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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 about Medicare specifically, please click here to see your Valley Health Medicare Resources, including our toll-free Medicare Insurance Helpline

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
Workers Compensation
Anthem and other Blue Cross plans* Out of Network at Virginia locations after December 31, 2020.
CareSource Exchange plans
Cigna PPO
HMO
Exchange plans
Great West
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 (Please go to the Healthcare.gov website to find the Exchange plans sold in your county. Plan availability is determined by the subscriber's county of residence and all plans are not sold in all locations.) Cigna Connect
Optima
United Healthcare
CareSource
Highmark of WV* (WV locations only)
Anthem Healthkeepers Exchange*
Federal Employee Program (FEP) Aetna Advantage Plan
Aetna HealthFund CDHP and Aetna Value Plan
Aetna HealthFund HDHP and Aetna Direct Plan
Aetna Open Access
APWU Health Plan
Compass Rose Health Plan
Foreign Service Benefit Plan
GEHA Benefit Plan
GEHA Indemnity Benefit Plan
M.D. IPA
MHBP
MHBP Consumer Option
NALC
Rural Carrier Benefit Plan
SAMBA
UnitedHealthcare Insurance Company, Inc. (A HDHP with a Health Savings Account (HSA))
UnitedHealthcare Insurance Company, Inc. (Choice Open Access)
UnitedHealthcare Insurance Company, Inc. (Choice Plus Advanced)
UnitedHealthcare Insurance Company, Inc. Choice Plus Primary Advantage
UnitedHealthcare Insurance Company, Inc. Choice Primary Advantage
HealthSmart HPO
Highmark West Virginia
(WV locations only)*
Exchange *
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
Magellan Healthcare
Optima Family Care
The Health Plan of the Upper Ohio Valley
Unicare West Virginia
United Healthcare
Virginia Premier
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
(PPO only, no PFFS)
Aetna Medicare Advantage
Cigna Medicare Advantage
Highmark West Virginia Medicare Advantage (WV locations only)*
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
The Health Plan of the Upper Ohio Valley PPO
POS
HMO
Tricare Tricare
United Healthcare PPO
POS
HMO
Optimum Choice
MDIPA
OneNet PPO
Options PPO
Exchange
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 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.

* Caution: After December 31, 2020, Anthem of Virginia and other BCBS insurance plans may not be accepted at VHS providers located in Virginia. Highmark plans may only be accepted at West Virginia locations.