Insurance Plans Accepted by Providence Heart

Because not all procedures may be covered by an accepted insurance plan, it is important to call your insurance provider to ensure that your procedure is covered by the doctor you plan to use before you schedule the procedure. 

Here's a list of insurance plans that cover eligible procedures provided by Providence Heart.

(Updated: June 21, 2018)

Absolute Total Care – Medicaid HMO

• ATC Prime (Medicare/Medicaid Dual) - often accepted but not contracted

Aetna – PPO, HMO

• CareLink Exchange Plan (Tier 2)

​America’s 1^st Choice – Medicare Advantage PPO

BlueCross BlueShield

• Preferred Blue – PPO, FEP, Out of State
• State Health Plan (PEBA)
• BlueCross Total - Medicare Advantage PPO
• Blue Essentials – Exchange Plan

BlueChoice

• BlueChoice Network – HMO, PPO
• Advantage Network
• Blue Choice Medicaid (Healthy Blues)
• Blue Option – Exchange Plan

Cigna – PPO, HMO, Gatekeeper

• GreatWest

CorVel – Workers Comp PPO Network

Coventry Health of the Carolinas

• FirstHealth, Mailhandlers
• Advantra Freedom – Medicare Advantage

Humana – PPO Commercial

• Humana Gold/Choice Medicare Advantage

MedCost – Regional PPO

Molina Healthcare – Medicaid HMO

• Molina Dual Options – Medicare/Medicaid

MultiPlan PPO

• PHCS PPO
• BeechStreet PPO

Select Health/First Choice – Mcaid HMO

• VIP Care Plus – Mcare/Mcaid

Tricare

• Select (Standard) Prime

United Healthcare – HMO, PPO

• Definity Health
• Golden Rule
• Compass – Exchange Plan
• Care Improvement Plus Medicare Advantage

WellCare – Medicaid HMO

WellCare – Medicare Advantage (often accepted but not contracted)

These agreements are subject to change. We recommending calling your insurance provider prior to scheduling an appointment to be sure that your physician of choice is in network. Also, because not all procedures may be covered by an accepted insurance plan, you may want to call your insurance provider in advance of the procedure to verify whether or not it is covered by the doctor you plan to use.