Vanderbilt Health participates in Cigna Connect, an Affordable Care Act (ACA)-compliant individual insurance plan option. Individuals enrolled in all metal levels of Cigna Connect can be seen at Vanderbilt at their maximum benefit level. Inclusion of Vanderbilt and Vanderbilt providers as “in-network” on Cigna.com and HealthCare.gov has been delayed. In the meantime, Vanderbilt is accepting all Cigna Connect patients.

Vanderbilt Health participates in the local and national health insurance plans listed below. It’s important to note that 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 at a Vanderbilt location. Several insurance carriers also include Vanderbilt in their individual off-exchange plans.

Aetna

• Aetna (Excludes First Health, except Medical Mutual of Ohio)
• Aetna Behavioral Health
• Aetna Better Health (Kentucky Medicaid)
• Aetna Better Health Transplants (Kentucky Medicaid. Requires single case agreement)
• Aetna Medicare Advantage
• Aetna Select VHAN (Premier)
• Aetna Transplants
• Aetna Whole Health

Amerigroup

• Amerigroup Behavioral Health
• Amerigroup TennCare (Adult services may require prior authorization and be redirected)
• Amerigroup Transplant Medicaid (Tennessee MCO)
• Amerivantage Medicare Advantage

Baptist Health (Formerly Known as Bluegrass Family Health)

• Baptist Health Behavioral Health
• Baptist Health Plan of KY

BlueCross BlueShield

• BlueCross BlueShield BlueCard (for out-of-state plans with "suitcase")
• BlueCross BlueShield of Tennessee - Networks P, S & M (Includes individual exchange plans for all metal levels)
• BlueCross BlueShield of Tennessee Behavioral Health
• BlueCross BlueShield Transplants (BDCT and local BCBST)

BlueCross BlueShield TennCare

• BCBST CoverKids (Adult services may require prior authorization and be redirected)
• BCBST CoverKids Behavioral Health
• BCBST CoverKids Transplants
• BlueCare (Adult services may require prior authorization and be redirected)
• BlueCare Advantage Plus (DSNP) - Medicare/Medicaid
• BlueCare Behavioral Health
• BlueCare Transplants
• TennCare Select (Adult services may require prior authorization and should be directed back to TennCare)
• TennCare Select Behavioral Health
• TennCare Select Transplants

Center Care

• Center Care
• Center Care Behavioral Health

Cigna

• Cigna (Includes LP, OAP and Great West)
• Cigna Behavioral Health
• Cigna Connect (Effective Jan. 1, 2018. Includes individual exchange plans for all metal levels)
• Cigna Transplants
• Cigna-HealthSpring Behavioral Health
• Cigna-HealthSpring Medicare Advantage

Corvel (Workers' Compensation)

• Corvel
• Corvel Behavioral Health

Farm Bureau

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

HealthOne Alliance

• HealthOne Alliance
• HealthOne Alliance Behavioral Health

Health Partners

• Health Partners
• Health Partners Behavioral Health

Humana

• Cariten Medicare Advantage
• Humana (Includes HMO, NPOS and PPO. Excludes local POS and individual exchange plan: PPOX)
• Humana Behavioral Health
• Humana Medicare Advantage
• Humana National Transplant Network (NTN)

Integrated Solutions Health Network (ISHN)

• ISHN CrestPoint

Interlink

• Interlink Transplants

Lifetrac

• Lifetrac Transplants

Magellan Healthcare

• Magellan Behavioral Health

NAMCI

• NAMCI

Novanet

• Novanet
• Novanet Behavioral Health

Optum

• Optum Specialty Pharmacy
• Optum Spine and Joint Bundle
• Optum Transplants (fka URN)

PHCS

• PHCS (Excludes Multiplan, Megalife and Midwest)
• PHCS Behavioral Health

TRICARE

• TRICARE East Humana Military
• TRICARE Humana Military Behavioral Health
• TRICARE Transplants
• TRICARE West (HealthNet Federal Services)

UnitedHealthcare

• Optum Behavioral Health
• Optum Behavioral Health (TennCare)
• UnitedHealthcare (Excludes Oxford HMO, Pacificare)
• UnitedHealthcare – HCA employees (Authorization required)
• UnitedHealthcare Community Plan (TennCare. Adult services may require prior authorization and be redirected)
• UnitedHealthcare Community Plan Transplants (via OPTUM)
• UnitedHealthcare Dual Complete® Plans (Medicare/Medicaid)
• UnitedHealthcare Medicare Complete/AARP
• UnitedHealthcare Transplants (via OPTUM)
• UnitedHealthcare® Group Medicare Advantage Plans

USA MCO

• USA MCO
• USA MCO Behavioral Health

Veterans Affairs (VA)

• Veterans Affairs (VA)
• Veterans Affairs (VA) Transplants

WellCare Of Kentucky

• 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