Vanderbilt Medical Center - Vanderbilt Center for Surgical Weight Loss in Nashville, TN

Major Health Plans


Major Health Plans contracted with Vanderbilt


Please Note: The purpose of this list is to provide general information about the major health plans with whom Vanderbilt has contracted. If you have more specific questions, please consult the MCIS plan summaries for that plan or contact the Managed Care Help Desk at 936-6222. (Always remember to instruct patients to contact their insurance to verify if Vanderbilt and/or the particular practitioner in question is listed with their plan.)

In addition, patients should confirm this information with their insurance carrier regarding specific policy benefits.

(Last updated May 17, 2005)

Abbreviations:

  • VCH - Vanderbilt Children's Hospital
  • VIP - Vanderbilt Integrated Providers (Community Providers affiliated w/ VMC)
  • VMG - Vanderbilt Medical Group
  • VUH - Vanderbilt University Hospital
  • VHCS - Vanderbilt Home Care Services
  • UCHS - University Community Health Services (Advanced Nurse Practitioner Primary Care Practices: Vine Hill Clinic and Primary Care Services at Madison)

 

Admar Corporation
Admar Exclusive Health
Plan Type:
Contracted with
Comments:
Aerospace Contractors' Trust
Aerospace Contractors' Trust Direct Employer Contract
Plan Type: DEC
Contracted with
Comments:
Aetna/US Healthcare
Aetna USHC Elect Choice (EPO)
Plan Type: EPO
Contracted with VMG, VUH, VCH, VIP
Comments:
Aetna USHC HMO
Plan Type: HMO
Contracted with VMG, VUH, VCH, VIP
Comments:
Aetna USHC Managed Choice (POS)
Plan Type: POS
Contracted with VMG, VUH, VCH, VIP
Comments:
Aetna USHC Open Access Elect Choice
Plan Type: POS
Contracted with VMG, VUH, VCH, VIP
Comments:
Aetna USHC Open Access HMO
Plan Type: HMO
Contracted with VMG, VUH, VCH, VIP
Comments:
Aetna USHC Open Access Managed Choice
Plan Type: PPO
Contracted with VMG, VUH, VCH, VIP
Comments:
Aetna USHC Open Choice (PPO)
Plan Type: PPO
Contracted with VMG, VUH, VCH, VIP
Comments:
Aetna USHC QPOS
Plan Type: POS
Contracted with VMG, VUH, VCH, VIP
Comments:
Aetna USHC USAccess
Plan Type: POS
Contracted with VMG, VUH, VCH, VIP
Comments:
Alive Hospice
Alive Hospice
Plan Type:
Contracted with
Comments:
All TennCare Plans
US Dental Care - Dental Prepaid
Plan Type:
Contracted with
Comments:
Anthem Blue Cross Blue Shield
Anthem BC Blue Access
Plan Type: PPO
Contracted with
Comments:
Anthem BC Blue Preferred Primary
Plan Type: HMO
Contracted with
Comments:
Anthem BC Blue Preferred Primary Plus
Plan Type: POS
Contracted with
Comments:
Anthem BC Blue Traditional
Plan Type:
Contracted with
Comments:
Bedford County Community Health Alliance
Bedford County Community Health Alliance
Plan Type:
Contracted with
Comments:
Best Doctors
Best Doctors
Plan Type: PPO
Contracted with VMG, VUH
Comments:
Blue Cross Blue Shield of Tennessee
BlueCare In Network 18 and Under and all OB
Plan Type: TennCare
Contracted with VHCS
Comments:
Network C/Blue Classic
Plan Type: PPO
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments:
Network K
Plan Type: PPO
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments: Effective 7/1/2002
Network P/Blue Preferred
Plan Type: PPO
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments:
Network S/BlueSelect
Plan Type: Gatekeeper PPO
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments:
Preferred Dental Care
Plan Type:
Contracted with
Comments:
TennCare Select In Network 18 and under and all OB
Plan Type: TennCare
Contracted with VUH, VCH
Comments: VMG and VIP are out of network effective 1/1/2003
Bluegrass Family Health
Bluegrass Family Health
Plan Type:
Contracted with VMG, VUH, VCH, VHCS, UHCS
Comments:
CenterCare
CenterCare PPO
Plan Type:
Contracted with
Comments:
CHA Health
CHA Health Commonwealth (PPO)
Plan Type:
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Comments:
CHA Health Preferred Network
Plan Type:
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Comments:
CHA Health Prime Network
Plan Type:
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Comments:
CHA Health PrimeCare Gold - HMO
Plan Type:
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Comments:
CHA Health PrimeCare Gold Plus - HMO Open Access
Plan Type:
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Comments:
CHA Health PrimeCare Platinum - POS
Plan Type:
