Insurance plans for professional services

Vanderbilt Medical Group is in-network participant in the local and national health insurance plans listed below. Some plans may not apply at every location depending on the specialty (for instance, transplant, dental or vision coverage)

Several insurance carriers also include VUMC in their individual plans.

Please note: VUMC 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 delivered by a Vanderbilt clinician.

  • AETNA

    Aetna (Excludes First Health, except Medical Mutual of Ohio)
    Aetna Behavioral Health
    Aetna Medicare Advantage
    Aetna National Advantage Program (fka Coventry National)
    Aetna Select VHAN (Premier Care Network)
    Aetna Signature Administrators
    Aetna TN Preferred
    Aetna Whole Health
    Meritain Health
    Meritain Behavioral Health

    AMERIGROUP

    Amerigroup Behavioral Health
    Amerigroup TennCare (Adult services may require prior authorization and be redirected)
    Amerivantage Medicare Advantage & Dual Special Needs Program

    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 (Includes individual exchange plans for all metal levels)

    BLUECROSS BLUESHIELD TENNCARE

    BCBST CoverKids (authorizations required for patients > 19 years old)
    BCBST CoverKids Behavioral Health
    BlueCare (authorizations required for patients > 19 years old)
    BlueCare Behavioral Health

    TennCare Select (authorizations required for patients > 19 years old)
    TennCare Select Behavioral Health

    CENTER CARE

    Center Care
    Center Care Behavioral Health

    Cigna

    Cigna (Includes PPO, POS, and HMO products under networks LP, OAP and Great West)
    Cigna Behavioral Health
    Cigna Connect (Nashville market members only)
    Cigna SureFit (Adult services require authorization, certain exceptions apply – please verify with health plan)
    Cigna-HealthSpring Behavioral Health
    Cigna-HealthSpring Medicare Advantage (includes MidState IPA members)

    CORVEL (WORKERS’ COMPENSATION)

    Corvel
    Corvel Behavioral Health

    DEACONESS

    Deaconess Employee Health Benefit Plan

    DENTAL PLANS

    BCBST Preferred Dental
    BCBST Commercial PPO Dental
    Cigna Dental PPO
    Dental Benefit Providers/UHC Dental PPO
    Dental Health Alliance
    DentaQuest (TennCare)
    Guardian
    Humana Dental PPO
    Met Life Dental
    United Concordia

    EYEMED

    EyeMed Vision Plan – Vanderbilt Eye Institute - Lebanon Providers only

    FARM BUREAU

    Farm Bureau (via United - UMR)

    HEALTHONE ALLIANCE

    HealthOne Alliance (Alliant Health Plans)

    HEALTH PARTNERS

    Health Partners
    Health Partners Behavioral Health

    HERITAGE SUMMIT WORKER’S COMPENSATION

    Heritage Summit Worker’s Compensation Plan

    HUMANA

    Cariten Medicare Advantage
    Cariten HMO, PPO, POS
    ChoiceCare (includes PPO and National POS. Excludes local POS)
    Humana (Includes HMO, NPOS and PPO. Excludes local POS)
    Humana Behavioral
    Health Humana Medicare Advantage

    INTEGRATED SOLUTIONS HEALTH NETWORK (ISHN)

    ISHN CrestPoint

    MAGELLAN HEALTHCARE

    Magellan Behavioral Health

    NAMCI

    NAMCI

    NOVANET

    Novanet
    Novanet Behavioral Health

    OPTUM

    Optum Behavioral Health
    Optum Behavioral Health (TennCare)

    PHCS

    PHCS* (Excludes Multiplan, Megalife, Midwest and limited benefit plan designs)
    PHCS Behavioral Health
    * Also excludes MD Only and MD + Ancillary Only Plans

    PRIME HEALTH

    Prime Health PPO
    Prime Health Behavioral Health
    Prime Health Worker’s Compensation

    SUPERIOR VISION PLAN

    Superior Vision Plan

    TRICARE

    TRICARE East Humana Military
    TRICARE Humana Military Behavioral Health

    UNITEDHEALTHCARE

    UnitedHealthcare Group
    UnitedHealthcare Medicare Complete/AARP
    UnitedHealthcare – HCA employees (Authorization required)
    United Healthcare of the River Valley, Inc Heritage Choice and Heritage Select
    UnitedHealthcare (Excludes Oxford HMO, Pacificare)
    UnitedHealthcare NEXUS (referrals required on some products)
    UnitedHealthcare Options PPO
    UnitedHealthcare – United Medical Resources (UMR)

    UNITEDHEALTHCARE COMMUNITY PLAN

    UnitedHealthcare Community Plan (adult services may require authorization and be redirected)
    UnitedHealthcare Community Plan Dual Special Needs Plan

    USA MCO

    USA MCO
    USA MCO Behavioral Health

    WELLCARE TN (FORMERLY KNOWN AS HARMONY)

    WellCare (MA) Behavioral Health
    WellCare Medicare Advantage

  • Please contact your insurance provider regarding financial liability at VUMC clinics.

    American Health Plan
    Beech Street
    Bright Health
    Cigna Surefit (adult services)
    LifeSynch - use Humana Behavioral Health
    HealthSmart Preferred
    Galaxy Health Network
    Mental Health Associates
    Multiplan
    Oscar Health
    Rockport Community Network
    ValueOptions