Insurance Plans

Vanderbilt Health is participating in Cigna Connect, an Affordable Care Act (ACA) compliant individual insurance plan option. Individuals who enroll in Cigna Connect during this year’s open enrollment period, Nov. 1 thru Dec. 15, will be able to be seen at their maximum benefit level at Vanderbilt beginning Jan. 1, 2018. More information can be found at Cigna.com or HealthCare.gov.

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 off-exchange plans.

Aetna

Aetna (Excludes First Health, except Medical Mutual of Ohio)
Aetna Behavioral Health
Aetna Better Health (Kentucky Medicaid)
Aetna Better Health Transplants (Kentucky Medicaid. Requires single case agreement).
Aetna Medicare Advantage
Aetna Select VHAN (Premier)
Aetna Transplants
Aetna Whole Health

Amerigroup

Amerigroup Behavioral Health
Amerigroup TennCare (Adult services may require prior authorization and be redirected)
Amerigroup Transplant Medicaid (Tennessee MCO)
Amerivantage Medicare Advantage

Baptist Health (Formerly known as BlueGrass Family Health)

Baptist Health Plan of KY
Baptist Health Behavioral Health

BlueCross BlueShield TennCare

BCBST CoverKids – (Adult services may require prior authorization and be redirected)
BCBST CoverKids Behavioral Health
BCBST CoverKids Transplants
BlueCare (Adult services may require prior authorization and be redirected)
BlueCare Advantage Plus (DSNP)
BlueCare Behavioral Health
BlueCare Transplants
TennCare Select Behavioral Health
TennCare Select (Adult services may require prior authorization and be redirected)
TennCare Select Transplants

BlueCross BlueShield

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

Center Care

Center Care
Center Care Behavioral Health

Cigna

Cigna (Includes LP, OAP and Great West)
Cigna Behavioral Health
Cigna Connect (Effective Jan. 1, 2018. Includes individual exchange plans for all metal levels).
Cigna-HealthSpring Behavioral Health 
Cigna-HealthSpring Medicare Advantage
Cigna Transplants

Corvel (Workers’ Compensation)

Corvel
Corvel Behavioral Health

Farm Bureau

Farm Bureau (Includes individual off exchange plans, both ACA compliant and non-ACA compliant, if offered).

Harmony (formerly known as WellCare or Windsor Health)

Harmony (MA) Behavioral Health
Harmony Medicare Advantage

HealthOne Alliance

HealthOne Alliance
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)

Interlink

Interlink Transplants

Integrated Solutions Health Network (ISHN)

ISHN CrestPoint

Lifetrac

Lifetrac Transplants

Magellan Healthcare

Magellan Behavioral Health

NAMCI

NAMCI

Novanet

Novanet
Novanet Behavioral Health

Optum

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

PHCS

PHCS (Excludes Multiplan, Megalife and Midwest)
PHCS Behavioral Health

TRICARE

TRICARE Humana Military (South)
TRICARE Humana Military Behavioral Health
TRICARE North Reg (HealthNet Federal Services)
TRICARE Transplants

UnitedHealthcare

Optum Behavioral Health
Optum Behavioral Health (TennCare)
UnitedHealthcare (Excludes Oxford HMO, Pacificare)
UnitedHealthcare Community Plan (TennCare. Adult services may require prior authorization and be redirected).
UnitedHealthcare Community Plan Transplants (via OPTUM)
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

WellCare Of Kentucky (KY Medicaid)

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