Aetna-HMO, PPO, POS, Aetna Premier Care Network
Aetna CVS Health Plan *Go by the “network” that is listed on the card. If HMO or PPO is on card, IN NETWORK
Aetna-EMORY University Health Plan –TIER 2 provider
BCBS (PPO, HMO, HPN, PAR, Anthem Health Access Plans, Pathway Gold, Silver, Bronze plans, Pathway Guided Access HMO (gatekeeper product), PATHWAY X Guided Access HMO exchange products (gatekeeper product), BLUE DIRECT, BLUE OPEN ACCESS)
Beech Street / MultiPlan and PHCS
CareSource Marketplace/Exchange plan (Gold, Silver, Bronze)
Choice Care Network-Humana’s national network
Cigna-Cigna products include HMO, PPO, Open Access Plus, Cigna C Oscar Open Access Plus Plan
Cigna C Oscar Open Access Plus Plan (Exchange/Marketplace plan)
Cigna-Piedmont employees 2023-We can see Piedmont Choice plan-Cigna Open Access Plus-We are Tier 2. We cannot see Piedmont Exclusive plan.
*ID cards with Cigna Pathwell Specialty Network- if we are PAR with the plan listed on the front of the card (i.e.HMO, PPO) then we are PAR with the exception of providing infusion C specialty drugs
ClaimsDoc – (for Kings Ridge Christian School, City of Hapeville, etc..)
Coventry HMO
Custom Design Benefits
First Health Network
Health One Alliance (PPO)
Humana
Kaiser – Dual Choice PPO patients CAN NOT TAKE HMO PLAN
MDI Healthcare Solutions (formerly Medical Partners of America network for MAG Mutual employees only)
Mercer University – P1 Network Patient First Network
MULTIPLAN
MULTIPLAN discount program (Value Point) – Optum Health Allies, United Health Allies, Health Allies, AARP
Northside Health Network (our physicians are considered Tier 1)
NovaNet
PHCS (PPO and Open Access)
Uni Care
PPO Next/Healthstar
Priority Health HMO (BCBS)
Principal
Oscar – all Oscar metal tier plans (Oscar Gold, Silver, C Bronze)
Partners Direct Health – AWHG is participating as of 4/1/2020 – (largest client is Signature Healthcare)
P1 Network-Patient First Network – Mercer University
Quik Trip
Signature Healthcare – (see Partners Direct Health)
Tricare- Tricare Select, Tricare Prime, Tricare Young Adult
United Healthcare – HMO, PPO, Navigate, All Savers Alternate Funding Plan, W500 Benefit plan
United Healthcare – Marketplace/Exchange plans – Gold, Silver, Bronze