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Comments:
CHA Health PrimeCare Platinum Plus - POS Open Access
Plan Type:
Contracted with
Comments:
CIGNA Healthcare of Tennessee
Cigna Dental PPO
Plan Type:
Contracted with
Comments:
Cigna HMO/HMO Open Access
Plan Type: HMO
Contracted with
Comments:
Cigna Network/Network Open Access/Open Access Plus
Plan Type:
Contracted with
Comments:
Cigna PPO/PPO Plus/EPO
Plan Type:
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Comments:
Community Care Network Methodist Hospital
Community Care Network Methodist Hospital
Plan Type:
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments:
Community Health Plans (CHP)
Community Health Plans (CHP) Employer Select
Plan Type:
Contracted with
Comments:
Correct Care Solutions
Correct Care Solutions
Plan Type:
Contracted with
Comments:
Correctional Medical Services
Correctional Medical Services
Plan Type: Gatekeeper Plan
Contracted with
Comments:
Corvel - Worker's Compensation
Corvel Worker's Compensation
Plan Type:
Contracted with
Comments:
Delta Dental
Delta Dental Preferred Option PPO
Plan Type:
Contracted with
Comments:
Delta Dental Premier
Plan Type:
Contracted with
Comments:
Dental Health Alliance PPO
Dental Health Alliance PPO
Plan Type:
Contracted with
Comments:
Doral Dental
Doral Dental
Plan Type:
Contracted with
Comments:
Energy Employees Occupational Illness Compensation Program
Energy Employees Occupational Illness Compensation Program
Plan Type: WC
Contracted with VMG, VUH, VCH
Comments: The Energy Employees Occupational Illness Compensation Program provides benefits authorized by the Energy Employees Occupational Illness Compensation Program Act (EEOICPA or Act). Part B of the Program went into effect on July 31, 2001 and Part E of the Program went into effect on October 29, 2004. The Department of Labor’s Office of Workers’ Compensation Programs is responsible for adjudicating and administering claims filed by employees or former employee or certain qualified survivors of the Act.
First Health Network
First Health Network PPO
Plan Type:
Contracted with
Comments:
FOCUS - Worker's Compensation
Focus Healthcare Management
Plan Type: PPO
Contracted with VMG, VUH, VCH, VIP, VHCS
Comments:
ForMost
ForMost Tertiary Care Network
Plan Type:
Contracted with
Comments:
Fortis Dental Care
Fortis Dental Care All Products
Plan Type:
Contracted with
Comments:
Protective Dental Care All Products
Plan Type:
Contracted with
Comments:
Four Rivers Health Care
Four Rivers Health Care
Plan Type: PPO
Contracted with
Comments:
Great West Healthcare/One Health Plan of Tennessee
Great West Healthcare/One Health Plan HMO
Plan Type: HMO
Contracted with
Comments:
Great West Healthcare/One Health Plan POS
Plan Type:
Contracted with
Comments:
Great West Healthcare/One Health Plan PPO
Plan Type:
Contracted with
Comments:
Health Partners
Health Partners Horizon
Plan Type:
Contracted with
Comments:
Health Partners II
Plan Type:
Contracted with
Comments:
Health Partners/West Tennessee Healthcare (PPO)
Plan Type:
Contracted with
Comments:
HealthSprings
HealthSpring Freedom
Plan Type: HMO
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments:
HealthSpring HMO
Plan Type: HMO
Contracted with
Comments:
HealthSpring Medicare
Plan Type:
Contracted with
Comments:
HealthSpring Medicare + Choice PPO
Plan Type: HMO
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments: Participating Only if Member's PCP is a VMG Physician
Highway to Health
Highway to Health
Plan Type:
Contracted with
Comments:
Humana
Humana ChoiceCare Network
Plan Type:
Contracted with
Comments:
Integra
Integra Behavioral
Plan Type:
Contracted with
Comments:
John Deere - Commercial
John Deere Commercial
Plan Type:
Contracted with
Comments:
John Deere TennCare In-Network Peds Only
John Deere TennCare In-Network Peds Only
Plan Type: TennCare
Contracted with
Comments:
Lifepoint Hospital Holdings, Inc
Lifepoint Hospitals, Inc.
Plan Type: PPO
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments: This agreement is with Lifepoints Hospital Employees.
LogiComp Business Solutions
LogiComp Worker's Compensation
Plan Type:
Contracted with
Comments:
Medicare
Medicare
Plan Type:
Contracted with
Comments:
Metro General Hospital
Metro General Hospital
Plan Type:
Contracted with VMG, VUH, VCH
Comments:
Millennium Dental Alliance - PPO
Millennium Dental Alliance - PPO
Plan Type:
Contracted with
