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 7/20)

Absolute Total Care – Medicaid HMO

• Not contracted for ATC Prime (Mcare/Mcaid Dual) but providers can be added as needed by sending a claim

Aetna – PPO, HMO

• CareLink Exchange Plan (Tier 2)

​America’s 1^st Choice – M.A. PPO

BCBS

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

Blue Choice

• 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 – M.A.

Humana – PPO Commercial

• Humana Gold/Choice M.A.

MedCost – Regional PPO

Molina Healthcare – Medicaid HMO

• Molina Dual Options – Mcare/Mcaid

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 M.A.

WellCare – Medicaid HMO

WellCare – Medicare Advantage (often accepted but not contracted)