Page 1 of 18 SETON FAMILY of HOSPITALS LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY last updated October 1, 2018 Per Reg. Sec. 1.504(r)-4(b)(1)(iii)(F) and Notice 2015-46, this list specifies which providers of emergency and medically necessary care delivered in the hospital facility are covered by the Financial Assistance Policy (FAP). Elective procedures and other care that is not emergency care or otherwise medically necessary are not covered by the FAP for any providers. Providers covered by FAP Providers not covered by FAP Dell Childrens Medical Group 411 Pediatrics and After Hours Care Dell Children’s Medical Group d/b/a Austin Children's Chest Associates ABC Medical Center Dell Children’s Medical Group d/b/a Children's Ear Nose & Throat Center Adult Care of Austin, P.A. Dell Children’s Medical Group d/b/a Pediatric Consultation and Referral Service Advanced Pain Care Dell Children’s Medical Group d/b/a Pediatric Critical Care Associates Aesthetic and Reconstructive Therapeutics Dell Children’s Medical Group d/b/a Pediatric Specialty Services All Star Childrens Dentistry Dell Children’s Medical Group d/b/a Pediatric Surgical Subspecialists Allergy & Asthma Associates Dell Children’s Medical Group d/b/a Specially for Children Allergy & Asthma Consultants Legacy Bone and Joint Orthopedics Allergy and Asthma Clinics of Central Texas Seton Family of Doctors Allergy and Immunology Medical Center Seton Family of Doctors d/b/a Austin Dermatologic Surgery Center Allergy Partners of Central Texas Seton Family of Doctors d/b/a Institute of Reconstructive Plastic Surgery of Central Texas Aspira Plastic Surgery Seton Family of Doctors d/b/a Kyle Parkway OB/GYN Associates ATX Orthopedics Seton Family of Doctors d/b/a Seton Brain & Spine Institute Pituitary Care Center Austex Pediatrics Seton Family of Doctors d/b/a Seton Brain and Spine Institute Austin Allergy Associates Seton Family of Doctors d/b/a Seton Family of Doctors – Women’s Health Austin Anesthesiology Group , L.L.P. Seton Family of Doctors d/b/a Seton Family of Doctors at Balcones Woods Austin Area Obstetrics, Gynecology & Fertility, P.A. Seton Family of Doctors d/b/a Seton Family of Doctors at Bastrop Austin Association of Otolaryngologists, P.A. Seton Family of Doctors d/b/a Seton Family of Doctors at Chisholm Trail Austin Asthma & Lung Associates-the Asthma Center Seton Family of Doctors d/b/a Seton Family of Doctors at Davis Lane Austin Bone & Joint Clinic
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Page 1 of 18
SETON FAMILY of HOSPITALS
LIST OF PROVIDERS COVERED BY THE FINANCIAL ASSISTANCE POLICY
last updated October 1, 2018
Per Reg. Sec. 1.504(r)-4(b)(1)(iii)(F) and Notice 2015-46, this list specifies which providers of
emergency and medically necessary care delivered in the hospital facility are covered by the
Financial Assistance Policy (FAP). Elective procedures and other care that is not emergency care
or otherwise medically necessary are not covered by the FAP for any providers.
Providers covered by FAP Providers not covered by FAP Dell Childrens Medical Group 411 Pediatrics and After Hours Care
Dell Children’s Medical Group d/b/a Austin Children's Chest Associates
ABC Medical Center
Dell Children’s Medical Group d/b/a Children's Ear Nose & Throat Center
Adult Care of Austin, P.A.
Dell Children’s Medical Group d/b/a Pediatric Consultation and Referral Service
Advanced Pain Care
Dell Children’s Medical Group d/b/a Pediatric Critical Care Associates
Aesthetic and Reconstructive Therapeutics
Dell Children’s Medical Group d/b/a Pediatric Specialty Services
All Star Childrens Dentistry
Dell Children’s Medical Group d/b/a Pediatric Surgical Subspecialists
Allergy & Asthma Associates
Dell Children’s Medical Group d/b/a Specially for Children
Allergy & Asthma Consultants
Legacy Bone and Joint Orthopedics Allergy and Asthma Clinics of Central Texas
Seton Family of Doctors Allergy and Immunology Medical Center
Seton Family of Doctors d/b/a Austin Dermatologic Surgery Center
Allergy Partners of Central Texas
Seton Family of Doctors d/b/a Institute of Reconstructive Plastic Surgery of Central Texas
Aspira Plastic Surgery
Seton Family of Doctors d/b/a Kyle Parkway OB/GYN Associates
ATX Orthopedics
Seton Family of Doctors d/b/a Seton Brain & Spine Institute Pituitary Care Center
Austex Pediatrics
Seton Family of Doctors d/b/a Seton Brain and Spine Institute
Austin Allergy Associates
Seton Family of Doctors d/b/a Seton Family of Doctors – Women’s Health
Austin Anesthesiology Group , L.L.P.