Comments:
Mohawk Industries
Mohawk Industries Direct Employer Contract
Plan Type: DEC
Contracted with
Comments:
Murray Calloway County Hospital
Murray Calloway County Hospital
Plan Type:
Contracted with
Comments:
Murray, Inc
Murray, Inc
Plan Type:
Contracted with
Comments:
Nashville Electric Service (NES)
Nashville Electric Service (NES) Direct Employer Contract
Plan Type: DEC
Contracted with
Comments:
North Alabama Managed Care, Inc. (NAMCI)
North Alabama Managed Care, Inc. (NAMCI)
Plan Type: PPO
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments:
Odyssey Hospice
Odyssey Hospice
Plan Type:
Contracted with
Comments:
OmniCare HealthPlan Inc.
OmniCare HealthPlan Inc. Inetwork 18 and Under Only
Plan Type: TennCare
Contracted with
Comments:
Operating Engineers Local 181, 320 & TVA Health & Welfare Trust Fund Direct Employer Contract
Operating Engineers Local 181, 320 & TVA Health & Welfare Trust Fund Direct Employer Contract
Plan Type: DEC
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments: Direct Employer Contract effective 11/1/2002
Owensboro Community Health Network
Owensboro Community Health Network
Plan Type: PPO
Contracted with
Comments:
PHP TennCare
PHP TennCare
Plan Type: TennCare
Contracted with
Comments:
Pirelli Armstrong Tire Corp. Retiree Medical Benefits Trust
Pirelli Armstrong Tire Corp. Retiree Medical Benefits Trust Direct Employer Contract
Plan Type: DEC
Contracted with
Comments:
PPO USA
PPO USA
Plan Type: PPO
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments:
Prime Health Services fka CompPlus
Prime Health Services fka CompPlus
Plan Type: PPO
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments:
Priority Hospice
Priority Hospice
Plan Type:
Contracted with
Comments:
Private Healthcare Systems (PHCS)
PHCS PPO
Plan Type:
Contracted with
Comments:
ProAmerica
ProAmerica - PPO
Plan Type:
Contracted with
Comments:
Provider Dental Plans (PDP) - PPO
Provider Dental Plans (PDP) - PPO
Plan Type:
Contracted with
Comments:
Signature Health Alliance
Signature PPO
Plan Type:
Contracted with
Comments:
SouthCare PPO
SouthCare PPO
Plan Type: PPO
Contracted with
Comments:
Southeastern Pipetrades Health & Welfare
Southeastern Pipetrades Health & Welfare
Plan Type: DEC
Contracted with
Comments:
Sterling Life Insurance Co
Sterling Life Insurance Co
Plan Type:
Contracted with
Comments:
Tennessee Carpenters Regional Council (TCRC)
Tennessee Carpenters Regional Council (TCRC) Direct Employer Contract
Plan Type: DEC
Contracted with
Comments:
Tennessee Healthcare
Tennessee Healthcare
Plan Type:
Contracted with
Comments:
Tennessee Laborers Health & Welfare Fund
Tennessee Laborers Health & Welfare Fund Direct Employer Contract
Plan Type: DEC
Contracted with
Comments:
Tennessee Valley Operating Engineers Health Fund
Tennessee Valley Operating Engineers Health Fund Direct Employer Contract
Plan Type: DEC
Contracted with
Comments:
Tennessee Valley Painters Health Fund
Tennessee Valley Painters Health Fund Direct Employer Contract
Plan Type: DEC
Contracted with
Comments:
TLC Family Health Plan
TLC Family Health Plan TennCare In Network
Plan Type: TennCare
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments:
TLC Family Health Plan TennCare Out of Network
Plan Type: TennCare
Contracted with VMG, VUH, VCH, VIP, VHCS, UHCS
Comments:
Tri-County IPA
Tri-County IPA
Plan Type:
Contracted with
Comments:
TriCare North/Health Net Federal Services
TriCare North/HealthNet Federal Services TriCare Extra
Plan Type: PPO
Contracted with
Comments:
TriCare North/HealthNet Federal Services TriCare Prime
Plan Type:
Contracted with
Comments:
United HealthCare
United - Dental Benefits Providers - PPO
Plan Type:
Contracted with
Comments:
United HealthCare Select Plus POS
Plan Type: Gatekeeper Plan
Contracted with
Comments:
United HealthCare Select/Choice/PPO
Plan Type:
Contracted with
Comments:
USA Managed Care
USA H&W Network
Plan Type:
Contracted with
Comments:
USA SPAA
Plan Type:
Contracted with
Comments:
Victory Health Plan TennCare (VHP)
VHP Dental Tenncare
Plan Type:
Contracted with
Comments:
Victory HealthPlan TennCare (VHP)
Plan Type: TennCare
Contracted with
Comments:
XANTUS Corporation
XANTUS TennCare - In Network
Plan Type: TennCare
Contracted with
Comments:
XANTUS TennCare - Out of Network
Plan Type: TennCare
Contracted with
Comments:
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