If your card states there is “no network”, or it refers to “reference pricing”, please 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
Machine Readable Files |
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 | PPO |
| POS | |
| HMO | |
| Exchange plans | |
| Indemnity | |
| FEP | |
| Anthem Medicare Advantage | |
| Anthem HealthKeepers Plus (Managed Medicaid Plan) | |
| National Plans | |
| All others, contact your carrier | |
| CareSource | Exchange plans |
| Cigna | PPO |
| HMO | |
| Exchange plans | |
| Great West | |
| Cigna 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. Please go to see 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. | Anthem Healthkeepers Exchange |
| CareSource | |
| Cigna Connect | |
| Highmark of WV | |
| Optima | |
| United Healthcare | |
| Federal Employee Program (FEP)2022 | Aetna Advantage Plan |
| Aetna HealthFund CDHP and Aetna Value Plan | |
| Aetna HealthFund HDHP and Aetna Direct Plan | |
| Aetna Open Access | |
| APWU Health Plan | |
| Blue Cross and Blue Shield Service Benefit 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 | |
| UnitedHealthcare Insurance Company, Inc. UnitedHealthcare Advantage Plan | |
| HealthSmart | HPO |
| Highmark West Virginia | 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) |
|
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 | |
| 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 |
| 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 | Optima Family Care |
| Optima DNSP | |
| The Health Plan of the Upper Ohio Valley | PPO |
| POS | |
| HMO | |
| Tricare |
Tricare
US Family Health Plan will not contract with Valley Health at this time. |
| 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 |
| Community Care Network | |
| 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. |