Lone Star Ear, Nose, Throat, Allergy Specialists

Patient Forms:
Lone Start ENT Registration Form - Print and sign Medical History - Print and sign Privacy Policies - Read only	Review of symptoms Acknowledgement of Privacy Practices - Print and sign Financial Policy - Print and sign
The above forms open with Adobe Acrobat Reader. If you don't have it, get it here.

We are not on ANY Medicare Advantage Plans If you do not see your plan on the list you may call your insurance company and give them our Tax ID# 20-8215104 to verify
Insurance Plans:
	Aetna HMO, PPO, TRS & Medicare PFFS only Affilliate PPO BCBS HMO, PPO, POS, NOT Solutions Beechstreet/CAPP Care PPO Cigna PPO (not HMO or POS) PPO includes Open Access Plus Coventry ASO CTMC employee health plan First Care PPO, HMO First Health Galaxy PPO Great West PPO, HMO, POS, EPO, Open Access Health Payors PPO HealthSmart PPO Healthy Equations Humana Military Tricare Humana PPO, HMO, Choice Care PPO (not Medicare Humana) Integrated Medical Systems PPO Interplan Health	MedCorp SW PPO Medical Control PPO Medicare - No Advantage Medicare Plans, no PFFS Multiplan PHCS Open Access PHCS PPO PPO Next Pro America PPO Pro Net PPO Seton Health Plan CHIP Seton Health Plan EPN & EPN Expanded Texas Municipal League PPO Texas True Choice PPO TTC PPO Unicare Classic & Performance PPO USA Managed Care Org PPO

Patient Forms: