If your card states there is “no network”, or it refers to “reference pricing”, please see visit this page
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 Managed Care team at managedcare@valleyhealthlink.com or 540-536-6140.
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| Aetna | PPO |
| POS | |
| HMO | |
| Aetna Better Health Virginia (Medicaid Managed Plan) | |
| Aetna Better Health West Virginia (Medicaid Managed Plan) | |
| Aetna Medicare Advantage Plan (Winchester and Warren only) | |
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Workers Compensation |
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| Anthem Blue Cross Blue Shield | PPO |
| POS | |
| HMO | |
| Anthem HealthKeepers Plus | |
| Anthem Medicare Advantage | |
| Exchange plans | |
| Indemnity | |
| FEP | |
| Blue Cross | PPO |
| National Plans (Blue Cross National Accounts) | |
| All others, contact your carrier | |
| Cigna | PPO |
| HMO | |
| Exchange plans | |
| Great West | |
| Commercial insurers through the MultiPlan/PHCS and Virginia Health Network/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 |
| HealthSmart | HPO |
| Highmark West Virginia | PPO |
| Indemnity | |
| Humana Medicare Advantage PPO | PPO only, Valley Health does not accept Humana HMO or PFFS products |
| Innovation Health | Innovation Health (Signature Partners) |
| Managed Medicaid Plans | Aetna Better Health Virginia |
| Aetna Better Health West Virginia | |
| Anthem HealthKeepers Plus | |
| Magellan Healthcare | |
| Optima Family Care | |
| The Health Plan of the Upper Ohio Valley | |
| Unicare West Virginia | |
| United Healthcare | |
| Virginia Premier | |
| Medicare (If assigned to a Medicare Advantage Plan – see below) | If the insured has been assigned to a Medicare Advantage Plan, see “Medicare Advantage Plans” below. |
| Innovation Health | Innovation Health (Signature Partners) |
| Medicare Advantage Plans (PPO only, no PFFS) | Aetna Medicare Advantage (Winchester and Warren only) |
| Anthem Medicare Advantage | |
| Cigna Medicare Advantage | |
| Highmark West Virginia Medicare Advantage | |
| Innovation Health Medicare Advantage | |
| Humana Medicare Advantage | |
| Magellan Medicare Advantage | |
| Optima Health Medicare Advantage | |
| United Healthcare Medicare Advantage | |
| Virginia Premier Medicare Advantage | |
| West Virginia Senior Advantage | |
| 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 |
| Optima | PPO |
| Exchange plans | |
| Optima Health Medicare Advantage | |
| The Health Plan of the Upper Ohio Valley | PPO |
| POS | |
| HMO | |
| Tricare | |
| United Healthcare | PPO |
| POS | |
| HMO | |
| Optimum Choice | |
| MDIPA | |
| OneNet PPO | |
| Options PPO | |
| United Healthcare Medicare Advantage Plans | |
| United Healthcare Medicaid Managed Plan policies under Virginia Medicaid | |
| 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 | |
| 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. |