Accepted Insurance

It is Erlanger’s goal to participate in all insurance plans available in the local market; however not all health insurance companies, and not all insurance plans, are created equal. We may not accept insurance from companies who have rates, policies or procedures that don’t match our core values, quality standards or the financial sustainability of our system.

Below is a list of the health insurance plans we accept. It might surprise you to know that even though the hospital may accept your plan, the doctor caring for you may or may not be covered by your insurance.

Names of the health plans listed below do not always match the name listed on your health insurance card. If you do not see your plan name listed, call the number on the back of your health insurance card or visit your health insurance company’s website to verify that Erlanger is in network with your specific health insurance plan. If you’re still unable to verify, you can contact Patient Financial Services to see if Erlanger accepts your insurance.

423-778-5150 (TN and GA locations)
828-835-7600 (Western Carolina Hospital)
828-837-3897 (Western Carolina Physician Practices)

Accepted at Erlanger locations in Tennessee & Georgia

Aetna
Aetna Dental PPO (Dodson Avenue Community Health Center only)
Aetna HMO
Aetna Managed Choice POS
Aetna Medicare Advantage
Aetna Open Access
Aetna Open Choice PPO
Aetna Select
Aetna Whole Health

Alexian Brothers Community Services (PACE)

Alliant Health
Alliant Health Plan
Alliant Solo Care

Ambetter
Ambetter GA
Ambetter TN

American Health
American Health Plan (American Health Advantage of TN)
American Health Plan (Georgia Health Advantage)

Anthem
Amerigroup GA (Georgia Medicaid)
Wellpoint TN (Wellpoint Extra Help (HMO))
Wellpoint TN (Wellpoint Full Dual Coordination (HMO D-SNP))
Wellpoint TN (Wellpoint Medicare Advantage HMO-POS)
Wellpoint TN (CoverKids)
Wellpoint TN (CHOICES)
Wellpoint TN (Employment & Community First CHOICES)
Wellpoint TN (TennCare)
BlueCross BlueShield of Georgia (HMO & Indemnity) – Note: Erlanger does not participate with BCBSGA Pathway HMO plans that do not have access to BlueCard (PPO suitcase logo on the ID card)

BlueCross BlueShield of Tennessee
BlueAdvantage (PPOs)
BlueCard – Note: BCBS Plans outside of TN with a PPO suitcase logo on the ID card are considered in-network at all TN locations.  BlueCross of TN members may also be seen at Erlanger practice locations in Catoosa, Dade, Walker, and Whitfield Counties in GA.  Non-Anthem members with BlueCard access may also be seen at Erlanger practice locations in Catoosa, Dade, and Walker Counties in GA.
BlueCare (TennCare)
BlueCare Plus (HMO D-SNP)
BlueCross BlueShield TN BlueCard (out of state plans with suitcase PPO logo)
BlueCross BlueShield TN Network E
BlueCross BlueShield TN Network P (Includes exchange plans)
BlueCross BlueShield TN Network S (Includes exchange plans)
CoverKids
TennCareSelect

CareSource
CareSource GA (Medicaid)

Cigna
Cigna - Great West
Cigna Connect
Cigna Dental Preferred Provider Organization (Cigna DPPO)
Cigna HMO
Cigna Local Plus
Cigna Medicare
Cigna Open Access
Cigna POS
Cigna PPO
Cigna Surefit Tennessee

Clover Health

Crescent PPO

DeltaCare USA
Delta Dental HMO (Dodson Avenue Community Health Center only)

DentaQuest (TennCare only accepted at Dodson Avenue Community Health Center)

Devoted Health
Devoted Health Plan of Alabama (MA HMO, POS, & SNP)
Devoted Health Insurance Company of Alabama (MA PPO, EPO, & SNP)
Devoted Health Plan of Tennessee (MA HMO, POS, & SNP)
Devoted Health Insurance Company of Tennessee (MA PPO, EPO, & SNP)
Devoted Health Plan of North Carolina (MA HMO, POS, SNP, MA PPO, & EPO)
Devoted Health Plan of South Carolina (MA HMO, POS, & SNP)
Devoted Health Insurance Company of South Carolina (MA PPO, EPO, & SNP)
Devoted Health Insurance Company of Georgia (MA PPO, EPO, & SNP)

First Health Network (Hospital Only)

GEHA
Elevate
High Deductible Health Plan (via UHC Choice Plus)
Standard Option (via UHC Choice Plus)
Elevate Plus
High Option (via UHC Choice Plus)

