Patient Information

Thank you for choosing Sammy Lerma III, M.D. P.A. as your medical home. We value your time and in an effort to simplify your office experience we ask that you please adhere to the following policies and procedures.

  • Appointments - If you need an appointment please call in advance. We do not offer walk-in appointments, but we will make every effort to see you as soon as possible. Please inform us of any changes to your address, phone numbers, email address, insurance, pharmacy of choice, and emergency contact information when scheduling your appointment. Please bring an updated list of all your current medications to each appointment.
  • Medication Refills - If you are in need of a refill please schedule an appointment to see a provider 1 month before you run out of medication. For all early refills please submit a refill request through your pharmacy. Controlled substance medications will never be refilled or prescribed by phone or pharmacy request, they require an appointment monthly for refills and are subject to random drug testing. Maintenance medications (i.e. blood pressure medications, diabetic supplies, heart medications, ect.) will require an appointment every 3 months for refills. We do not prescribe pain medications on an on-going basis. If you have chronic pain issues we will determine an appropriate referral to meet your pain management needs.
  • Missed Appointments - We require at least a 24-hour notice of a cancelled appointment, emergency situations not withstanding. We allow up to 3 missed appointments or appointments cancelled without proper notice per calendar year, after that your account will be forwarded to our management staff for review.

What Should You Know Before Your First Visit?

When you call to schedule your first visit with us, please note that in an effort to make your visit with us as simplistic as possible you will be asked to provide all of your insurance information at the time of scheduling.

You will also be asked to arrive 10 - 15 minutes before your appointment time to fill out our new patient paperwork (or you can access these forms by clicking the links below and printing them out prior to your visit).

You will need to bring with you a valid photo ID, your insurance card (if you have insurance), and a list of current medications.

All out of pocket expenses (co-pays, deductibles, private pay office charges) are due in full at the time of the visit.

In-Network Insurances

Please note that insurance companies have many different plans available and that we may not be in network with all of the available plans. Please call your insurance to check that we are in network before scheduling your appointment. In the event that we are unable to verify your insurance benefits at the time of your appointment, please note that you will be responsible for the office visit charges out of pocket until the insurance benefits can be verified, it is your responsibility to make sure the insurance information that we have on file is up to date at the time of scheduling so as to avoid unnecessary out of pocket expenses.

  • Aetna - PPO, HMO, Medicare Advantage PPO, HMO (Excludes Seton Health Alliance)
  • All Savers
  • Amerigroup Medicaid - Star Plus Only
  • Bastrop County Indigent
  • Blue Cross Blue Shield - HMO, PPO, POS, Federal, Traditional Plan, Obamacare (PPO Only), Star Medicaid, CHIP Medicaid
  • Beechstreet Network
  • Care Improvement Plus
  • Century Healthcare
  • Champ VA
  • Cigna
  • Coresource
  • Coventry
  • DARS
  • FirstHealth
  • Focus Healthcare Network
  • Fortis Network
  • Galaxy Netowrk
  • GEHA
  • Golden Rule - Choice Plus, Health Select
  • Great-West
  • Group & Pension
  • Healthsmart
  • Humana - HMO, PPO, Choice Care PPO, Medicare Advantage PPO, Preferred
  • Key Benefit Administrators
  • Medicare - All Medicare Supplements and Traditional
  • Medicaid
  • Meritain Health (Aetna)
  • Multiplan
  • Optimed
  • Pan American Life
  • PHCS (Private Healthcare Systems)
  • Principal Life (Excludes The Edge Network)
  • Railroad Medicare
  • Scott & White Healthcare
  • Sendero - Star Medicaid, CHIP Medicaid
  • Seton Health Plan - EPN, Star Medicaid, CHIP Medicaid
  • Sheet Metal Workers
  • Standard Life
  • State Farm
  • Superior Medicaid
  • Superior CHIP
  • Texas True Choice Network
  • Texas Woman's Health
  • TMHP Medicaid
  • Tricare (Humana-Military) - Standard, Prime, Tricare for Life
  • UMR
  • United Healthcare - UHC Community Medicare Star Plus, Medicare Solutions
  • Web TPA

Accepted Workers Comp Insurances

Please note that there are many insurance companies available and that we may be in network with more insurances than the ones listed below. Please call your workers comp adjuster to check that we are in network before calling to scheduling your appointment.

  • Caprock Claims
  • Church Mutual
  • CMI
  • CNA
  • ESIS
  • Federal Mutual
  • Gallagher Bassett
  • JI Specialty
  • Liberty Mutual
  • Sedgwick
  • Service Lloyds
  • St. Office Risk
  • TASB
  • TML
  • Travelers
  • TX Mutual

Medical Records

If you are interested in obtaining your medical records for your personal record please print and fill out one of our medical records request forms (located at the bottom of the page, or you may pick one up at the office) and also note the fee schedule below.

Copying Fee

$25 for the first 20 pages and $0.15 for each page thereafter.

Postage and Handling

As applicable.

Notary

$6.00 first signature and $1.00 for each additional.

Affidavit

$5.00

We do not charge fees for records released to:

  • Other physicians
  • Support an application for disability or other benefits or assistance under: Aid to Families with Dependent Children, Medicaid, Medicare, SSI, or Federal Old Age & Survivors Insurance.
  • Support an application for or appeal relating to veteran's benefits.