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Insurance Plans

Insurance Plan Information

Vanderbilt University Medical Center (VUMC) 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 facility or physician practice.

For accepted insurance plans at our affiliate facilities, visit:


  • 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 Signature Administrators
  • 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 Behavioral Health
  • Amerigroup TennCare (Adult providers may require preauthorization.)
  • Amerigroup CoverKids
  • Amerigroup Transplant Medicaid (Tennessee MCO)
  • Amerivantage Medicare Advantage & Dual Special Needs Program (DSNP)


  • 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 Medicare Advantage PPO
  • BlueCross BlueShield Transplants - BDCT, local BCBST and Medicare Advantage (Medicare Advantage excludes stem cell transplants)
  • BlueCross BlueShield High Performance Network
  • BlueCross BlueShield Specialty Pharmacy
  • Note: Vanderbilt is excluded from Network L & E

BlueCross BlueShield TennCare

  • BCBST CoverKids – Adults > 18 yo patients requires preauthorization
  • BlueCare Adult >18 yo patients requires preauthorization
  • BlueCare Behavioral Health
  • BlueCare & DSNP Transplants (DSNP excludes stem cell transplants
  • TennCare Select Adult >18 yo patients require preauthorization
  • TennCare Select Behavioral Health
  • TennCare Select Transplants
  • Note: Adult and Pediatric Hospitals and VMG are excluded from BlueCare Plus DSNP

Beacon Health Options

  • Beacon Health Options

Center Care

  • Center Care
  • Center Care Behavioral Health


  • Cigna HMO, PPO, POS (Includes Local Plus, Open Access and Great West)
  • Cigna Behavioral Health
  • Cigna Connect (Tennessee market Exchange Plan)
  • Cigna Transplants
  • Cigna (aka HealthSpring) Medicare Behavioral Health
  • Cigna (aka HealthSpring) Medicare HMO and PPO (Alliance Direct IPA members are excluded, unless PCP referral obtained)
  • Cigna Medicare PPO & HMO
  • Cigna Transplants through Cigna Lifesource


  • Deaconess Employee Health Benefit Plan

Farm Bureau

  • Farm Bureau Medicare Advantage (effective 1/1/2023)
  • Farm Bureau (Offers individual off-exchange, non-ACA compliant plan thru UMR)

HealthOne Alliance

  • HealthOne Alliance (Alliant Health Plans)

Health Partners

  • Health Partners
  • Health Partners Behavioral Health


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

Integrated Solutions Health Network (ISHN)

  • ISHN CrestPoint


  • Interlink Transplants


  • Lifetrac Transplants

Magellan Healthcare

  • Magellan Behavioral Health


  • NAMCI – North Alabama Managed Care Inc


  • Novanet
  • Novanet Behavioral Health


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

Oscar Health

  • Oscar Health Exchange (effective 1/1/2023)


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

Prime Health Plan

  • Prime Health PPO
  • Prime Health Behavioral Health


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


  • Optum Behavioral Health
  • Optum Behavioral Health (TennCare)
  • UnitedHealthcare All Savers
  • UnitedHealthcare (excludes Pacificare)
  • United Core Network
  • United Surest (formerly known as BIND)
  • United Healthcare Heritage (ACO R plans require a referral)
  • UnitedHealthcare Options PPO
  • UnitedHealthcare – United Medical Resources (UMR)
  • UnitedHealthcare The Empire Plan NYSHIP – New York State Health Insurance Program
  • UnitedHealthcare - HCA employees (Authorization required for highest benefit level)
  • UnitedHealthcare NEXUS R (referrals required on some plans, includes ACO plan)
  • United Heritage Choice and Heritage Select Medicare 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) – Tennessee only
  • UnitedHealthcare Community Plan of KY – KY Medicaid plan (Adult providers require prior auth)


  • USA MCO Behavioral Health

Veterans Affairs (VA)

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

WellCare Of Kentucky (KY Medicaid)

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

WellCare Medicare TN (fka Harmony)

  • WellCare (Medicare Advantage) Behavioral Health
  • WellCare Medicare Advantage