Georgia Medicaid

HealthOne Alliance

Humana
ChoiceCare Network
Humana Choice POS
Humana Gold Plus (SNP-DE)
Humana HMO Premier
Humana Medicare Advantage (HMO, PPO, & POS)
Humana Military (TRICARE East)
Humana National POS (Open Access)
Humana National POS (Open Access Plus)
Humana Sapphire
Humana/ChoiceCare Network PPO
Humana/ChoiceCare Network PPO
Oscar + Humana National Network

Medicare

Occunet (including BMI Benefits for UTC Student/Sports Accident Plan)

Peach State Health Plan, Inc. (Georgia Medicaid)

Point Comfort Underwriters
Refugee Medical Assistance
Unaccompanied Children Program

PruittHealth Premier (HMO I-SNP)

Simpra Advantage (I-SNP & D-SNP)

United HealthCare
Care Improvement Plus
CoverKids
UHC - AARP Medicare Advantage Patriot (HMO)
UHC - AARP Medicare Advantage Plan 1 (HMO)
UHC - AARP Medicare Advantage Plan 2 (HMO)
UHC Charter / Charter Balanced
UHC Charter HMO / Charter Balanced HMO / Charter Plus HMO
UHC Charter Plus
UHC Choice
UHC Choice Advanced
UHC Choice HMO Advanced
UHC Choice HMO/Choice Plus HMO Premier
UHC Choice Plus
UHC Choice Plus Advanced
UHC Choice Plus HMO Premier
UHC Choice Plus Premier
UHC Choice Plus with Harvard Pilgrim
UHC Choice Premier
UHC Choice with Harvard Pilgrim
UHC Core
UHC Core Essential
UHC Core Essential Premier
UHC Core HMO / Core Essential HMO
UHC Core POS
UHC Core Premier
UHC Dental PPO (Dodson Avenue Community Health Center only)
UHC Doctors Plan
UHC Doctors Plan HMO / Doctors Plan Plus HMO
UHC Doctors Plan Plus
UHC Dual Complete
UHC Freedom with Choice Plus
UHC Health Allies / Health Allies (Dodson Avenue Community Health Center only)
UHC Healthcare Select
UHC Heritage Plus
UHC Heritage Select Advantage (AR, GA, IA, NC, SC, TN)
UHC Heritage Select EPO
UHC Heritage Select POS/HMO
UHC Liberty with Choice Plus
UHC Navigate HMO / Navigate Balanced HMO / Navigate Plus HMO
UHC Navigate / Navigate Balanced
UHC Navigate HMO<
UHC Navigate Plus
UHC Navigate Plus Premier
UHC Navigate Premier
UHC Nexus ACO Plans
UHC Options PPO
UHC Options PPO Premier
UHC Options PPO with Harvard Pilgrim
UHC Passport Connect Choice
UHC Passport Connect Choice Plus
UHC Select
UHC Select HMO
UHC Select Plus
UHC Select Plus Premier
UHC Select Premier
UHC Group Medicare Advantage (HMO, PPO)
UHC Community Plan (TennCare)
UHC Dual Complete (HMO SNP)
UHC TN Compass EPO 

WellCare
WellCare of North Carolina (NC Medicaid effective 7/1/21 for Hospitals and Specialists only)
WellCare of Arkansas (Medicare Advantage)
WellCare of Illinois (Medicare Advantage)
WellCare of Mississippi (Medicare Advantage)
WellCare of South Carolina (Medicare Advantage)
WellCare of Tennessee (Medicare Advantage)

Accepted at Erlanger locations in North Carolina

Aetna
Aetna / Coventry Health Care of the Carolinas
Aetna Carelink Plans
Aetna CVS Health: North Carolina HNOnly Bronze, Silver, & Gold Plans
Aetna HealthFund
Aetna Open Access
Aetna Premier Care Network
Aetna Premier Care Network Plus
Aetna Standard
Aetna State Based Plan
Aetna Whole Health
Aetna with Innovation Health

Alliant Health
Alliant Solo Care

Amerihealth Caritas (NC Medicaid)

Anthem
Amerigroup GA (Georgia Medicaid)

BlueCross BlueShield of North Carolina
Blue Advantage
Blue Care
Blue Options
Blue Value
Classic Blue
Healthy Blue of North Carolina (NC Medicaid)
North Carolina State Health Plan Network

Carolina Complete (NC Medicaid)

CareSource
CareSource (GA Medicaid)

Cigna
Cigna HMO
Cigna Open Access
Cigna PPO

Clover

Crescent Health Solutions
Appalachian Benefits Associates (ABA)
Healthgram
WNC Health Coalition

