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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 ...

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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, ‚c‚ullen, ‚edina, 
                                                                                                                                                        ‚ontomer, ƒueces, €rane, „eal, „e…uio, ­an acinto, ­an †atricio, ­tarr, ­utton, ‡valde, ˆal ˆerde, ˆictoria, alker, aller, 
                                                                                                                                                        ebb, harton, illac, ilson, ‰apata, ‰avala counties Š 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 tƒis director, please call us at 
                1-866-912-6283. „e are al…as updatin our provider listins and …ill be 
                ƒapp to ƒelp ou find a doctor tƒat is riƒt for our cƒild. lease call us­
                Si no encuentra el nombre de su proveedor (doctor) en este directorio, 
                por favor, llámenos al 1-866-912-6283. ctualiamos la lista de doctores 
                continuamente  con usto le audaremos 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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