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Accepted Insurance and Health Plans

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.

Insurer

Plan

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)

Workers Compensation

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.