Devoted Health
Devoted Health Plan of Alabama (MA HMO, POS, & SNP)
Devoted Health Insurance Company of Alabama (MA PPO, EPO, & SNP)
Devoted Health Plan of Tennessee (MA HMO, POS, & SNP)
Devoted Health Insurance Company of Tennessee (MA PPO, EPO, & SNP)
Devoted Health Plan of North Carolina (MA HMO, POS, SNP, MA PPO, & EPO)
Devoted Health Plan of South Carolina (MA HMO, POS, & SNP)
Devoted Health Insurance Company of South Carolina (MA PPO, EPO, & SNP)
Devoted Health Insurance Company of Georgia (MA PPO, EPO, & SNP)

Employer's Choice (Workers Comp)

GEHA
Elevate
High Deductible Health Plan (via UHC Choice Plus)
Standard Option (via UHC Choice Plus)
Elevate Plus
High Option (via UHC Choice Plus)

Georgia Medicaid

Humana
ChoiceCare Network PPO
Humana ChoicePOS
Humana Medicare Advantage (HMO, PPO, & POS)
Humana National POS - Open Access
Humana National POS - Open Access Plus
Humana/ChoiceCare Network PPO
Humana/ChoiceCare+Network PPO
Oscar + Humana National Network

Medicare

MedCost

MultiPlan & PHCS

Peach State Health Plan, Inc. (Georgia Medicaid)

United HealthCare
UHC - AARP Medicare Advantage Choice (PPO)
UHC - AARP Medicare Advantage Patriot (HMO-POS)
UHC - AARP Medicare Advantage Plan 1 (HMO-POS)
UHC - AARP Medicare Advantage Plan 2 (HMO-POS)
UHC - AARP Medicare Advantage Walgreens (HMO-POS)
UHC - NC Individual Exchange Benefit Plan
UHC Charter / Charter Balanced
UHC Charter HMO / Charter Balanced HMO / Charter Plus HMO
UHC Charter Plus
UHC Choice
UHC Choice Advanced
UHC Choice HMO
UHC Choice HMO Advanced
UHC Choice Plus
UHC Choice Plus Advanced
UHC Choice Plus HMO Premier
UHC Choice Plus Premier
UHC Choice Plus with Harvard Pilgrim
UHC Choice Premier
UHC Choice with Harvard Pilgrim
UHC Core
UHC Core Essential
UHC Core Essential Premier
UHC Core HMO / Core Essential HMO
UHC Core Premier
UHC Doctors Plan
UHC Doctors Plan HMO / Doctors Plan Plus HMO
UHC Doctors Plan Plus
UHC Heritage Plus
UHC Heritage Select Advantage - IA
UHC Heritage Select EPO
UHC Heritage Select POS/HMO
UHC Navigate / Navigate Balanced
UHC Navigate HMO / Navigate Balanced HMO / Navigate Plus HMO
UHC Navigate Plus
UHC Navigate Plus Premier
UHC Navigate Premier
UHC NavigateNow
UHC NexusACO Plans
UHC Options PPO
UHC Options PPO Premier
UHC Options PPO with Harvard Pilgrim
UHC Passport Connect Choice
UHC Passport Connect Choice Plus
UHC Select
UHC Select HMO
UHC Select Plus
UHC Select Plus Premier
UHC Select Premier
UHC W500 Emergent Wrap
United Healthcare Freedom EPO
United Healthcare Freedom PPO
United Healthcare Group Medicare Advantage (HMO, PPO)
UnitedHealthcare Community Plan of North Carolina (NC Medicaid)
UnitedHealthcare Dual Complete RP (Regional PPO D-SNP)

Veteran Affairs Community Care Network (Hospital Only)

WellCare of North Carolina
WellCare North Carolina Medicaid
WellCare All Dual Assure (HMO D-SNP)
WellCare Assist Open (PPO)
WellCare Dual Access (HMO D-SNP)
WellCare Dual Access Medicare (HMO D-SNP)
WellCare Dual Liberty Open (PPO D-SNP)
WellCare Giveback Open (PPO)
WellCare No Premium (HMO)
WellCare No Premium Open (PPO)
WellCare No Premium Value (HMO)
WellCare Patriot Giveback Option (PPO)

If you have a health insurance plan accepted by Erlanger and have questions about out-of- pocket costs, we recommend you contact your insurance company who knows the specific details of your health insurance plan and has information on your plan's out-of-pocket maximum costs.

It is possible that you may have a health insurance plan accepted by Erlanger, but need a service that is not covered by your insurance plan (e.g. wellness programs, cosmetic procedures, bariatric procedures). To better understand the out-of-pocket costs associated with these prepay services, please call 423-778-4638 (TN and GA locations) or 828-835 7557 (Western Carolina locations).

Don’t have health insurance? See if you qualify for financial assistance or charity care.

Need More Information?
Medicare and TennCare Eligibility
Insurance Basics
Understanding Your Statement
Pay Your Bill