Seton Family of Doctors d/b/a Seton Family of Doctors at Balcones Woods
Austin Area Obstetrics, Gynecology & Fertility, P.A.
Seton Family of Doctors d/b/a Seton Family of Doctors at Bastrop
Austin Association of Otolaryngologists, P.A.
Seton Family of Doctors d/b/a Seton Family of Doctors at Chisholm Trail
Austin Asthma & Lung Associates-the Asthma Center
Seton Family of Doctors d/b/a Seton Family of Doctors at Davis Lane
Austin Bone & Joint Clinic
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Seton Family of Doctors d/b/a Seton Family of Doctors at Georgetown
Austin Brain and Spine
Seton Family of Doctors d/b/a Seton Family of Doctors at Hays
Austin Cancer Centers
Seton Family of Doctors d/b/a Seton Family of Doctors at Hays Orthopedic & Sports Medicine
Austin Critical Care Specialists, P.A.
Seton Family of Doctors d/b/a Seton Family of Doctors at Luling
Austin Children Clinic
Seton Family of Doctors d/b/a Seton Family of Doctors at Round Rock
Austin Diagnostic Clinic
Seton Family of Doctors d/b/a Seton Family of Doctors at Smithville
Austin Ear Clinic
Seton Family of Doctors d/b/a Seton Family of Doctors at Stone Hill
Austin Emergency Center
Seton Family of Doctors d/b/a Seton Family of Doctors at Westlake
Austin Endometriosis and Female Infertility Ctr
Seton Family of Doctors d/b/a Seton Family of Doctors at Williamson
Austin Epilepsy Care Center
Seton Family of Doctors d/b/a Seton Heart Institute Austin Eye Clinic
Seton Family of Doctors d/b/a Seton Heart Institute Arrhythmia Center
Austin Family Allergy and Asthma
Seton Family of Doctors d/b/a Seton Palliative Care Austin Family Mental Health
Seton Family of Doctors d/b/a Seton Rehabilitation Services
Austin Fertility Institute, PA
Seton Family of Doctors d/b/a Seton Spine and Scoliosis Center
Austin Foot and Ankle Center
Seton Family of Doctors d/b/a Seton Surgical Group Austin Foot and Ankle Specialists
Seton Family of Doctors d/b/a Seton Surgical Group Williamson
Austin Foot Clinic
Seton Family of Doctors d/b/a University Physicians Group
Austin Gastroenterology, P.A.
Seton Family of Hospitals d/b/a Seton Bertram Healthcare Center
Austin Geriatric Specialists, P.A.
Seton Family of Hospitals d/b/a Seton Burnet Healthcare Center
Austin Hand and Reconstructive Surgery
Seton Family of Hospitals d/b/a Seton Heart Specialty Care and Transplant Center
Austin Infectious Disease Consultants
Seton Family of Hospitals d/b/a Seton Infusion Center
Austin Institute of Bariatrics and Laparoscopy
Seton Family of Hospitals d/b/a Seton Kingsland Healthcare Center
Austin Kidney Associates, PA
Seton Family of Hospitals d/b/a Seton Lampasas Healthcare Center
Austin Kids Teeth
Seton Family of Hospitals d/b/a Seton Lockhart Family Health Center
Austin Medical Clinic-east
Seton Family of Hospitals d/b/a Seton Luling Family Medicine Clinic
Austin Medical Group
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Seton Family of Hospitals d/b/a Seton Marble Falls Healthcare Center
Austin Neuro Care
Seton Family of Hospitals d/b/a Seton McCarthy Community Health Center
Austin Neurological Clinic
Seton Family of Hospitals d/b/a Texas Child Study Center
Austin Neurology & Sleep Associates
Seton Family of Pediatric Surgeons d/b/a Austin Pediatric Surgery
Austin Neuromuscle Center
Seton RiverBend Medical Group Austin Oral and Maxillofacial Sgry Assoc
Seton/UT Austin Dell Medical School University Physicians Group d/b/a Austin Dermatologic Surgery Center
Austin Pain Associates
Seton/UT Austin Dell Medical School University Physicians Group d/b/a PCRS
Austin Pediatric Ophthalmology & Adult Strabismus
Seton/UT Austin Dell Medical School University Physicians Group d/b/a Seton Mind Institute
Austin Pediatric Surgery
Seton/UT Austin Dell Medical School University Physicians Group d/b/a Seton Surgical Group
Austin Perinatal Associates, P.A.
