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)

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)
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 Medicare TN (formerly known as Harmony)

WellCare (MA) Behavioral Health
WellCare Medicare Advantage