| Insurer |
Plan |
| 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 other 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 the 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 (sold through the ACA Marketplace Exchange)
Virginia & West Virginia ONLY |
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 (Signature Partners) |
Medicaid Fee For Service
(If assigned to a Managed Medicaid Plan – see below) |
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 ONLY |
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
(If assigned to a Medicare Advantage Plan – see below) |
The Medicare A & B 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) |
Aetna Medicare Advantage |
| Anthem Medicare Advantage |
| Clear Spring Health Medicare Advantage |
| Highmark West Virginia Medicare Advantage |
| Humana Medicare Advantage |
| Peak Health Medicare Advantage |
| The Health Plan |
| United Healthcare Medicare Advantage |
| West Virginia Senior Advantage |
Medicare DSNP Plans
Virginia & West Virginia ONLY |
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 doesn't contract directly with Medicare supplement plans, sometimes called MediGap plans. Federal law requires that they pay after Medicare. |
| 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 |
| United Healthcare |
PPO |
| POS |
| HMO |
| Optimum Choice |
| MDIPA |
| OneNet PPO |
| Options PPO |
| Exchange (Virginia & West Virginia only) |
| United Healthcare Medicare Advantage Plan |
| 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 assigned to a Medicaid Managed Plan – see above) |
If the insured has been assigned to a Managed Medicaid Plan, see “Managed Medicaid” in the Insurer Column 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 assigned to a Managed Medicaid Plan – see above) |
If the insured has been assigned to a Managed Medicaid Plan, see “Managed Medicaid” in the Insurer Column above. |
