Insurance, Policies & Forms
Information regarding insurance, our office policies, HIPAA policies, and patient forms.
Insurance Contracts
We are contracted with and accept major private insurance plans listed below. However, insurance contracts are subject to change without notice. It is the patient’s responsibility to seek care from a participating provider and get highest level of benefits from their managed care plan. Please call your insurance to get more information about your medical and behavioral health benefits. We also offer discounted rates for private-pay patients. If we currently do not accept your insurance, we will be happy to provide you services at private-pay / cash-pay rates. Please call our office at 972-267-1988 to get more information.
Insurances we accept for Psychiatry:
Aetna
BCBS
Cigna
Magellan
United Healthcare / Optum / UMR
Baylor Scott & White Health Plan
Sana Benefits
Insurances we accept for Internal Medicine:
Aetna
BCBS
Cigna (including Cigna Local Plus and Cigna Connect Network)
Medicare (Traditional)
Most Medicare Advantage Plans
Tricare
Humana
Molina (Marketplace only)
Ambetter from Superior Health Plan
Care n Care
Oscar
Baylor Scott & White Health Plan (Tier 2 only)
Office & HIPAA Policies
New Patient Forms
For Psychiatry:
** You will need a login to access the link below. Please contact our office at 972-267-1988 for a login for the Patient Portal **
Login to Advanced MD Patient Portal
For Internal Medicine:
New Patient Form for Internal Medicine
For Psychology:
Adult Intake Form for Psychology
Adolescent Intake Form for Psychology
Parent/Guardian Intake Form for Psychology
Release/Consent Forms:
Release of Personal Health Information/Medical Records
Telemedicine Consent Form
Payment Plan Agreement with Credit Card Authorization
Completed and signed forms can be faxed to Fax # 972-267-3434 or emailed to documents@pmaplano.com*
*This email address is strictly for sending any forms or paperwork only. For appointments or any other inquiries, please call our office at 972-267-1988.