on the policy (for example if the insurance is through their job), it is possible that your partner may have access to the billing information we provide to your insurance company. If this is a concern for you, we recommend that you contact your insurance company to discuss their policy on confidential services.

If there are changes to your insurance just let us know as soon as possible. When you arrive at our facility the receptionist will ask to see your insurance card and your photo identification. Please be prepared with these items or contact us before your appointment to make alternative arrangements.

If your insurance plan requires a referral, it is your responsibility to contact your primary care physician or insurance company before your visit with Austin Women’s Health Center. If you do not have an authorized referral on the day of your appointment, we will not be able to bill your insurance for your services.

We strongly recommend that you have your referral sent to our office before your appointment. It can be sent to us via fax at (512) 443-7077. Sometimes the referrals we receive have errors. If your physician’s office is closed or unable to respond to same day requests, we may not be able to get a corrected copy of the referral on the same day.

When we verify your eligibility and benefits, we ask your insurance company detailed questions about your coverage. If you have a deductible or co-insurance, that means you have not met (paid in full) your deductible for the year or perhaps your insurance company only covers part of the cost associated with your services.

Any payment that you make to AWHC will be reported to your insurance company, at your request. This means that your payment to us will help lower your out of pocket insurance costs for the rest of the year, in most cases.

When you schedule an appointment for abortion services we will ask that you provide us with your insurance information. We do this as a courtesy for our patients. Once we have this information we can verify your insurance coverage and let you know about your benefit details before you come in for services. This information will allow you to financially prepare for your visit.

We are misquoted benefits from insurance carriers on occasion. Sometimes your coverage has ended or your particular policy does not cover elective procedures. In these cases, we may ask for a reduced balance, typically the uninsured rate.

If you have any additional questions, please call 512-443-2888 and ask to speak with a Billing Specialist.