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.
- VUMC and its Affiliates are out-of-network participants in these insurance plans.
- Several insurance carriers also include Vanderbilt in their individual plans.
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
- 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
- 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
- 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
- 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
- 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
Humana
- 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
- 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
- Optum VA CCN
Oscar Health
- Oscar Health Exchange (effective 1/1/2023)
PHCS
- 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
- 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 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
- USA MCO
- USA MCO Behavioral Health
- USA MCO MEDICARE SELECT
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