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Health Plan Participation

At Sumner Regional Health Systems, our vision is to promote optimal health in our communities through a network of quality services in a socially, ethically and financially responsible manner.

For your convenience, we have listed common insurance plans accepted by our hospitals. To verify insurance eligibility, contact your insurance company. The number to contact your insurance company should be listed in your plan documents.

SRHS does not endorse any of the sites mentioned below, nor the content on the sites. The following sites are merely provided as a service to our online visitors.

>> Visit our Medicare Part D Information page

 

Aetna HMO and PPO Group Health Plans

lueCross BlueShield of Tennessee Network P (Preferred)

BlueCross BlueShield Network S (Select)

BlueCross BlueShield Network C (Classic)

BlueCross BlueShield Blue Card Program for all out-of-state BlueCross BlueShield Associations

BlueCross BlueShield TennCare Select

Center Care

Choice Care – Humana

Cigna HMO and PPO Group Health Plans

Evolutions Healthcare Network

First Health and CCN PPO

Great West Healthcare

HealthScope Benefits

Health Spring Medicare Advantage Plans – HMO and PPO

 

Health Spring Commercial Group Health Plans (excluding any plan that uses “Plus”)

Middle Tennessee Healthcare Network

MultiPlan – including BCE Emergis, Proo America, and UP&UP networks

PPO USA – including GEHA

ppoNext

Private HealthCare Systems

Prime Health – All group health and Metro Government Workers’ Compensa tion program

Provider Networks of America (ProNet)

Signature Health Alliance including

BeechStreet and The Community PPO

Synergy Health Network

United HealthCare HMO and PPO Group Health Plans

USA Managed Care Organization – H & W Network and Workers’ Injury Network


Private Fee For Service (PFFS) Medicare Advantage Plans are Medicare Part C plans that differ from Medicare HMO and Medicare PPO plans. PFFS Plans do not have contracted provider networks. PFFS enrollees are directed to use Medicare providers that accept their plans reimbursement. At this time, SRHS affiliates accept all PFFS plans. Some PFFS plans offered in our counties include: American Progressive, Anthem, BlueCross and Blueshield, Healthy Alliance, Humana, Instil Health, Medica Health, Sierra Health, Unicare, United HealthCare, UPMC Health Benefits, Wellcare Health, and Winsdor Health Plan.

 


If you have any questions regarding our participation in your health care plan, please contact us at (615) 328-5067 or (615) 568-3338. We look forward to serving the needs of you and your family.

 


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