4/25/2008

AETNA Healthcare (HMO, EC, QPOS, MC, USAccess, OC, TC) *WE DO NOT PARTICIPATE WITH AETNA’S GOLDEN MEDICARE PLAN*

AETNA Medicare Open Plan – (PFFS) this replaces the patient's government Medicare part A&B

ALLIANCE PPO  (See also, One Net, below)

ANTHEM  BCBS OF VIRGINIA (PPO, Anthem/BCBS carriers file all claims to local Blue Cross)

ANTHEM HEALTHKEEPERS  (HMO, POS, carriers file all claims to local Blue Cross)

ANTHEM HEALTHKEEPERS PLUS – Medicaid product through Anthem

ANTHEM Medicare Smart Value Plus – this replaces the patient's government Medicare part A&B

ANTHEM Medicare Advantage PPO – Non par, but we can see as an out of network provider.  This replaces the patient's government Medicare part A&B

CARENET – Medicaid product through Southern Health  Henrico Doctors' Hospital & ALL Bon Secours hospitals

CIGNA  (Managed Care, Open Access Plus, PPO)

FIRST HEALTH – Network

Great West Healthcare – Formerly known as One Health Plan.  Henrico Doctors' Hospital & ALL Bon Secours hospitals

MAMSI  (Alliance PPO, Optimum Choice, MAMSI Life & Health)

MEDICAID

MEDICARE

MULTIPLAN

ONE NET PPO (formerly Alliance, Mamsi)

OPTIMA FAMILY CARE -  Medicaid product, (formerly Sentara). Memorial Regional Medical Center & St. Mary's Hospital Par Only

OPTIMA HEALTH (commercial) Memorial Regional Medical Center & St. Mary's Hospital Par Only

PREFERRED CARE OF RICHMOND (PCR) - Network

PRIVATE HEALTHCARE SYSTEMS (PHCS) Network  (PPO ONLY) *WE DO NOT PARTICIPATE  WITH THE POS OR EPO  PLANS*

SOUTHERN HEALTH

TRICARE/CHAMPUS  (TRICARE STANDARD ONLY)  *WE DO NOT PARTICIPATE WITH TRICARE PRIME OR TRICARE EXTRA*

UNITED HEALTHCARE  (Choice, Choice Plus, POS, PPO)

UNITED HEALTHCARE Medicare Secure Horizons  - this replaces the patient's government Medicare part A&B

VIRGINIA HEALTH NETWORK (VHN)  - Network

VIRGINIA PREMIER – Medicaid and Medicare product