Insurance Plans

If you are covered by Medicare, you will receive a new Medicare Number and card in the mail to help protect your identity. However, be aware of medical identity theft scams. Medicare will never call and ask you to provide personal or private information to get your new Medicare Number or card. Learn more.

Vanderbilt Health participates in the local and national health insurance plans listed below. It’s important to note that Vanderbilt may not participate in all products offered by an insurance carrier. We encourage you to contact your insurance company to verify your coverage for care at a Vanderbilt location. Several insurance carriers also include Vanderbilt in their individual plans.

Aetna

  • Aetna (Excludes First Health, except Medical Mutual of Ohio)
  • Aetna Behavioral Health
  • Aetna Better Health (Kentucky Medicaid. PCP referral required for all adult services.)
  • Aetna Better Health Transplants (Kentucky Medicaid. Requires single case agreement)
  • Aetna Medicare Advantage
  • Aetna Select VHAN (Premier)
  • Aetna TN Preferred
  • Aetna Transplants
  • Aetna Whole Health

Ambetter of Tennessee (Commercial Exchange only)

  • Ambetter of Tennessee

Amerigroup

  • Amerigroup Behavioral Health
  • Amerigroup TennCare (adult providers may require preauthorization)
  • Amerigroup Transplant Medicaid (Tennessee MCO)
  • Amerivantage Medicare Advantage

Ascension

  • Ascension Health
  • Ascension Behavioral Health

BlueCross BlueShield

  • BlueCross BlueShield BlueCard (for out-of-state plans with “suitcase”)
  • BlueCross BlueShield of Tennessee Behavioral Health
  • BlueCross BlueShield of Tennessee - Networks P, S & M (Includes individual exchange plans for all metal levels)
  • BlueCross BlueShield Transplants (BDCT, local BCBST and Medicare Advantage for solid organs only)

BlueCross BlueShield TennCare

  • BCBST CoverKids (Under age 19. Adults may require preauthorization.)
  • BCBST CoverKids Behavioral Health
  • BCBST CoverKids Transplants
  • BlueCare (Under age 19. Adults may require preauthorization)
  • BlueCare Behavioral Health
  • BlueCare & DSNP Transplants
  • TennCare Select (Under age 19. Adults may require preauthorization.)
  • TennCare Select Behavioral Health
  • TennCare Select Transplants

Center Care

  • Center Care
  • Center Care Behavioral Health

Cigna

  • Cigna (Includes LP, OAP and Great West)
  • Cigna Behavioral Health
  • Cigna Connect (for Nashville market members only. Memphis, Knoxville and out-of-state residents excluded)
  • Cigna-HealthSpring Medicare Behavioral Health
  • Cigna-HealthSpring Medicare (IPA members may need PCP referral)
  • Cigna SureFit (pediatric patients only)
  • Cigna Transplants through Cigna Lifesource

Deaconess

  • Deaconess Employee Health Benefit Plan

Farm Bureau

  • Farm Bureau (offers individual off-exchange, non-ACA compliant plan through UMR)

HealthOne Alliance

  • HealthOne Alliance (Alliant Health Plans)
  • HealthOne Alliance Behavioral Health

Health Partners

  • Health Partners
  • Health Partners Behavioral Health

Humana

  • Cariten Medicare Advantage
  • Humana (includes HMO, NPOS and PPO. Excludes local POS and individual exchange plan: PPOX)
  • Humana Behavioral Health
  • Humana Medicare Advantage
  • Humana National Transplant Network (NTN)

Humana Kentucky Medicaid

  • Humana KY Medicaid (transplants and adults require authorization and may be redirected)

Integrated Solutions Health Network (ISHN)

  • ISHN CrestPoint

Interlink

  • Interlink Transplants

Lifetrac

  • Lifetrac Transplants

Magellan Healthcare

  • Magellan Behavioral Health

North Alabama Managed Care, Inc. (NAMCI)

  • NAMCI

Novanet

  • Novanet
  • Novanet Behavioral Health

Optum

  • Optum Specialty Pharmacy
  • Optum Spine and Joint Bundle
  • Optum Transplants (fka URN)

PHCS

  • PHCS (excluding Multiplan, Megalife, Midwest, any faith-sharing ministries such as MediShare, physician-only plans, physician/ancillary-only plans and limited-benefit plan designs)
  • PHCS Behavioral Health

Prime Health Plan

  • Prime Health PPO
  • Prime Health Behavioral Health

TRICARE

  • TRICARE East Humana Military
  • TRICARE Humana Military Behavioral Health
  • TRICARE Transplants
  • TRICARE West (HealthNet Federal Services)

UnitedHealthcare

  • Optum Behavioral Health
  • Optum Behavioral Health (TennCare)
  • UnitedHealthcare (excludes Oxford HMO, Pacificare)
  • United Healthcare Heritage (ACO R plans require a referral)
  • UnitedHealthcare Community Plan (TennCare. Adult providers may require preauthorization.)
  • UnitedHealthcare Community Plan Transplants (Via OPTUM)
  • UnitedHealthcare Dual Complete® Plans (Medicare/Medicaid)
  • UnitedHealthcare - HCA employees (authorization required)
  • UnitedHealthcare® Group Medicare Advantage Plans
  • United Heritage Select Advantage Plan
  • UnitedHealthcare Medicare Complete/AARP
  • UnitedHealthcare Transplants (via OPTUM)

USA MCO

  • USA MCO
  • USA MCO Behavioral Health

Veterans Affairs (VA)

  • Veterans Affairs (VA)
  • Veterans Affairs (VA) Transplants (for heart and liver only)

WellCare Of Kentucky (KY Medicaid)

  • WellCare (PCP referral required for all adult services)
  • WellCare Transplants (Via OPTUM)

WellCare TN (Formerly Known As Harmony)

  • WellCare (MA) Behavioral Health
  • WellCare Medicare Advantage