Insurance Plans
Certain insurances require a precertification before a subspecialty services appointment. Please call us at least 48 hours before taking your child to a subspecialist if a precertifcation is required. We cannot precertify specialty services for you unless we have 48 hours lead time, no matter how much we would like to.
Insurance We DO Accept:
- Advent Health
- Adventist Risk Management (WebTPA)
- Aetna
- Allegiance (Cigna)
- Alliant
- Allied Benefit
- AllSavers (UHC)
- AmeriBen
- BAS Heatlh
- BCBS - PPO, Networks P and S
- BCBS Anthem of Georgia PPO
- BCBS/Ga HMO (most state employees - need to verify)
- Bind Benefits (UHC)
- BlueCare/TennCare Select - We MUST be PCP
- ChampVA
- Cigna (most) *** NOT THE CONNECT PLANS
- CoreSource
- Covenant Administrators
- Coventry
- CoverKids - thru BlueCare ONLY - must be PCP
- EBMS
- ECN
- First Health (this is a network)
- Freedom Life (UMR)
- Fringe Benefit Group
- GEHA (this is a network)
- Gilsbar
- Golden Rule (UHC/UMR)
- HealthComp
- HealthCost Solutions
- HealthOne Alliance
- Health Partners
- HealthScope
- Humana
- IBA (PHCS)
- IMG
- Keel Point/Health Plan (Cigna)
- Liberty Healthshare (health coverage, not insurance)
- Lucent
- MedCost Solutions
- Medica (UHC)
- Medi-Share (does not process with provider discounts)
- Meritain
- MultiPlan (this is a network)
- NALC
- Native Care Health
- NetWell (PHCS)
- NTCA
- One Health (this is a network)
- PAI
- PHCS (this is a network)
- Priority Health
- Select Benefit Administrators
- Solidarity (health coverage, not insurance)
- Southeast Laborers Health Fund (Cigna)
- Southeast Laborers Health Fund
- Surest
- The Health Plan
- TriCare EAST ONLY - We MUST be PCM otherwise we cannot refer out
- Trustmark
- UHSM WeShare (health coverage, not insurance)
- UHSS (UHC)
- UMR
- United HealthCare (except limited benefit plans)
- United HealthOne
- UPMH
- US Healthgroup (Freedom Life/UMR)
- Valence
- WebTPA
- WellNet (Aetna)
- WeShare (health coverage, not insurance)
Insurance We Do NOT Accept:
- *** most HMOs
- AmBetter (TN or Ga)
- AmeriGroup (commercial or Tenncare)
- Any State Medicaid other than BlueCare
- BCBS Anthem of Georgia that does not say PPO
- BCBS Network E
- Cigna - Southeast TN Connect (Connect: Knoxville/Chattanooga or Nashville/Chattanooga)
- Community Plan (UHC Tenncare)
- CoverKids - thru UHC or AmeriGroup
- Georgia Medicaid - CareSource, Peachcare or WellCare etc
- TriCare East (if they are DIRECT CARE ONLY - these patients must be seen on a base or eligible facility)
- TriCare WEST
- United HealthCare - cards that say “limited benefit” we do not take provider discounts, but will file
Scroll to the end to see insurance we do NOT accept
Insurance We DO Accept:
- Advent Health
- Adventist Risk Management (WebTPA)
- Aetna
- Allegiance (Cigna)
- Alliant
- Allied Benefit
- AllSavers (UHC)
- AmeriBen
- BAS Heatlh
- BCBS - PPO, Networks P and S
- BCBS Anthem of Georgia PPO
- BCBS/Ga HMO (most state employees - need to verify)
- Bind Benefits (UHC)
- BlueCare/TennCare Select - We MUST be PCP
- ChampVA
- Cigna (most) *** NOT THE CONNECT PLANS
- CoreSource
- Covenant Administrators
- Coventry
- CoverKids - thru BlueCare ONLY - must be PCP
- EBMS
- ECN
- First Health (this is a network)
- Freedom Life (UMR)
- Fringe Benefit Group
- GEHA (this is a network)
- Gilsbar
- Golden Rule (UHC/UMR)
- HealthComp
- HealthCost Solutions
- HealthOne Alliance
- Health Partners
- HealthScope
- Humana
- IBA (PHCS)
- IMG
- Keel Point/Health Plan (Cigna)
- Liberty Healthshare (health coverage, not insurance)
- Lucent
- MedCost Solutions
- Medica (UHC)
- Medi-Share (does not process with provider discounts)
- Meritain
- MultiPlan (this is a network)
- NALC
- Native Care Health
- NetWell (PHCS)
- NTCA
- One Health (this is a network)
- PAI
- PHCS (this is a network)
- Priority Health
- Select Benefit Administrators
- Solidarity (health coverage, not insurance)
- Southeast Laborers Health Fund (Cigna)
- Southeast Laborers Health Fund
- Surest
- The Health Plan
- TriCare EAST ONLY - We MUST be PCM otherwise we cannot refer out
- Trustmark
- UHSM WeShare (health coverage, not insurance)
- UHSS (UHC)
- UMR
- United HealthCare (except limited benefit plans)
- United HealthOne
- UPMH
- US Healthgroup (Freedom Life/UMR)
- Valence
- WebTPA
- WellNet (Aetna)
- WeShare (health coverage, not insurance)
Insurance We Do NOT Accept:
- *** most HMOs
- AmBetter (TN or Ga)
- AmeriGroup (commercial or Tenncare)
- Any State Medicaid other than BlueCare
- BCBS Anthem of Georgia that does not say PPO
- BCBS Network E
- Cigna - Southeast TN Connect (Connect: Knoxville/Chattanooga or Nashville/Chattanooga)
- Community Plan (UHC Tenncare)
- CoverKids - thru UHC or AmeriGroup
- Georgia Medicaid - CareSource, Peachcare or WellCare etc
- TriCare East (if they are DIRECT CARE ONLY - these patients must be seen on a base or eligible facility)
- TriCare WEST
- United HealthCare - cards that say “limited benefit” we do not take provider discounts, but will file
