Colorectal

• Hemorrhoids – Swollen veins in the rectum or anus that cause discomfort, itching, and bleeding. 
• Fistulas – Abnormal tunnels between the anus and surrounding tissue, often caused by infections. 
• Abscesses – Painful collections of pus near the anus due to infection. 
• Anal Sphincter Spasms – Involuntary contractions of the anal muscles, causing pain and difficulty with bowel movements. 
• Pilonidal Disease – Cyst or abscess formation near the tailbone due to ingrown hairs or infections. 
• Condylomas (Anal Warts) – Growths around the anus caused by the human papillomavirus (HPV). 

• Fecal Incontinence – Loss of bowel control, often linked to nerve or muscle damage. 
• Prolapse – Weakening of rectal support structures, leading to the rectum protruding through the anus. 
• Stenosis/Stricture – Narrowing of the rectum or colon, making it difficult to pass stool. 
• Polyps – Abnormal growths in the colon or rectum, some of which may develop into cancer. 
• Cancer – Colorectal cancer and anal cancer, requiring early diagnosis and surgical intervention. 

• Laparoscopic & Robotic Surgery – State-of-the-art techniques to treat colorectal diseases with precision. 
• Colon and Rectal Surgery – Removal or repair of diseased portions of the colon and rectum. 
• Anorectal Surgery – Procedures for hemorrhoids, fistulas, abscesses, and other anorectal conditions. 

• Hiatal Hernia Repair – Corrects stomach displacement causing reflux and swallowing issues. 
• Abdominal Wall Hernia Repair – Treats hernias in the abdominal muscles. 
• Umbilical Hernia Repair – Fixes hernias around the belly button. 
• Ventral/Incisional Hernia Repair – Addresses hernias at previous surgical sites. 
• Groin Hernia Repair (Inguinal, Femoral) – Fixes hernias in the lower abdominal and groin region. 
• Parastomal Hernia Repair – Repairs hernias around stomas (surgically created openings for waste removal). 
• Lumbar Hernia Repair – Treats rare hernias in the lower back region. 

• Nissen Fundoplication – Surgical treatment for GERD to prevent acid reflux. 
• Toupet Fundoplication – Partial fundoplication for reflux disorders. 
• Heller Myotomy – Surgery to relieve swallowing difficulties caused by achalasia. 

• Colonoscopy – Screening for colon cancer, polyps, and digestive issues. 
• Endoscopy – Visual examination of the digestive tract to diagnose and treat disorders. 

Cholecystectomy (Gallbladder Removal Surgery) – A laparoscopic procedure to treat gallbladder disease and prevent further complications. 

• 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

Colon cancer may develop without noticeable symptoms in early stages. Warning signs include: 

• Persistent changes in bowel habits (diarrhea, constipation). 
• Blood in stool or rectal bleeding. 
• Unexplained weight loss and fatigue. 
• Abdominal pain or cramping that does not resolve. 
• A feeling of incomplete bowel emptying. 

The primary symptom of GERD is heartburn, which occurs when stomach acid travels through the esophagus and stimulates nerve fibers. Heartburn is felt as a burning pain in the middle of the chest that can stretch from the abdomen to the neck and even extend into the back. Other more common symptoms of GERD may include regurgitation, a dry cough, nausea, trouble swallowing, ulcers, sore throat, burping, or hoarseness/change in voice.

• Starting at age 45 for individuals at average risk. 
• Earlier screening for those with a family history of colorectal cancer. 
• Immediately if experiencing symptoms like rectal bleeding, persistent changes in bowel habits, or unexplained abdominal pain. 

• Follow a clear liquid diet the day before the procedure. 
• Take a prescribed bowel prep to cleanse the colon. 
• Avoid solid foods, red or purple liquids, and alcohol 24 hours before. 
• Arrange for a ride home, as sedation is used during the procedure. 

Most patients recover within 24 hours after a colonoscopy.  

• You may experience mild bloating or cramping for a few hours. 
• It’s important to rest and avoid driving for the rest of the day due to sedation effects. 
• Normal diet and activities can typically resume the next day, unless advised otherwise by your doctor. 

Following colorectal surgery, a gradual return to a normal diet is recommended. Typically: 

• First few days: Clear liquids (broth, gelatin, herbal tea). 
• Next phase: Soft foods (mashed potatoes, yogurt, applesauce). 
• Long-term: High-fiber foods (vegetables, whole grains) to support digestion and prevent constipation. 
• Avoid: Spicy, greasy, or gas-producing foods until fully healed. 

What is laparoscopic colorectal surgery? 

Laparoscopic colorectal surgery is a minimally invasive technique using small incisions and a camera for precision. Benefits include: 

• Smaller incisions and less scarring. 
• Faster recovery time and shorter hospital stay. 
• Reduced pain and lower risk of complications. 

A hernia occurs when an organ or tissue pushes through a weak spot in the muscle or connective tissue. Common symptoms include: 

• A visible bulge in the abdomen or groin. 
• Pain or discomfort, especially when lifting, coughing, or straining. 
• A feeling of pressure or heaviness in the affected area. 
• Burning or aching sensations around the bulge. 
• In severe cases, nausea, vomiting, or difficulty passing stool, which may indicate a strangulated hernia requiring emergency care. 

Hernia surgery may be necessary if: 

• The hernia is large or growing over time. 
• You experience persistent pain or discomfort that affects daily activities. 
• The hernia becomes incarcerated (trapped), increasing the risk of strangulation. 

Gastroesophageal reflux disease (GERD) is treated with: 

• Lifestyle changes – Avoiding trigger foods, maintaining a healthy weight, and elevating the head while sleeping. 
• Medications – Antacids, H2 blockers, and proton pump inhibitors (PPIs) reduce acid production. 
• Surgical options – Nissen fundoplication or Toupet fundoplication may be recommended for severe GERD. 

• Eat a high-fiber diet to promote soft stools. 
• Stay hydrated and avoid straining during bowel movements. 
• Exercise regularly to improve circulation. 
• Avoid prolonged sitting on the toilet.