Michael Berkus, MD

Insurance Accepted

• 6 Degrees - Transplant
• 90 Degree Benefits - Third Party Administrator
• Administrative Concepts - Third Party Administrator
• Aetna (Coventry) - Work Comp/Auto
• Aetna Better Health - CHIP/CHIP Perinate Newborn
• Aetna Better Health - Medicaid STAR
• Aetna Health - Commercial (Choice POS II, Elect Choice EPO, Exchange (Silver/Gold HMO))
• Aetna Health - Commercial (HMO, Managed Choice POS, Meritain, Open Choice PPO)
• Aetna Health - Commercial (QPOS, SAISD, Select)
• Aetna Health - Medicaid Dual Preferred (HMO D-SNP)
• Aetna Health - Medicare Advantage (Eagle PPO, Freedom PPO, Premier HMO, Prime HMO, Value Plus PPO)
• Aetna Health - Transplant ONLY
• Allegiance - Universal Benefits Consortium
• Allied Benefit Systems - Third Party Administrator
• Allwell (Superior HealthPlan) - Medicare Advantage
• Ancira Enterprises - Direct Employer
• Benefit Administrative Systems - Third Party Administrator
• BlueCross BlueShield (Federal Programs) - Commercial (Federal - All Products)
• BlueCross BlueShield (Out-of-State) - Commercial (Out of State - Blue Card Program Only)
• BlueCross BlueShield of Texas - Commercial (Blue Premier HMO, Blue Choice PPO)
• BlueCross BlueShield of Texas - Commercial (CHIP, Blue Advantage HMO, Blue Essentials HMO)
• BlueCross BlueShield of Texas - Commercial (ERS, TRS, State of TX Employees)
• BlueCross BlueShield of Texas - HPN/EPO (Narrow Network)
• BlueCross BlueShield of Texas - Medicaid (STAR, STAR Kids, STAR PLUS)
• BlueCross BlueShield of Texas - Medicare Advantage (HMO, PPO)
• BlueCross BlueShield of Texas - Medicare-Medicaid Dual Eligible Plans
• BlueCross BlueShield of Texas - Traditional/Par Network
• BlueCross BlueShield of Texas - Transplant Network
• Care Improvement Plus - Medicare Advantage (Special Needs Plan)
• Century Healthcare - Third Party Administrator
• CHAMPVA - Governmental
• Cigna - Employer Specific Network (United Benefits Consortium)
• Cigna - Employer Specific Network (USAA Employees & Dependents Only)
• Cigna Health Spring - Medicare Advantage (WellMed)
• Community First Health Plans - CHIP/CHIP Perinate Newborn
• Community First Health Plans - Commercial (HMO, Exchange)
• Community First Health Plans - Medicaid (STAR, STAR Kids, STAR PLUS)
• Community First Health Plans - Medicare Advantage (HMO)
• Community First Health Plans - University Family Care Plan
• Curative - Commercial (All Products)
• Driscoll Health Plan - Medicaid (All products)
• EBSO Benefits - Third Party Administrator
• El Paso Health - CHIP
• El Paso Health - Medicaid STAR
• Employers Health Network - Commercial (PPO)
• Entrust - Third Party Administrator
• First Health - Commercial (All Products)
• FirstCare (Part of Baylor Scott & White) - Medicaid-STAR
• Galaxy Health Network - Commercial (All products)
• Gilsbar - Third Party Administrator
• Group and Pension Administrators - Third Party Administrator
• HealthSmart (Accel) - Commercial (All products)
• HMA LLC - Third Party Administrator
• Humana - Medicare Advantage (HMO, PPO, WellMed)
• Humana - Transplant Network
• Humana Military - TRICARE East Region
• Imagine 360 - Third Party Administrator
• Imperial Health - Commercial (Exchange)
• Imperial Health Plan - Medicare Advantage
• Independent Medical Systems - Commercial (PPO)
• Independent Medical Systems - Workers Compensation
• Injury Management Organization - Workers Compensation
• Interlink - Transplant Network
• International Benefits Administrators - Third Party Administrator
• Kempton Group Administrators - Third Party Administrator
• Key Benefits Administrators - Third Party Administrator
• LifeTrac - Transplant Network
