Medicare is the federal health insurance program for people aged 65 or older and certain younger people with disabilities.
Medicaid is a joint federal and state program that helps pay medical costs for people with limited income who meet certain eligibility criteria. Medicaid also offers financial assistance for nursing home and personal care services. Every state has different rules for Medicaid.
There have been no changes to our participation in Medicare and Medicaid programs.
CMS has the right and responsibility to survey any hospital participating in Medicare and Medicaid programs and we welcome their review as we are committed to continuing to provide a safe environment for all our patients and families.
Medicare Part A, or Hospital Insurance, covers hospital stays, hospice care, skilled nursing facilities, and some home health care.
Medicare Part B, or Medical Insurance, covers doctor visits, preventive care and screening, and medical supplies.
Medicare Parts A and B are both accepted at MD Anderson.
Medicare Part C, also known as the Medicare Advantage Plan, replaces traditional Medicare. MD Anderson is contracted with the following Medicare Advantage plans:
- Blue Cross & Blue Shield of Illinois
- Blue Cross & Blue Shield of Oklahoma
- Blue Cross & Blue Shield of Montana
- Blue Cross & Blue Shield of New Mexico
- Blue Cross & Blue Shield of Texas
- Out-of-State Blue Cross & Blue Shield PPO
- Kelsey-Care Medicare Advantage
We also have working relationships with other Medicare Advantage HMO and PPO plans. Please contact your plan to determine if they will work with MD Anderson.
Medicare Supplemental (MediGap) policies allow enrollees to see any provider that accepts Medicare. Some of these supplemental plans are accepted at MD Anderson. However, we do not accept any supplemental plans that require enrollees to use a provider in a restricted network that does not include MD Anderson or its physicians.
Traditional Texas Medicaid is accepted at MD Anderson. You must select a Managed Medicaid plan within within 30-45 days, or one will be chosen for you by Texas Medicaid. Traditional Texas Medicaid does not include Managed Medicaid HMO plans.
Managed Medicaid HMO plans are managed by a health insurance company. MD Anderson is contracted with the following Managed Medicaid Plans:
- Blue Cross & Blue Shield of Texas - Children’s Health Insurance Program (CHIP)/Perinate, Star, Star Kids and STAR+PLUS
- Texas Children’s Health Plan - STAR and CHIP
Some non-contracted health plans allow treatment at MD Anderson through a single case agreement process. Please contact your health plan and ask if they are willing to negotiate a single case agreement to allow treatment at MD Anderson.
Out-of-State Medicaid: MD Anderson does not accept out-of-state traditional Medicaid or Managed Medicaid plans.