Insurance Plans

Accepted Insurance Plans

Vanderbilt University Medical Center and Monroe Carell, Jr. Children's Hospital at Vanderbilt are in-network participants in the local and national health insurance plans listed below.

Please note: Vanderbilt 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 at a Vanderbilt.

A note for those on Medicare: If you are covered by Medicare, you will receive a new Medicare Number and card in the mail to help protect your identity. However, be aware of medical identity theft scams. Medicare will never call and ask you to provide personal or private information to get your new Medicare Number or card. Learn more.

Aetna

  • Aetna HMO, PPO, POS (Excludes First Health, except Medical Mutual of Ohio)
  • Aetna Behavioral Health
  • Aetna Medicare Advantage
  • Aetna National Advantage (fka Coventry National)
  • Aetna Select VHAN (Premier)
  • Aetna TN Preferred
  • Aetna Transplants
  • Aetna Whole Health
  • Meritain Health
  • Meritain Behavioral Health
  • Aetna Specialty Pharmacy

Aetna Better Health – KY Medicaid

  • Aetna Better Health (Kentucky Medicaid) PCP referral required for all adult services
  • Aetna Better Health Transplants (Kentucky Medicaid. Requires single case agreement)

Ambetter of Tennessee (Commercial Exchange only)

  • Ambetter of Tennessee

Amerigroup

  • Amerigroup Behavioral Health
  • Amerigroup TennCare (Adult providers may require preauthorization.)
  • Amerigroup CoverKids
  • Amerigroup Transplant Medicaid (Tennessee MCO)
  • Amerivantage Medicare Advantage

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)
  • BlueCross BlueShield Transplants (BDCT, local BCBST and Medicare Advantage for solid organs only)
  • Vanderbilt is excluded from in-network benefits for Network L sold in Memphis
  • BlueCross BlueShield High Performance Network
  • BlueCross BlueShield Specialty Pharmacy

BlueCross BlueShield TennCare

  • BCBST CoverKids – (Under age 19 Adults patients may require preauthorization.)
  • BlueCare (Under age 19 Adult patients may require preauthorization.)
  • BlueCare Behavioral Health
  • BlueCare & DSNP Transplants
  • TennCare Select (Under age 19 Adult patients may require preauthorization.)
  • TennCare Select Behavioral Health
  • TennCare Select Transplants

Beacon Health Options

  • Beacon Health Options

Center Care

  • Center Care
  • Center Care Behavioral Health

Cigna

  • Cigna HMO, PPO, POS (Includes Local Plus, Open Access and Great West)
  • Cigna Behavioral Health
  • Cigna Connect (expanding from Nashville market to all TN markets beginning 2021.)
  • Cigna SureFit
  • Cigna Transplants
  • Cigna (akaHealthSpring) Medicare Behavioral Health
  • Cigna-(aka HealthSpring) Medicare HMO and PPO (Alliance Direct IPA members are excluded, unless PCP referral obtained)

Cigna + OSCAR

  • Cigna + OSCAR

Deaconess

  • Deaconess Employee Health Benefit Plan

Farm Bureau

  • Farm Bureau (Offers individual off-exchange, non-ACA compliant plan thru UMR)

HealthOne Alliance

  • HealthOne Alliance (Alliant Health Plans)
  • HealthOne Alliance Behavioral Health

Health Partners

  • Health Partners
  • Health Partners Behavioral Health

Humana

  • Cariten Medicare Advantage HMO, PPO, POS
  • ChoiceCare PPO and POS (excludes Local POS)
  • Humana (Includes HMO, NPOS and PPO. Excludes local POS)
  • Humana Behavioral Health
  • Humana Medicare Advantage HMO, PPO, POS
  • Humana National Transplant Network (NTN)
  • Humana Specialty Pharmacy

Humana Kentucky Medicaid – Healthy Horizons

  • Humana Healthy Horizons KY Medicaid (Transplants and Adults require auth and may be redirected)

Integrated Solutions Health Network (ISHN)

  • ISHN CrestPoint

Interlink

  • Interlink Transplants

Lifetrac

  • Lifetrac Transplants

Magellan Healthcare

  • Magellan Behavioral Health

NAMCI

  • NAMCI – North Alabama Managed Care Inc

Novanet

  • Novanet
  • Novanet Behavioral Health

Optum

  • Optum Behavioral Health - Commercial
  • Optum Behavioral Health - Tenncare
  • Optum Specialty Pharmacy
  • Optum Spine and Joint Bundle
  • Optum Transplants (fka URN)
  • Optum VA CCN

PHCS

  • PHCS (Excludes Multiplan, Megalife, Midwest, any Health Share Ministries such as MediShare, and Physician Only plans, Physician & Ancillary only plans and limited benefit plan designs)
  • PHCS Behavioral Health

Prime Health Plan

  • Prime Health PPO
  • Prime Health Behavioral Health

TRICARE

  • TRICARE East Standard and Prime (Humana Military)
  • TRICARE Humana Military Behavioral Health
  • TRICARE Transplants
  • TRICARE West (HealthNet Federal Services)
  • Tricare For Life

UnitedHealthcare

  • Optum Behavioral Health
  • Optum Behavioral Health (TennCare)
  • UnitedHealthcare (Excludes Oxford HMO, Pacificare)
  • United Core Network
  • United Healthcare Heritage (ACO R plans require a referral)
  • UnitedHealthcare The Empire Plan NYSHIP – New York State Health Insurance Program
  • UnitedHealthcare - HCA employees (Authorization recommended)
  • UniitedHealthcare NEXUS (referrals required on some plans, includes ACO plan)
  • UnitedHealthcare® Group Medicare Advantage Plans
  • United Heritage Select Advantage Plan
  • UnitedHealthcare Medicare Complete/AARP
  • UnitedHealthcare Transplants (Via OPTUM)

UnitedHealthcare Community Care Plan

  • UnitedHealthcare Community Plan TennCare (Adult providers may require prior auth)
  • UnitedHealthcare Community Plan CoverKids
  • UnitedHealthcare Community Plan Transplants (Via OPTUM)
  • UnitedHealthcare Dual Complete® Plans (Medicare/Medicaid)

USA MCO

  • USA MCO
  • USA MCO Behavioral Health

Veterans Affairs (VA)

  • Veterans Affairs (VA)
  • Veterans Affairs (VA) Transplants - for heart and liver only
  • Veterans Affairs (VA) Community Care Network (via Optum)

WellCare Of Kentucky (KY Medicaid)

  • WellCare (PCP referral required for all adult services.)
  • WellCare Transplants (Via OPTUM)

WellCare TN (Formerly Known As Harmony)

  • WellCare (MA) Behavioral Health
  • WellCare Medicare Advantage