Accepted Insurance and Health Plans

For the latest information about UnitedHealthcare and Valley Health, visit this page or call 1-888-472-0045.


Need help understanding Medicare vs. Medicare Advantage? Learn more here.

The following list should be considered guidelines only as many insurers offer a wide variety of plan options that may determine, at the individual plan option level, whether or not a patient will be in network with Valley Health providers. Insured individuals should check with their employer’s benefits manager, broker, or plan manual to ensure they are accessing care through their plan option’s preferred providers to ensure they are receiving the highest benefit level. Insurers may require that patients use specific lab services – please check your card or plan manual to ensure you have lab benefits. If you have any questions regarding your insurance plan’s participation status with Valley Health, please contact our Payer Contracting team at payercontracts@valleyhealthlink.com or 540-536-6140. If your card states there is “no network”, or it refers to “reference pricing”, please visit this page.

Medicare Advantage Plans (no Medicare PFFS)

  • Aetna Medicare Advantage
  • Anthem Medicare Advantage
  • Highmark West Virginia Medicare Advantage
  • Humana Medicare Advantage
  • Peak Health Medicare Advantage
  • The Health Plan
  • United Healthcare Medicare Advantage - Accepted through 9/30/2026
  • West Virginia Senior Advantage

Valley Health accepts every Medigap plan, regardless of which company issues it. Federal rules set the terms of payment by those plans to Valley Health. 

Aetna

  • PPO
  • POS
  • HMO
  • Aetna Better Health Virginia (Managed Medicaid Plan)
  • Aetna Better Health West Virginia (Managed Medicaid Plan)
  • Aetna Medicare Advantage Plan
  • Aetna Medicare DSNP

Anthem and Blue Cross Plans

  • PPO
  • POS
  • HMO (non-Anthem plans may not have benefits)
  • Exchange plans (Virginia only; non-Anthem plans may not have benefits)
  • Indemnity
  • FEP
  • HealthKeepers (PPO/HMO/Exchange)
  • Anthem Medicare Advantage
  • Anthem Medicare DSNP
  • Anthem HealthKeepers Plus (Managed Medicaid Plan)
  • National Plans

All others: Contact your carrier

CareSource

  • Exchange plans

Cigna 

  • PPO
  • HMO
  • EPO
  • Exchange plans
  • Great West

Clear Spring Health 

  • Medicare Advantage

Commercial/Private Insurers: Utilizing MultiPlan, PHCS, Virginia Health Network, and MedCost Networks

Coverage varies by insurer and insurer’s plan options. Check with your employer’s benefits manager, broker, or plan manual to ensure they are accessing care through their plan option’s preferred providers to ensure they are receiving the highest benefit level

Exchange Plans, Virginia & West Virginia (Sold through ACA Marketplace Exchange)

  • Anthem Healthkeepers Exchange
  • CareSource
  • Cigna Connect
  • Highmark West Virginia
  • Sentara Health Plans
  • United Healthcare

First Health

  • First Health Network

Federal Employee Program (FEP), Effective 1/1/2026

  • Aetna HealthFund CDHP and Aetna Value Plan (CDHP, Value)
  • Aetna: HDHP/Aetna Direct/Aetna Advantage (Advantage, Direct, HealthFund HDHP)
  • APWU Health Plan (Consumer Driven Option, High)
  • Blue Cross and Blue Shield (Basic, FEP Blue Focus, Standard)
  • Compass Rose Health Plan (High, Standard)
  • Foreign Service Benefit Plan (High)
  • GEHA Indemnity Benefit Plan (Elevate, Elevate Plus)
  • GEHA (HDHP, High, Standard)
  • M.D. IPA (High)
  • MHBP (Consumer, Standard, Value)
  • Panama Canal Area Benefit Plan (FFS Plan with a POS Option)
  • SAMBA (High, Standard)
  • UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA)) (HDHP)
  • UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
  • UnitedHealthcare Insurance Company, Inc. Choice Plus Primary East (Advanced, Primary East, Primary)

HealthSmart

  • HPO

Highmark West Virginia

  • Exchange (West Virginia only)
  • PPO
  • Indemnity
  • Highmark Medicare Advantage
  • Highmark Medicare DSNP
  • Highmark Health Options Medicaid

Humana (No Medicare PFFS)

  • Medicare Advantage PPO
  • Medicare Advantage HMO
  • Humana Medicare DSNP
  • Humana Virginia Medicaid

Innovation Health

  • Innovation Health PPO (Signature Partners)

Medicaid Fee For Service 

Virginia Medicaid and West Virginia Medicaid Fee For Service Plans are accepted.  If the insured has been assigned to a Medicaid Managed Care Plan, see “Managed Medicaid Plans” below.

