Insurance

Insurances accepted by 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.