• Lucent Health - Third Party Administrator
• Medicaid (Traditional) - Medicaid/Medicare
• Molina Healthcare - CHIP/CHIP Perinate
• Molina Healthcare - Commercial (Exchange)
• Molina Healthcare - Medicaid (STAR, STAR Kids, STAR PLUS)
• Molina Healthcare - Medicare Advantage
• Molina Healthcare - Medicare-Medicaid Dual Eligible Plans
• MultiPlan - Commercial (All products)
• OptumHealth - Transplant Network
• Oscar - Commercial Exchange
• Point Comfort Underwriters - Refugee Medical Assistance (Adults, Children)
• Prime Health Services - Commercial (PPO)
• Prime Health Services - Medicare Advantage (All Products)
• Prime Health Services - Workers Compensation
• Private Healthcare Systems - Commercial (All Products)
• ProCare Advantage - Medicare Advantage (Special Needs Plan)
• Provider Network of America - Commercial (All Products)
• Provider Partners Health Plan - Medicare Advantage (Special Needs Plan)
• SANA Benefits - Commercial (All Products)
• Scott & White Health Plan - Commercial (Exchange, HMO, PPO)
• Scott & White Health Plan - Medicaid/Medicare Advantage (All Products)
• Superior HealthPlan - CHIP/CHIP Perinate
• Superior HealthPlan - Medicaid (STAR, STAR Health Foster Care, STAR Kids, STAR PLUS)
• Superior HealthPlan - Medicare-Medicaid Dual Eligible Plans
• Surest (United Healthcare) - Commercial (All Products)
• Texas Independence Health Plan - Medicare Advantage (Special Needs Plan)
• Three Rivers Provider Network (Contigo) - Commercial (PPO)
• Tokio Marine - Transplant Network
• TriWest - TRICARE West Region
• TriWest - VA Community Care Network
• Trustmark Benefits (f/k/a CoreSource) - Third Party Administrator
• UnitedHealthcare - Commercial (Charter EPO/HMO/POS)
• UnitedHealthcare - Commercial (Choice Plus POS/PPO/Choice Plus-HAS)
• UnitedHealthcare - Commercial (Compass EPO/HMO/POS)
• UnitedHealthcare - Commercial (Core and Core Choice Plus EPO/HMO)
• UnitedHealthcare - Commercial (Doctors Plan EPO/HMO/POS)
• UnitedHealthcare - Commercial (Heritage EPO/HMO/POS)
• UnitedHealthcare - Commercial (Indemnity)
• UnitedHealthcare - Commercial (Navigate EPO/HMO/POS)
• UnitedHealthcare - Commercial (Nexus ACO/EPO/HMO/POS)
• UnitedHealthcare - Commercial (PPO)
• UnitedHealthcare - Commercial (Select EPO/HMO/POS)
• UnitedHealthcare - Commercial (Select Plus EPO/HMO/POS)
• UnitedHealthcare - Medicare Advantage (AARP Plans, Complete Care Plans, Erickson Advantage Plans)
• UnitedHealthcare - Medicare Advantage (UnitedHealthcare Group Plans, WellMed)
• UnitedHealthcare Community Plan - CHIP/CHIP Perinate
• UnitedHealthcare Community Plan - Medicaid (STAR, STAR Kids, STAR PLUS)
• UnitedHealthcare Community Plan - Medicare-Medicaid Dual Eligible Plans
• Universal Benefits Consortium (Allegiance) - Direct Contract with TPA/Broker for select ISDs
• University of Incarnate Word - Direct Contact with Employer
• Velocity National Provider Network - Commercial (Multiple Payers)
• Velocity National Provider Network - Commercial (PPO)
• Veterans Administration - Governmental
• WebTPA - Third Party Administrator
• WellCare - Medicare Advantage
• WellMed (Gonzaba Medical Group IPA) - Medicare Advantage (Transplant Only)
• WellMed - Medicare Advantage (Cigna HealthSpring, Humana, United Healthcare, WellPoint)
• WellPoint (Gonzaba) - Medicare Advantage (TRANSPLANTS ONLY)
• WellPoint - CHIP/CHIP Perinate
• WellPoint - Commercial (Exchange)
• WellPoint - Medicaid (STAR, STAR Kids, STAR PLUS)
• WellPoint - Medicare Advantage (All Products)
• WellPoint - Medicare Advantage (Transplant Only)
• WellPoint - Medicare Advantage (WellMed)
• WellPoint - Medicare-Medicaid Dual Eligible Plans
• Zelis - Third Party Administrator