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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 257944-Superior_STAR-HEALTH_8.5x11.indd 8 1/19/17 12:08 PM 257944-Superior_STAR-HEALTH_8.5x11.indd 8 1/19/17 12:08 PM 257944-Superior_STAR-HEALTH_8.5x11.indd 9 1/19/17 12:08 PM 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 257944-Superior_STAR-HEALTH_8.5x11.indd 10 1/19/17 12:08 PM 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. 2 SH1E-S-0317
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