Managed Medicaid Plans, Virginia & West Virginia

  • Aetna Better Health Virginia
  • Aetna Better Health West Virginia
  • Anthem HealthKeepers Plus
  • Highmark West Virginia Options
  • Molina Healthcare
  • Sentara Health Community Plan
  • The Health Plan of the Upper Ohio Valley
  • United Healthcare
  • Wellpoint West Virginia

Medicare A&B Fee For Service 

Medicare A & B and Medicare Railroad Fee For Service Plans are accepted. If the insured has been assigned to a Medicare Advantage Plan, see “Medicare Advantage Plans” below.

**Medicare Advantage Plans (no Medicare PFFS) are at the top of this list.**

Medicare DSNP Plans, Virginia & West Virginia

  • Aetna Better Health DSNP
  • Anthem HealthKeepers DSNP
  • Highmark West Virginia Medicare DSNP
  • Humana Medicare DSNP
  • Sentara Health Medicare DSNP
  • The Health Plan Medicare DSNP
  • United Healthcare Medicare DSNP
  • Wellpoint West Virginia DSNP
  • West Virginia Senior Advantage DSNP

Medicare Supplement Plans

Valley Health accepts every Medigap plan, regardless of which company issues it. Federal rules set the terms of payments by those plans to Valley Health.

MedCost/Virginia Health Network

  • PPO
  • Ultra

Multiplan/PHCS

Coverage varies by insurer and insurer’s plan options. Check with your employer’s benefits manager, broker, or plan manual to ensure they are accessing care through their plan option’s preferred providers to ensure they are receiving the highest benefit level.

Peak Health

  • PPO
  • POS
  • HMO
  • Peak Health Medicare Advantage

PEIA (UMR only)

PEIA (UMR only). Valley Health does not accept PEIA through The Health Plan.

Sentara Health Plans

  • PPO
  • POS
  • HMO
  • Exchange (Virginia only)
  • Sentara Health Medicare DSNP
  • Sentara Community Plan (Managed Medicaid Plan)

The Health Plan

  • PPO
  • POS
  • HMO
  • The Health Plan Medicaid
  • The Health Plan Medicare Advantage
  • The Health Plan Medicare DSNP

Tricare

Tricare. Valley Health does not accept Johns Hopkins US Family Health Plan.

UnitedHealthcare

For the latest information about UnitedHealthcare and Valley Health, visit this page or call 1-888-472-0045. 

  • PPO
  • POS
  • HMO
  • Optimum Choice
  • MDIPA
  • OneNet PPO
  • Options PPO
  • Exchange (Virginia & West Virginia only)
  • United Healthcare Medicare Advantage Plan- Accepted through 9/30/2026
  • United Healthcare Medicare DSNP
  • United Healthcare Managed Medicaid Plan policies under Virginia Medicaid

Valenz Access

Coverage varies by insurer and insurer’s plan options. Check with your employer’s benefits manager, broker, or plan manual to ensure they are accessing care through their plan option’s preferred providers to ensure they are receiving the highest benefit level.

Virginia Medicaid 

If the insured has been assigned to a Managed Medicaid Plan, see “Managed Medicaid” above.

Veterans Administration

  • Veterans Administration
  • Community Care Network

Wellpoint West Virginia (Formerly Unicare)

  • Wellpoint Medicaid
  • Wellpoint Medicare DSNP

West Virginia Welfare/West Virginia Medicaid 

If the insured has been assigned to a Managed Medicaid Plan, see “Managed Medicaid” above.