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Cover - Primary Care Providers
Cover - PrCover - Primary Cimary Care Praroe Prvideroviders s
SPRING / PRIMAVERA 2017
Provider Directory
ProPvroidveidr eDrire Directocrtyory
Directorio de Proveedores
DireDctiroerctio dorie Po dre Poveroedveoeredsores
STAR Health
We are ready
to help!
¡Estamos listos
para ayudar!
Call / Llame al
1-866-912-6283
Primary Care Providers / Proveedores De Cuidado Primario
South region / La región sur
Aransas, Atascosa, Austin, Bandera, Bee, Bexar, Brazoria, Brooks, Calhoun, Cameron, Chambers, Colorado, Dewitt, Dimmit,
Duval, Edwards, Fort Bend, Frio, Galveston, Goliad, Gonzales, Guadalupe, Hardin, Harris, Hidalo, ackson, efferson, im
Ho, im ells, arnes, ened, inne, leber, a alle, avaca, ibert, ive ak, ataorda, averick, cullen, edina,
ontomer, ueces, rane, eal, e
uio, an acinto, an atricio, tarr, utton, valde, al erde, ictoria, alker, aller,
ebb, harton, illac, ilson, apata, avala counties condados
5900 E. Ben White Blvd.
5900 E. Ben White Blvd.
Austin, TX 78741
Austin, TX 78741
1-866-912-6283
1-866-912-6283
FosterCareTX.com
FosterCareTX.com FosterCareTX.com
SH1E-S-0317 SHP_20163750D SH1E-S-0317
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Inside Cover
f ou don’t see our provider (doctor) in tis director, please call us at
1-866-912-6283. e are al
as updatin our provider listins and
ill be
app to elp ou find a doctor tat is rit for our cild. lease call us
Si no encuentra el nombre de su proveedor (doctor) en este directorio,
por favor, llámenos al 1-866-912-6283. ctualiamos la lista de doctores
continuamente con usto le audaremos a encontrar al doctor indicado
para el niño. or favor, ¡llámenos
STAR HEALTH
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Superior HealthPlan, Spring/Primavera 2017 Member Services / Servicios para Miembros 1-866-912-6283
TABLE OF CONTENTS / TABLA DE CONTENIDO
Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Introduccion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Choosing your Primary Care Provider (PCP) . . . . 2 Cómo escoger a su Proveedor de Cuidado Primario (PCP)
When you need a Specialist . . . . . . . . . . . . . . . . . 2 3
Where to Call . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 Cuándo debe ir a un especialista . . . . . . . . . . . . . 3
A dónde debe llamar . . . . . . . . . . . . . . . . . . . . . . 3
Primary Care Providers (doctor) . . . . . . . . . . . . . . . . . 4
Clinics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Proveedores de Cuidado Primario (doctor) . . . . . . . . . 4
Family Practice . . . . . . . . . . . . . . . . . . . . . . . . . 15 Clínicas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5
General Practice . . . . . . . . . . . . . . . . . . . . . . . . . 78 Medicina familiar . . . . . . . . . . . . . . . . . . . . . . . 15
Internal Medicine . . . . . . . . . . . . . . . . . . . . . . . 82 Medicina general . . . . . . . . . . . . . . . . . . . . . . . . 78
Obstetrics/Gynecology . . . . . . . . . . . . . . . . . . . 103 Medicina interna . . . . . . . . . . . . . . . . . . . . . . . . 82
Pediatrics . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114 Obstetricia/Ginecologia . . . . . . . . . . . . . . . . . . 103
Pediatría . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 114
Listing of Specialist Descriptions . . . . . . . . . . . . . . 162
Lista de descripción de especialistas . . . . . . . . . . . . 162
Specialists . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Especialistas . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 163
Hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
Hospitales . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 239
Ancillary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
Ancilar . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
Laboratories . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Laboratorios . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 251
Radiology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252
Radiología . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 252
Behavioral Health
Providers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 253 Servicios de salud mental y de abuso de substancias
Facilities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311 Proveedores . . . . . . . . . . . . . . . . . . . . . . . . . . . 253
Facilidades . . . . . . . . . . . . . . . . . . . . . . . . . . . . 311
Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313
Dental . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 313
Vision . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375
Visíon . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 375
Indices
Participating Providers Index . . . . . . . . . . . . . . 409 Índice
Hospitals Index . . . . . . . . . . . . . . . . . . . . . . . . 481 Índice de Proveedores Participantes . . . . . . . . . 409
