CLS Health Pulmonary Associates - Houston Galleria

• Asthma – A chronic condition causing airway inflammation, wheezing, and shortness of breath, often triggered by allergens or environmental factors. 
• Chronic Obstructive Pulmonary Disease (COPD) – A progressive disease, including emphysema and chronic bronchitis, leading to airflow obstruction and breathing difficulties. 
• Pulmonary Fibrosis – A lung disease characterized by scarring of lung tissue, making breathing difficult and reducing oxygen levels. 
• Cystic Fibrosis – A genetic disorder that leads to thick mucus buildup in the lungs and digestive system, causing frequent lung infections and breathing difficulties. 

• Pneumonia – A lung infection that causes fever, cough, and difficulty breathing, often bacterial or viral in origin. 
• Tuberculosis (TB) – A bacterial lung infection that can become chronic and contagious if untreated. 
• Fungal Lung Infections – Infections like histoplasmosis or aspergillosis, common in people with weakened immune systems. 

• Lung Cancer – A malignant disease of the lungs, often linked to smoking, environmental exposures, and genetic factors. 
• Lung Nodules & Masses – Small growths in the lung, which may be benign or early signs of lung cancer. 

• Occupational Lung Diseases – Conditions caused by prolonged exposure to dust, chemicals, or pollutants in the workplace. 
• Silicosis & Asbestosis – Lung diseases caused by inhaling fine silica or asbestos particles, leading to lung scarring and breathing difficulties. 

• Pulmonary Hypertension (PH) – High blood pressure in the lungs’ arteries, leading to shortness of breath, fatigue, and chest pain. 
• Chronic Thromboembolic Pulmonary Hypertension (CTEPH) – A form of pulmonary hypertension caused by old blood clots in the lungs. 

• Obstructive Sleep Apnea (OSA) – A condition where the airway collapses during sleep, causing snoring, gasping, and daytime fatigue. 
• Central Sleep Apnea – A neurological disorder in which the brain fails to send signals to control breathing during sleep. 
• Other Sleep Disorders – Conditions affecting sleep quality, oxygen levels, and overall lung function. 

• Chronic Cough – A persistent cough lasting more than eight weeks, often linked to asthma, GERD, or infections. 
• Shortness of Breath (Dyspnea) – Difficulty breathing, which may be caused by lung disease, heart conditions, or obesity. 
• Abnormal Chest X-ray or Lung Imaging – Evaluation of nodules, fluid buildup, or scarring found in imaging tests. 

• Aetna Select
• Open Access Selects
• Elect Choice
• Aetna Open Access Elect Choice
• Aetna Choice POS II
• Managed Choice
• Open Choice PPO
• Aetna Medicare Advantage Plans

CLS Health does not accept:

• Aetna CVS Marketplace Plans

* Some providers may not accept this insurance, please call to confirm

• Superior Ambetter Core (Complete, Clear, Focused, Standard Silver and Gold)
• Superior Ambetter Value (Clear Value Silver, Focused Value Silver, CMS Standard Silver & Gold Value, Everyday Value Gold)
• Superior Ambetter Virtual (Ambetter Virtual Access Silver, CMS Standard Virtual Access Basic Silver, Ambetter Virtual Access Gold)
• Superior Health Plan CHIP*
• Superior Health Plan MAPD (Medicare Advantage Prescription Drug)
• Superior Health Plan Medicare
• Superior Health Plan MMP Medicaid*
• Superior Health Plan MMP Medicare
• Superior Health Plan STAR*
• Superior Health Plan STAR Kids*
• Superior Health Plan STAR+PLUS*

CLS Health participates in most Blue Cross Blue Shield plans including:

• Blue Choice PPO
• Blue Essentials
• Blue Essentials Access
• HealthSelect
• HealthSelect of Texas In Area
• Consumer Directed HealthSelect in Area
• HealthSelect of Texas Out of State
• Consumer Directed Health Select Out of State
• HealthSelect Secondary 65+
• Medicare Advantage HMO
• Medicare Advantage PPO
• Medicare Advantage Value HMO
• POS
• Traditional/Par Plan
• TRS-Active Care
• TRS-Care Standard
• BCBS MyBlue Health (Marketplace)

