Individual Insurance Plans

2021 Open Enrollment is Nov 1st – Dec 15th

Below are on-exchange and off-exchange insurance options that includes Vanderbilt University Medical Center and its Affiliates, both main campus and Vanderbilt Wilson County Hospital, in their individual plans:  

*This information is provided for your convenience. Vanderbilt University Medical Center does not endorse specific carriers.

Full Participation Status for VUMC and its Affiliates

Ambetter (Centene) – On and Off Exchange

 

BCBS – On and Off Exchange

 

Cigna Health Plans – On and Off Exchange
Cigna Connect Plans – VUMC and its Affiliates are contracted as In Network for each of Cigna’s markets across the entire State of TN with Cigna Connect Plans for January 2021.

Limited Participation Status for VUMC and its Affiliates

Some Exchange Plans sold in the Nashville area limit patients’ direct access to VUMC facilities and providers. In order to receive benefits from the health plans below, patients must receive authorization from these plans prior to scheduled appointments at Vanderbilt or its Affiliate locations. VUMC staff are available to assist patients with authorization requests from the plans for specialty appointments as needed.

 

Bright Health – On and Off Exchange

Vanderbilt University Medical Center and its Affiliates are Out of Network. Patients must receive authorization from Bright before an appointment will be scheduled. Patients will be responsible for payment if authorization is not received.

 

Oscar – On and Off Exchange

Vanderbilt University Medical Center and its Affiliates are Out of Network. Patients must request an authorization from Oscar Health to receive treatment at VUMC before an appointment is scheduled.  Patients will be responsible for payment if authorization is not received.

 

United Healthcare Compass – (returns to TN Marketplace for January 1, 2021)

Vanderbilt University Medical Center and its Affiliates are Out of Network. Patient must have authorization from United before an appointment will be scheduled.  Patients will be responsible for payment if authorization is not received.  

Authorization may be requested by patient or patient’s PCP from United through the number on the back of the member’s ID card.  

Off-Exchange

Farm Bureau Health Plans through United Health Care – are available Off the Exchange. Vanderbilt University Medical Center and its Affiliates are In Network with this health plan.