Ancillary Index . . . . . . . . . . . . . . . . . . . . . . . . 481 Índice de Hospitales . . . . . . . . . . . . . . . . . . . . . 481
Behavioral Health Providers Index . . . . . . . . . 492 Índice de Ancilar . . . . . . . . . . . . . . . . . . . . . . . 481
Behavioral Health Facilities Index . . . . . . . . . . 501 Índice de Proveedores de servicios de salud mental y
Dental Index . . . . . . . . . . . . . . . . . . . . . . . . . . 502 de abuso de substancias . . . . . . . . . . . . . . . . . . 492
Vision Index . . . . . . . . . . . . . . . . . . . . . . . . . . 509 Índice de Facilidades de servicios de salud mental y
de abuso de substancias . . . . . . . . . . . . . . . . . . 501
Índice de Dental . . . . . . . . . . . . . . . . . . . . . . . . 502
Índice de Visión . . . . . . . . . . . . . . . . . . . . . . . . 509
1 SH1E-S-0317
Superior HealthPlan, Spring/Primavera 2017 Member Services / Servicios para Miembros 1-866-912-6283
INTRODUCTION / INTRODUCCIÓN
Welcome to Superior HealthPlan
Superior HealthPlan’s STAR Health is a health care program for children and young adults in foster care across the State of
Texas. Superior works with many doctors, clinics, and hospitals in your community to give the member the medical care
needed. This directory lists the ones that are part of the Superior Provider Network.
Please Remember: only the Medical Consenter can choose or change a child’s doctor. If you are the caregiver, but not the
Medical Consenter, please call the Medical Consenter for help.
Superior Service for You and Your Family
If you have any questions about Superior HealthPlan or about this directory, call Member Services at 1-866-912-6283.
Choosing Your Primary Care Provider (Doctor)
Choosing your own Primary Care Provider is easy with Superior. Just pick one for you and one for each eligible family
member from the list in this book. Each member can pick his or her own Primary Care Provider. If you are a woman, you
may be able to choose an obstetrician (OB) or gynecologist (GYN) as your doctor. Once you have picked a doctor, call
Member Services at 1-866-912-6283.
If you need help or don’t see your doctor on this list, call Superior’s Member Services at 1-866-912-6283.
Choosing an OB/GYN
You may choose any OB/GYN doctor from the Superior Provider Network to take care of your female health care needs
without a referral from your doctor. An OB/GYN can help you with your pregnancy care, yearly checkups and any female
problems you may have. Call Superior’s Member Services at 1-866-912-6283 if you need help choosing an OB/GYN.
Family Planning
You can get your family planning services from your doctor or go to any family planning clinic that takes Medicaid. Superior
members can receive family planning services without a referral from their primary care doctor. Call Superior’s Member
Services at 1-866-912-6283 if you need help finding a family planning doctor or clinic.
Behavioral Health
Behavioral health refers to mental health and alcohol and drug abuse treatment. Superior’s behavioral health provider,
Cenpatico, has a group of specialists that can help you. Call Cenpatico at 1-866-218-8263, 24 hours a day, 7 days a week.
You do not need a referral from your doctor for behavioral health services.
Opthamologist or Therapeutic Optometrists
All members may select an in-network ophthalmologist or therapeutic optometrist to provide eye health care services, other
than surgery, and have access without a doctor referral to eye health care services from a network specialist who is an
ophthalmologist or therapeutic optometrist for non-surgical services. To find an ophthalmologist or therapeutic optometrist,
call Superior Member Services at 1-866-912-6283.
Texas Health Steps
Texas Health Steps gives free regular medical and dental checkups to children with Medicaid. It also offers other services like
vaccines and vision and hearing tests. You can call us toll-free, Monday to Friday, 8 a.m. to 5 p.m. at 1-866-912-6283 if you:
• Need help finding a doctor for your child’s Texas Health Steps checkups.
• Need help setting up a checkup.
• Have questions about Texas Health Steps checkups.
Pharmacy
Superior provides prescriptions for all its members through Envolve Pharmacy Solutions (formerly known as US Script),
Superior’s partner who provides your Superior pharmacy services for you. You can get your prescriptions filled at most drug
stores in Texas, including CVS, HEB, Randall’s, Target, Walgreens, Walmart, as well as many other pharmacies. To find out
which pharmacies are in Superior's network, you can call us at 1-866-912-6283 or look on our website at
providersearch.superiorhealthplan.com. Remember - always take your Superior I.D. card and your Texas Medicaid card with
you to the drug store.
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