Seton/UT Austin Dell Medical School University Physicians Group d/b/a Seton Surgical Group Williamson
Austin Pulmonary Consultants
Seton/UT Austin Dell Medical School University Physicians Group d/b/a University of Texas Physicians
Austin Radiological Association
Seton/UT Austin Dell Medical School University Physicians Group d/b/a University Physicians Group
Austin Regional Clinic, P.A.
Tri-County Clinical d/b/a Seton Mind Institute Austin Retina Associates
US Acute Care Solutions Austin Spine
Austin Sports Medicine
Austin Surgeons, P.L.L.C.
Austin Thyroid and Endocrinology
Austin Thyroid Surgeons
Austin Urogynecology, PLLC
Austin Urological Associates, P.A.
Balcones Dermatology Associates
Balcones Obstetrics and Gynecology, PA
Balcones Pain Consultants
Baylor Scott and White Clinic
Bee Caves Pediatrics, P.A.
Bee Well Pediatrics
Briggs Eye Clinic
Brookside Womens Medical Center
Brushy Creek Family Physicians
Buckingham Center for Facial Plastic Surgery
Capital Cardiothoracic Surgeons
Capital Foot and Ankle Surgeons of Austin
Capital Medical Clinic
Capital Otolaryngology
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Capital Pediatric Group
Capital Surgical Assisting LLC
Capital Surgeons Group, PLLC
Capitol Anesthesiology Association
Capitol Pain Institute
Cardio Texas, PLLC
Cardiothoracic and Vascular Surgeons
Cardiovascular Associates
Cardiovascular Specialists of Texas
Caring Center for Women, PA
Carla J. Emery, DPM, PA
CARMAHealth
Carousel Pediatrics
Cedar Park Pediatric and Family Medicine, PA
Cedar Park Pediatrics
Cedar Park Surgeons, P.A.
Center for Healing and Regenerative Medicine
Central Austin Dermatology
Central Family Practice
Central Texas Chest Clinic, P.A.
Central Texas Colon and Rectal Surgeons
Central Texas Dermatology
Central Texas ENT
Central Texas Eye Center, PA
Central Texas Foot Specialist, PA
Central Texas Kidney Associates, P.A.
Central Texas Lung Associates
Central Texas Neurology Consultants
Central Texas OB/GYN Associates, PLLC
Central Texas Orthopedics
Central Texas Pain Center
Central Texas Pain Center North
Central Texas Palliative Care Associates
Central Texas Pediatric Dentistry, PA
Central Texas Pediatric Orthopedics
Central Texas Plastic Surgery
Central Texas Retina and Vitreous
Central Texas Spine Institute, L.L.P.
Central Texas Surgical Associates
Central Texas Urogynecology and Continence Centers
Champion Smiles Pediatric Dentistry
Child Neurology Consultants of Austin
Childrens Cardiology Associates
Childrens Comprehensive Care Clinic
Childrens Medical Group
Children's Urology
Clarity Eye Center, PLLC
Clinical Pathology Associates
Page 5 of 18
CMC Pediatric Cardiothoracic Surgery
CommUnityCare
Comphealth Locum Tenens
Corridor Primary Care Pediatrics
Cypress Creek Orthopedics & Sports Medicine
Dawson Ramirez Pediatrics
Dell Childrens Regional Heart Center
Dell Laser Consultants
Dept. of Veterans Affairs
Dermatology and Skin Laser Center
Devenir Aesthetics, P.A.
Diagnostic Pain Center
Diversified Radiology
DOCTX3 PLLC
Dripping Springs Pediatrics
Ear Nose and Throat Center of Austin
Ear Specialists Of Austin
Easter Medical Staffing
Eating Recovery Center
Elgin Medical Center, PA
Elite Patient Care PLLC
ENT Specialists of Austin
Eric Tiblier, M.D., P.A.
Evans Dermatology Partners
Eye Associates of Central Texas
Eye Clinic of Austin
Eye Institute of Austin, P.A.
Eye Physicians of Austin
Family Health Center of Bastrop
Family Medical Center
Family Medical Center of Georgetown
Family Medicine Associates of Round Rock
Family Practice Clinic
Flint Oral and Maxillofacial Surgery
Foot Associates of Central Texas, L.L.C.
