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
	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
	Cigna Medicare Advantage (until 12/31/2025)
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 1/1/2025	Aetna Advantage Plan - Advantage
	Aetna HealthFund CDHP and Aetna Value Plan (all options)
	Aetna HealthFund HDHP and Aetna Direct Plan (all options)
	APWU Health Plan - CDHP
	APWU Health Plan - High
	Blue Cross and Blue Shield Service Benefit Plan (all options)
	Compass Rose Health Plan (all options)
	Foreign Service Benefit Plan - High
	GEHA Benefit Plan (all options)
	GEHA Indemnity Benefit Plan (all options)
	M.D. IPA - High
	MHBP - Standard and Value (all options)
	MHBP Consumer Option - HDHP
	NALC (all options)
	Rural Carrier Benefit Plan
	SAMBA (all options)
	UnitedHealthcare Insurance Company, Inc. Choice HDHP
	UnitedHealthcare Insurance Company, Inc. Choice Open Access HMO
	UnitedHealthcare Insurance Company, Inc. Choice Plus Advanced
	UnitedHealthcare Insurance Company, Inc. Choice Plus Primary
	UnitedHealthcare Insurance Company, Inc. Choice Primary
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)
	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 Medicare Advantage (no 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
	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 PFFS)	Aetna Medicare Advantage
	Anthem Medicare Advantage
	Cigna Medicare Advantage (through 12/31/2025)
	Clear Spring Health Medicare Advantage
	Highmark West Virginia Medicare Advantage
	Humana Medicare Advantage
	Peak Health Medicare Advantage
	Sentara Health Medicare Advantage (through 12/31/2025)
	The Health Plan
	United Healthcare Medicare Advantage
	West Virginia Senior Advantage
Medicare DSNP Plans	Aetna Better Health DSNP
	Anthem HealthKeepers DSNP
	Highmark West Virginia Medicare DSNP
	Humana Medicare DSNP
	Sentara Health Medicare DSNP (through 1/15/2026)
	The Health Plan Medicare DSNP
	United Healthcare Medicare DSNP
MedCost/Virginia Health Network	PPO
MedCost/Virginia Health Network	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) As of 7/31/2023, Valley Health will not accept PEIA through The Health Plan	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 Advantage (through 12/31/2025)
	Sentara Health Medicare DSNP (through 1/15/2026)
	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 Excludes Johns Hopkins US Family Health Plan	Tricare
Wellpoint West Virginia (formerly Unicare)	West Virginia Medicaid
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
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.

View Accepted Insuraces