1. Proof of insurance is required. If applicable, please bring your insurance card to each of your visits. It is important to bring your insurance card to assist with us:
   • Verifying your insurance coverage at each visit, and
   • Handling the billing of your health claims with your insurance company.
2. Proof of Residence is required for possible adjustments to charges for services.
   • Examples include: utility bill (electric, water, or gas) and lease agreement.
3. Proof of family income is required for possible adjustments to charges for services.
   • Previous year’s 1040 tax return
   • Current paycheck
   • Current pay statement or check stub
   • Social security benefits award letter

Forms to complete:

• Release of Information:
  • • Authorization to Disclosure, Use, or Receipt of Protected Health Information
    • Autorización para la Divulgación, la Utilización, o la Recepción de Información de Salud Protegida
• Patient Consent to Telehealth and Telemedicine Form

Bluebonnet Trails accepts private insurance, Medicaid and Medicare for services rendered throughout all of our locations.

As a courtesy to our consumers, Bluebonnet Trails will file claims with your insurance coverage. It is ultimately your responsibility for the full and timely payment of your account.

Payment of your estimated consumer portion is expected at the time services are rendered. This payment will include known deductibles, copays, and coinsurance due for this visit. Bluebonnet Trails will estimate your financial responsibility; it is your insurance company that will make the final determination regarding your eligibility and benefits.

You may qualify for financial assistance towards your payments. This qualification will be determined at your first visit with Bluebonnet Trails. To qualify, it is very important that you bring with you: Proof of Insurance, Proof of Residence, and Proof of Family Income.

If you would like a copy of your medical records, please visit Medical Records

HHSC (Health and Human Services Commission)

Your Texas Benefits Mobile App Resource

Mental Health Substance Use HHSC

Handbook of Consumer Rights (Mental Health)

LIDDA Rights Handbook (IDD)

• Your Rights in the Home and Community-based Services Program (PDF)
• Your Rights in the Texas Home Living Program (PDF)
• Your Rights in Local Authority Services (PDF)
• Sus derechos en el Programa de Servicios en el Hogar y en la Comunidad (PDF)
• Sus derechos en el Programa de Texas para Vivir en Casa (PDF)
• Sus derechos al recibir servicios de la autoridad local de salud mental (PDF)

Client Rights__Mental Health Rights Poster English

Client Rights __MH Rights Poster Spanish

Client Rights __IDD Rights Poster English

Client Rights __IDD Rights Poster Spanish

Consumers, family members, representatives, advocates, or concerned citizens who have a complaint or positive comment can mail their information to the following address:

Bluebonnet Trails Community Services

Office of Rights Protection/Complaints

1009 N. Georgetown Street

Round Rock, Texas 78664 or call

Complaints or positive comments may also be emailed to: complaints@bbtrails.org or call our 24-hour confidential message line number at (512) 244-8324.

• Privacy Practices (English)
• Privacy Practices (Spanish)
• Consumer Complaint & Feedback Process (English)
• Consumer Complaint & Feedback Process (Spanish)
• Title VI Notices 2020 (English)
• Title VI Notices 2020 (Spanish)
• Title VI Complaint Form 2020 (English)
• Title VI Complaint Form 2020 (Spanish)