Insurance Plans We Accept / Seguros Médicos Aceptados
Texas Family Clinica accepts a variety of insurance plans to help make quality healthcare accessible to our patients and families.
Currently Accepted / Actualmente Aceptados
Blue Cross Blue Shield (BCBS)
Medicare
Medicaid
UnitedHealthcare
Amerigroup
Baylor Scott & White Health Plan
Cigna
Humana
Credentialing in Progress / Acreditación en Proceso
The following insurance plans are currently pending. We are not yet accepting these plans, but we are actively working to add them:
Aetna
TRICARE
Insurance coverage and benefits vary by plan. Please contact our office to verify that we participate with your specific insurance plan and to confirm your benefits before scheduling.
Cash Pay Option — direct primary care (DPC) /
Opción de Pago en Efectivo — atención primaria directa
1. Welcome to Texas Family Clinica Direct Primary Care
Our Direct Primary Care (DPC) model is designed to provide you and your family with personalized, high-access, and transparent medical care. By bypassing traditional insurance red tape, we put the focus back where it belongs; on your health and wellness.
2. Membership Pricing & Tiers
Membership fees are billed on a recurring monthly basis.
Adult Individual: $99.00 / month (Ages 18 and older)
Child Individual: $50.00 / month (Ages 0 to 17; must be enrolled alongside an adult membership)
Enrollment / Administrative Fee: A one-time, non-refundable $150.00 administrative fee is due at the time of initial enrollment for each member or family account setup.
3. What is Included in Your Membership
Your monthly membership covers a comprehensive suite of primary care and wellness services at no additional per-visit charge:
Routine & Preventive Care
Annual Wellness Visits: Comprehensive physical exams, health risk assessments, and personalized wellness planning.
Annual Wellness Blood Draws: Routine annual preventative lab panels included as part of your yearly exam.
Clinical Care & Access
Sick Visits: Up to 4 sick / acute visits per month (in-office or via telehealth for urgent care needs).
Extended & Direct Access: Direct communication channels with your provider, minimizing wait times and ensuring timely care.
In-Office Procedures & Care
Minor In-Office Procedures: Includes standard procedures performed within our clinic (e.g., simple laceration repair/sutures, basic skin tag or mole removals, wart cryotherapy, rapid diagnostic testing, and ear lavage). Note: Cost of specialized outside pathology analysis for removed tissue is extra if required.
Wholesale & Discounted Partner Pricing
Wholesale Medications: Access to practitioner-grade supplements and select prescription medications at direct provider-negotiated wholesale pricing.
Discounted Labs & Imaging: Provider-discounted cash pricing for any extra blood draws, specialized panels, or partnered radiology / imaging services outside of your annual wellness panel.
4. Scope of Membership & Limitations
To ensure complete transparency, it is important to understand what DPC covers and what it does not:
Does Not Replace Health Insurance: This agreement is not health insurance, an HMO, or a substitute for major medical coverage. Members are strongly encouraged to maintain a high-deductible health plan, catastrophic coverage, or health-sharing ministry to protect against unforeseen hospitalizations, emergency room visits, or major surgical events.
Exclusions: Hospital stays, emergency room care, inpatient procedures, specialist consultations, and advanced imaging (such as MRIs or CT scans) are not covered by this membership fee, though we will help coordinate your care and leverage partner cash-pay discounts whenever possible.
5. Billing, Commitment Term, & Cancellation
Payment: Membership dues and the initial administrative fee are automatically charged to your designated payment method on file.
Commitment Term: Members agree to an initial 6-month required commitment starting from the effective enrollment date.
Cancellation After Commitment: Following the initial 6-month commitment period, you may cancel your membership at any time with 30 days' written notice.
Agreement Renewal: This agreement renews automatically month-to-month following the initial term unless terminated by either party.