*Some providers may not accept Community Health Choice, please call to confirm

• MarketplacePremier
• Medicaid*CHIPCHIP PerinateSTAR
• Medicare AdvantageDual-Special Needs Plan (D-SNP)

CLS Health accepts most Cigna plans, including:

• Cigna HMO
• Cigna Local Plus
• Cigna Open Access Plus
• Cigna PPO

• ChoiceCare PPO
• EPO
• HMO
• HMO Premier
• Medicare Advantage Plans
• HumanaChoice - Medicare Advantage PPO plan
• Humana Gold Choice - Medicare Advantage Private Fee-for-Service (PFFS) plan
• Human Gold Plus - Medicare Advantage HMO & Special Needs Plan
• Military (TRICARE South Region Military Health Plan)
• POS - including Choice POS, National POS Open Access/Plus and Preferred POS Open Access.
• PPO

*Some providers may not accept United Healthcare, please call to confirm

• Commercial, HMO, POS, EPO and PPO Plans (Charter, Choice,Core, Doctors Plan, Freedon, Heritage, Navigate, Nexus ACO, Options PPO, Passport Connect, Select)
• Indemnity
• Medicare Advantage (AARP, Care Improvement Plus, C-SNP, D-SNP, I-SNP, Erickson Advantage, ERS Medicare Advantage, TRS-Care Medicare Advantage, UnitedHealthcare Chronic Complete, UnitedHealthcare Connected (Medicare-Medicaid Plan), UnitedHealthcare Dual Complete, UnitedHealthcare Group Medicare Advantage PPO, United Healthcare Medicare Complete)
• Community Plans* (CHIP, CHIP Perinate, Star, Star Kids, Star Plus, MMP)
• Wellmed (Wellmed Dual SNP Focus, Wellmed Medicare Advantage Focus)

*Some providers may not accept Wellpoint, please call to confirm

• Medicaid (All Texas Plans Including the Below)*
• CHIP
• CHIP Perinate
• STAR
• STAR+PLUS
• STAR Kids
• Medicare Advantage
• C-SNP
• D-SNP
• I-SNP
• Medicare Advantage HMO
• Medicare-Medicaid (MMP)
• Medicare-Medicaid Program (MMP)
• STAR+PLUS MMP

*Some providers may not accept insurance, please call to confirm

PPO Networks

• Beechstreet PPO
• Carnival Cruise Lines PPO
• Envolve Benefit Options Vision-PPO, HMO
• First Health
• Curative/First Health
• Galaxy Health Network
• HealthSmart Preferred Care
• Accel
• Healthsmart Payors Organization
• Multiplan PPO
• Tricare (Humana) PPO/Prime

Employer-Specific Plans

• Brazoria County Employees – Aetna TPA Brazoria County Employees

Workers’ Compensation Plans

• Workers’ Comp
• Auto & Workers’ Comp

Medicare and Medicare Advantage

• Medicare Traditional
• Medicare Advantage
• Memorial Hermann Health Solutions Commercial and Medicare
• Molina Medicare Complete Care HMO SNP
• Medicare-Medicaid Program (MMP)
• STAR+PLUS MMP
• Alignment Health Plan
• AllyAlign Health
• American Health Plans
• Florida Complete Care
• Gold Kidney Health Plan
• Imperial Health
• Independent Health
• Kaiser Foundation Health Plan of Washington
• Kaiser Foundation Health Plan of Colorado
• Mass Advantage
• Presbyterian Health Plan
• PriorityHealth
• Provider Partners
• SCAN
• UCare
• Vantage Health Plan
• Verda Healthcare
• Zing Health

Medicaid and CHIP Programs

• Molina Healthcare* (Marketplace, Medicaid, CHIP, CHIP Perinate, STAR, STAR Kids, STAR+PLUS)
• Texas Children's Health Plans*
• TMHP (Traditional Medicaid) Traditional Medicaid

Specialty Plans

• VA Community Cares Network CCN