Insurance plans for hospital services

Vanderbilt Wilson County Hospital, a part of Vanderbilt University Medical Center, is an in-network participant in many local and national health insurance plans. Several insurance carriers also include VUMC in their individual plans.

Please note: VUMC 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 location or provided by a doctor who admits patients to Vanderbilt Wilson County Hospital.

  • Aetna

    Aetna (Excludes First Health, except Medical Mutual of Ohio)
    Aetna Behavioral Health
    Aetna Medicare Advantage
    Aetna National Advantage Program
    Aetna Select VHAN (Premier Care Network)
    Aetna Signature Administrators
    Aetna TN Preferred
    Aetna Transplants
    Aetna Whole Health
    Meritain Health
    Meritain Behavioral Health

    Ambetter of Tennessee – Commercial Exchange plans

    Amerigroup of Tennessee

    Amerigroup Behavioral Health
    Amerigroup CoverKids
    Amerigroup TennCare 
    Amerigroup Transplant Medicaid & Medicare Advantage 
    Amerivantage Medicare Advantage & Dual Special Needs Program (DSNP)

    Beacon Health

    Beacon Health Options

    BlueCross BlueShield

    BlueCross BlueShield BlueCard (for out-of-state plans with “suitcase”) – includes High Performance Network
    BlueCross BlueShield of Tennessee Behavioral Health
    BlueCross BlueShield of Tennessee - Networks P & S (Includes individual exchange plans)
    BlueCross Medicare Advantage PPO (not Blue Essential HMO) 

    BlueCross BlueShield TennCare

    BCBST CoverKids
    BCBST CoverKids Behavioral Health
    BlueCare 
    BlueCare Plus DSNP
    BlueCare Behavioral Health
    TennCare Select 
    TennCare Select Behavioral Health

    Center Care

    Center Care
    Center Care Behavioral Health

    Cigna Healthcare of Tennessee

    Cigna* - Includes PPO, POS and HMO (Networks Local Plus, Open Access, and Great West)
    Cigna Connect Exchange
    Cigna SureFit
    *Excludes Limited Network Benefit plans and MD Only Benefit plans

    Cigna Behavioral Health

    Cigna Behavioral Health

    Cigna HealthSpring

    Cigna HealthSpring Medicare Behavioral Health 
    Cigna HealthSpring Medicare Advantage PPO and HMO (excludes Alliance Direct IPA unless PCP referral obtained)

    Cigna + OSCAR

    Deaconess Health Benefit Plan

    Deaconess Employee Health Benefit Plan

    Farm Bureau

    Farm Bureau (Individual off-exchange, non-ACA compliant plan through United Healthcare/UMR)

    HealthOne Alliance

    HealthOne Alliance (Alliant Health Plans)

    Health Partners

    Health Partners
    Health Partners Behavioral Health

    Humana

    Cariten Medicare Advantage HMO and PPO
    ChoiceCare (includes PPO and National POS, Excludes Local POS)
    Humana (Includes HMO, National POS and PPO. Excludes Local POS)
    Humana Behavioral Health
    Humana Medicare Advantage (HMO, PPO, and POS)

    Integrated Solutions Health Network (ISHN)

    ISHN CrestPoint

    Magellan Healthcare

    Magellan Behavioral Health

    NAMCI

    NAMCI

    Novanet

    Novanet
    Novanet Behavioral Health

    Optum

    Optum Behavioral Health (aka United Behavioral Health) – Commercial
    Optum Behavioral Health (aka United Behavioral Health)  – TennCare
    Optum VA CCN

    PHCS

    PHCS* (Excludes Multiplan, Megalife, Midwest, limited benefit plan designs)
    PHCS Behavioral Health
    *Excludes MD Only and MD + Ancillary Only Plans

    Prime Health Plan

    Prime Health PPO
    Prime Health Behavioral Health

    TRICARE

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

    UNITEDHEALTHCARE

    UnitedHealthcare AllSavers 
    UnitedHealthcare Medicare Advantage Plans
    UnitedHealthcare Medicare Complete/AARP
    UnitedHealthcare (Excludes Oxford HMO, Pacificare) 
    United Core Network 
    UnitedHealthcare - HCA employees (Prior Authorization required for highest benefit level)
    United Healthcare Heritage Choice and Heritage Select 
    UnitedHealthcare NEXUS (referrals required on some products)
    UnitedHealthcare Options PPO
    UnitedHealthcare – United Medical Resources (UMR)
    UnitedHealthcare - BIND

    UnitedHealthcare Community Plan

    UnitedHealthcare Community CoverKids
    UnitedHealthcare Community Plan 
    UnitedHealthcare Dual Complete Plans (DSNP) 

    USA MCO

    USA MCO
    USA MCO Behavioral Health
    USA MCO MEDICARE SELECT

    Veterans Affairs (VA)

    VA CCN
    Veterans Affairs (VA)
    Veterans Affairs (VA) Transplants

    Wellcare TN

    Wellcare Medicare Advantage Behavioral Health
    Wellcare Medicare Advantage

    Worker’s Compensation Plans

    CorVel
    Heritage Summit
    Metro Government
    Metro Schools
    Prime Health
    Sedgwick 
    USA MCO
     

  • Please contact your insurance provider regarding your financial liability at Vanderbilt Wilson County Hospital.

    American Health Plan
    Beech Street
    Bright Health
    First Health
    LifeSynch - use Humana Behavioral Health
    HealthSmart Preferred
    Galaxy Health Network
    Mental Health Associates
    Medicaid outside of TN
    Multiplan
    Oscar Health
    Rockport Community Network
    United Compass