Coverage & Membership
Insurance & Membership
We accept Medicare, BCBS, Cigna, UnitedHealthcare, Tricare, and 30+ other plans. For patients seeking a more flexible, direct-care experience, we also offer Basic and Full membership plans. Not sure which option is right for you? Call us and we'll help.
| ✓30+ Plans Accepted | ✓Medicare & Medicare Advantage | ✓Telehealth Covered | ✓Cash Pay Available |
📅 Request an Appointment
📞 Call 469-930-4655
💬 Text 469-930-4655
Call to verify your coverage — Mon–Fri, 8 AM – 5 PM
In-Network Plans
Insurances We Accept
We accept most major insurance plans. If you don't see yours listed, please call — coverage may still be available.
✓ Aetna PPO/POS ⚠ OON benefits required | ✓ BCBS TX Essentials HMO ⚠ Prior auth required | ✓ BCBS TX High Performance Network |
✓ BCBS TX Medicare HMO ⚠ Prior auth required | ✓ BCBS TX Medicare PPO | ✓ BCBS TX PPO/POS |
✓ BCBS TX Premier HMO ⚠ Prior auth required | ✓ Cigna | ✓ CP-Wellness |
✓ Evry Health EPO/PPO | ✓ First Health | ✓ Galaxy Health Network |
✓ Healthcare Highways | ✓ HealthSmart PPO/HPO/Accel | ✓ HealthSpring Medicare Advantage (Cigna) |
✓ Humana Medicare HMO ⚠ Prior auth required | ✓ Humana Medicare PPO/PFFS | ✓ Imagine Health |
✓ IMS PPO | ✓ Medicare (Traditional) | ✓ Partners Direct Health |
✓ Provider Network of America (PNOA) PPO | ✓ Railroad Medicare | ✓ Sana PPO |
✓ Tricare | ✓ Tricare West | ✓ UnitedHealthcare |
✓ UnitedHealthcare Medicare Advantage | ✓ UMR | ✓ Velocity PPO |
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Please note: BCBS TX plans do not include Exchange/Marketplace networks (BAV, BFT) · UHC does not include the TXONEX plan.
Plans marked “Prior auth required” need a valid referral and/or authorization number from your primary care provider (PCP) on file before your visit.
Always verify your coverage with your insurance provider prior to your appointment. Questions? Call 469-930-4655.
Plans marked “Prior auth required” need a valid referral and/or authorization number from your primary care provider (PCP) on file before your visit.
Always verify your coverage with your insurance provider prior to your appointment. Questions? Call 469-930-4655.
Not Accepted
Plans We Don't Accept
The following plans are not accepted at DFW Endocrinology. If you have one of these plans, please call us to discuss cash pay or membership options.
✖ Blue Advantage HMO Exchange Payer: BCBS TX · Code: BAV · Exchange / Marketplace network | ✖ My Blue Health HMO Payer: BCBS TX · Code: BFT · Exchange / Marketplace network |
✖ UnitedHealthcare TXONEX Payer: UHC · Code: TXONEX · Texas Exchange network | ✖ Wellpoint HMO HMO plan · Out of network |
✖ Molina Healthcare Marketplace / Medicaid plan · Out of network | ✖ Ambetter Health Exchange / Marketplace plan · Out of network |
For Patients Without In-Network Coverage
Cash Pay & Membership Rates
Great endocrinology care should be accessible. Our transparent pricing includes cash pay rates and two membership tiers — Basic and Full — so you can choose the level of care that fits your needs.
|
No Insurance Needed
Cash Pay
New Consultation $400 Follow-up Appointment $200 Dietitian Visit $50 / 30 min CGM Services $50 |
Essential Care
Basic Membership
Monthly $150 / month Annual $1,500 / year New Consultation $400 Min. Commitment 6 months |
Best Value
Full Membership
Monthly $300 / month Annual $3,000 / year New Consultation $400 Min. Commitment 6 months |
What's Included
Services & Benefits Comparison
A full breakdown of what's included across our cash pay and two membership tiers.
| Service | Cash Pay | Basic ($150/mo) | Full ($300/mo) |
|---|---|---|---|
| New Consultation | $400 | $400 | $400 |
| Follow-up Appointments | $200 | Priority access (4/yr) * | Priority access (12/yr) * |
| Messaging (Calls, Texts, Emails) | Limited | Unlimited | Unlimited |
| Diabetes Education / Lifestyle Coaching | Initial $100 / F/U $50 | 1 free initial consultation | Monthly care team follow-up † |
| Referral Coordination | — | Included | Included |
| CGM Services (Placement/Education/Download/Interpretation) | $50 | $50 | Included |
| Forms (Prior-Auths, Drug Assistance, other) | $25/form | Included | Included |
| Lab Tests | Charges vary | Discounted | Discounted |
| Thyroid Ultrasound | $150 | Included (1/yr) | Included (1/yr) |
| Dietitian Visits | $50 / 30 min | Discounted | Discounted |
| Body Composition (InBody) Testing | $50 | Included | Included |
| Cancellation Fee | $50 | None | None |
* Both membership tiers receive same- or next-day scheduling for follow-up visits. Basic members are eligible for up to 4 follow-ups per year; Full members for up to 12.
† Full members receive one monthly care team follow-up. Care team may include Lifestyle Coach, CDE, or Dietitian; additional visits available at a discounted fee.
‡ A 6-month minimum commitment is required for all membership tiers.
Cancellation policy: We require at least 48 hours advance notice to cancel or reschedule an appointment. A $50 fee applies to cancellations made within 48 hours for cash-pay patients.
† Full members receive one monthly care team follow-up. Care team may include Lifestyle Coach, CDE, or Dietitian; additional visits available at a discounted fee.
‡ A 6-month minimum commitment is required for all membership tiers.
Cancellation policy: We require at least 48 hours advance notice to cancel or reschedule an appointment. A $50 fee applies to cancellations made within 48 hours for cash-pay patients.
Accepting New Patients
Questions About Your Coverage?
Our team is happy to verify your insurance eligibility before your appointment — no surprises.