Foot Specialists of Cedar Park and Georgetown
Georgetown Dermatology and Skin Cancer Center
Georgetown ENT
Georgetown Medical Center Clinic
Georgetown Pediatric Dentistry and Orthodontics
Georgetown Plastic Surgery
Georgetown Pulmonary Associates, PA
Georgetown Sleep Center, PA
Gilcrease Medical Group
Glaucoma Institute of Austin
Great Hills ENT
Great Oaks Family Practice, PA
Greater Austin Allergy, Asthma & Immunology
Page 6 of 18
Greater Austin Pain Center
Greater Austin Surgical Assistants, P.C.
GROW Pediatrics and Adolescent Medicine, PLLC
Gynics Associates
Hall Plastic Surgery & Rejuvenation Center
Hanger Clinic
Hays Foot and Ankle Surgical Associates PLLC
Hays Women's Health
Heart and Soul Integrated Yoga
Heart of Texas Cardiology
Heart of Texas Eye Institute
Hill Country Advanced Foot and Ankle Center, PA
Hill Country Eye Center
Hill Country Obg & Associates
Hill Country Oral Surgery
Hill Country Pediatrics, P.A.
Hill Family Medicine and Skin Care
Hospitalist Concepts Consulting, LLC
Howerton Eye Clinic
Inpatient Medicine Physicians PA
Jared Poplin, DMD, PLLC
Jensen Pediatric Dentistry
John P. Obermiller, M.D., P.A.
Jollyville Pediatrics
Jon F. Dietlein, M.D., P.A.
JSA Health, LLC
Kangos Pediatrics
Katherine Farady, MD, PA
Kids First Pediatric Dentistry
Kyle Family Medical Center
Ladera Park Dermatology, PA
Lake Austin Pediatrics
Lake Travis Eye and Laser Center
Lakeway Eye Physicians & Surgeons
Legends Medical Clinic PLLC
Little Explorers Dentistry
Little River Healthcare Surgical Associates
Little River Healthcare Georgetown Orthopedics
Live Oak Cardiology
Live Oak Medicine
Lone Star Circle of Care
Lone Star Orthopedics, P.A.
Lone Star Pediatric Dental
Lone Star Pediatrics
Mann Eye Center, PA
Manor Kids Dentist
Margolin and Keinarth, M.D.
Martha Schmitz, M.D.
Page 7 of 18
Meredith Davenport, MD, PLLC
Meridian Plastic Surgery Center
Midtown Oral and Maxillofacial Surgery
Midtown Urology associates
National Neuromonitoring Services, LLC
Neal D. Johnson, M.D., P.A.
Ned Snyder IV, MD., PA
Neural Watch
Neuropsychiatric Associates of Austin
NeuroTexas, PLLC
NewU Plastic Surgery
North Austin Foot and Ankle Institute
North Austin Pediatrics
North Austin Urology
Northland Medical Clinic
Northwest Diagnostic Clinic
Northwest Internal Medicine and Geriatrics
NuVasive Clinical Services
Oak Hill Wellness Clinic
Orthopaedic Associates of Central Texas
Orthopaedic Specialists of Austin
Oscar B. Jackson, M.D., P.A.
Pain Care Physicians
Pain Management Consultants
Park Valley Pediatrics
Partners In Health
Pediatric Associates of Austin, P.A.
Pediatric Cardiology of Austin
Pediatric Care of Austin, PA
Pediatric Center of Round Rock
Pediatric Dental Professionals
Pediatric Junction
Pediatric Partners of Austin, P.A.
Pediatrics of South Austin, P.A.
Pediatrix Medical Group
Peoples Community Clinic
Personique
Petite Dental
Physical Medicine & Rehabilitation Assoc
Plastic Surgery Associates
Plastic Surgery Center of Austin, P.A.
Precision Assist of San Antonio, LLC
Precision Podiatry
Premier Eye Care, P.A.
Premier Family Physicians
Premier Health MD
Primary Care Clinic
Primary Physicians of Austin, P.A.
Page 8 of 18
Pro Care Medical Center
Psychiatric Association
Pulmonary & Critical Care Conslts of Austin
Red River Family Practice
ReitPath Pathology
Renee Snyder MD PA
Restora Austin
Retina Consultants of Austin, PA
Rising Star Pediatric Dentistry
River City Assisting, LLC
RMA of Texas
Robert Dougherty, M.D. P.A.
Robert Whitfield MD PLLC
Round Rock OBGYN, P.A.
Round Rock Orthopaedics
Round Rock Pediatrics
Sai Medical Group, PA
Salute Oral and Facial Surgery
San Gabriel Oral and Maxillofacial Surgery Associates, PA