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Accepted Insurance and Health Plans

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.

Need help understanding Medicare vs. Medicare Advantage? Learn more here.

If you have any questions regarding your insurance plan’s participation status with Valley Health, please contact our Payer Contracting team at payercontracts@valleyhealthlink.com or 540-536-6140.

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.

View Accepted Insuraces