Insurance & Coverage
Understanding Your Coverage Options
We understand that insurance coverage is one of the most important questions for patients, families, hospitals, and referral partners. Our goal is to make this page clear, helpful, and easy to understand — and to encourage anyone with questions to contact our office directly for verification.
Important Notice
Your Coverage Matters
Understanding Insurance Coverage
We understand that insurance coverage is one of the most important questions for patients, families, hospitals, and referral partners. Our goal is to make this page clear, helpful, and easy to understand while encouraging anyone with questions to contact our office directly for verification.
Important Notice
Coverage, authorization requirements, and eligibility can vary by plan, product, service line, and patient circumstances. Please contact our office to verify current participation before care begins.
Accepted Insurance Plans
We work with a comprehensive range of insurance providers to ensure accessible care for all patients.
ORIGINAL MEDICARE
Tricare Home Health Services Inc. accepts Original Medicare for eligible home health patients. Medicare covers skilled home health services when ordered by a physician and when the patient meets Medicare's homebound and medical necessity criteria.
- Medicare (Part A and Part B)
MEDICARE ADVANTAGE (PPO Plans Only — HMO Plans Not Accepted)
We accept most Medicare Advantage PPO plans. We do not accept HMO plans. Please contact our office to verify current participation, authorization requirements, and eligibility before care begins.
- Blue Cross Blue Shield of Texas Medicare Advantage
- Care Improvement Plus
- Community First Medicare Advantage
- Wellcare Medicare Advantage / Tango
- Carelon / myNEXUS participation where applicable
- United Healthcare Dual Complete PPO
- United Health Complete Care PPO
COMMERCIAL INSURANCE
We accept most major commercial insurance plans. Contact our office to confirm your coverage before care begins. If your PPO plan isn't listed, you may still have out-of-network benefits — our team can help check.
- Blue Cross Blue Shield of Texas Commercial
- Community First Health Plans Commercial
- Texicare / Community Health Choice
- MultiPlan / Claritev
- Oscar Health Commercial
- Cigna Commercial
- Aetna PPO
- Anthem PPO
VA / MILITARY PROGRAMS
We are proud to serve veterans and active military families through the following programs. Please contact our office to verify eligibility and authorization requirements.
- TriWest Healthcare Alliance VA Community Care Network (CCN)
- Tricare Prime
- Tricare Select
RPM Program Coverage
Our Remote Patient Monitoring program operates as a separate service line from our skilled home health services. RPM coverage is available exclusively through Texas Medicaid and participating Medicaid managed care plans.
Note: The plans listed below apply to RPM program participation only and do not reflect standard home health coverage.
- Texas Medicaid (Traditional)
- Superior HealthPlan (Medicaid)
- Community First Health Plans (Medicaid)
- UnitedHealthcare Community Plan (Medicaid)
- Molina Healthcare of Texas (Medicaid)
- Wellpoint / Amerigroup Texas (Medicaid)
- Blue Cross Blue Shield of Texas Medicaid where applicable
RPM participation, prior authorization requirements, and patient eligibility can vary by plan, condition, and individual circumstances. Please contact our office to verify current eligibility and program availability before enrollment begins.
Texas Crime Victims' Compensation Program
Tricare Home Health Services Inc. participates in the Texas Crime Victims’ Compensation Program where applicable. If you or a family member may be eligible for services under this program, please contact our office directly to discuss coverage and next steps.
If You Do Not See Your Insurance Listed
Why Verification Is Always Important:
Coverage Confirmation
Ensure your plan is currently accepted
Eligibility Check
Confirm patient eligibility status
Authorization Status
Verify any required pre-authorizations
Plan Requirements
Understand specific plan rules
Don't Wait — Verify Your Coverage Today
Most patients are covered and don't know it. Call us now and we'll confirm your benefits, check authorization, and get you started — usually within one business day.