Insurance
Insurance for MMC Providers
Aetna
Aetna Signature
We are Tier I providers for Vanderbilt network
Amerigroup
*Rheumatology limited
*Not accepted in GYN, Limited OB, Dermatology, Plastic Surgery, SJP
BlueCross Blue Shield
Network P
Network S
Blue High Performance Network
Tenncare
*Not accepted in GYN, Limited OB, Dermatology, Plastic Surgery, SJP
Cigna
Open Access Plus *PPO, EPO, HMO, POS
Cigna + Oscar (Open Access Plus)
Connect
Cigna Surefit (requires referral)
Local Plus as of 06/01/2021
Coventry
CoverKids
Amerigroup
UHC Community Plan
BlueCross BlueShield
First Health
Humana
*We are not providers for the Local Preferred Network or Nashville PPOx
ABS SmartHealth (not providers for Ascension Personalized Care)
Signature Health Alliance
Tricare
Tricare Prime can only be taken with referral from PCP
*Not accepting ChampVA unless secondary to Medicare
United HealthCare
UHC Community Plan
*Not accepted in GYN, Limited OB, Dermatology, Plastic Surgery
*Navigate network requires referrals
*Compass network requires referrals
*Not accepting VA Community Care Network
Medicare Products
Medicare
Medicare Railroad
Ascension Complete
*Not accepted in Internal and Family Medicine
Atrio Medicare Advantage
*Not accepted in Internal and Family Medicine
BlueCross BlueShield Advantage PPO
BlueChoice HMO Advantage
BlueCare Plus Advantage
Clover Medicare Advantage
*Not accepted in Internal and Family Medicine
Humana PPO
Humana Gold Plus HMO
*PCP listed on back of insurance card MUST be MMC PCP for IM/FM
Cigna Medicare Advantage
*Direct network requires referral (not accepted in Internal and Family Medicine)
Aetna Medicare HMO/ PPO
United Healthcare Advantage Plans
United Healthcare Dual Complete and United Healthcare Dual Complete ONE
*Only if your physician is a UHC Community Plan provider
Amerivantage Medicare Plan
*Not accepted in Internal and Family Medicine
Wellcare Medicare Extra
*Not accepted in Internal and Family Medicine
NHC Advantage
Devoted Health
Farm Bureau Medicare Advantage
*Not accepted in Internal and Family Medicine
It is the patient’s responsibility to know their insurance policy and benefits coverage. If you have questions about your insurance coverage, please contact your human resource department or insurance company listed on the back of your insurance card.
Patient Protection and Affordable Care Act
Asa reaction to the PPACA (Patient Protection and Affordable Care Act) your insurance company may change how it is processing previously covered diagnostic tests.
In the past, your tests may have been paid under the preventative health benefits of your insurance policy. Now, some of these diagnostic tests are no longer considered preventative. Therefore you may be responsible for all or a portion of the charges. This does not include diagnostic tests done for acute or chronic medical diagnoses.
If you have any questions about which diagnostic tests are considered preventative, please contact your insurance company.