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Insurance

All A-G H-Q R-Z
All A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
Payor Name Plan Type
ACS Consulting (Dyersburg Fabrics) DEC
Aetna Health Plans PPO
Aetna VHAN PPO
Allsteel, Inc. DEC (FCEs/OP Rehab Only)
Blue Care (Administered by BCBST) TennCare-PPO
Blue Cross Blue Shield of TN-Network P PPO
Blue Cross Blue Shield of TN-Network S PPO
BlueAdvantage – (MA Plan) Medicare Advantage
Centurion Inmate (IP) Health Program
Cigna Health Plans PPO
Corrections Corporation of America Inmate (OP) Health Program
Corvel PHO, PPO, Work Comp
Coventry Accessing Health Partners (Aetna purchased) PPO
Cracker Barrell EAP
Crawford & Co. Work Comp
Department of Human Services Rehab Contract
Dyersburg City Schools DEC
Evolutions Health Care (formerly Guardian Resources) PHO, PPO, Work Comp
First Health Plan PHO, PPO, Work Comp
GEHA using UHC PPO Network PHO, PPO
Health Partners (Dental, Vision) PPO
Health Payors Organization PPO
HealthScope Benefits PHO, PPO
HealthSpring (MA Plan) Medicare Advantage
Humana Choice Care
Humana Military Healthcare Services (TriCare) Military Dependents
Interplan Health Group (formerly DirectCare America) PHO, PPO
JACOA DEC (East Jackson Family Medical Center Only)
LifeSynch (formerly CorpHealth) BHO (Pathways)
Magellan BHO
Magna/Milan Seating Systems DEC (Screenings only)
Masco Corporation of Indiana DEC (Wellness Program)
Methodist (Clergy) EAP
Metropolitan Behavioral Counseling BHO
Milan Express Company DEC (DOT Physicals & Drug Screens)
Mississippi RiverKings DEC
Novanet (formerly Tennessee Healthcare) PPO, Work Comp
OccuComp Work Comp
One Call Care Management (formerly Network Synergy Group) Work Comp
Pathways WTHN
Private Healthcare Systems (PHSC) POS, PPO
Sanford Health Plan (Falcon Plastics Emp & Dec only) PPO
TennCare Select (administered by BCBST) PPO, TennCare
Tennessee Breast & Cervical Cancer Early Detection Program State Program Screening
Tennessee Department of Human Services Rehab Program Special State Program
Underwriters Services Corporation MCL, MedSouth, PPO
Union Pacific Railroad Retiree Benefit Program DEC (Group Health)
United Healthcare Non PPO, PPO
United Healthcare Community Plan TennCare (See UHC)
United Healthcare/Americhoice/United Behavioral Health BHO (Pathways)
USA MCO PHO, PPO, Work Comp
Value Options for BlueCare/TennCare Select BHO
Value Options for TriCare Military BHO (Pathways)
Wellmark Healthnetwork PPO
Western Mental Health Direct State
William Steel EAP
Work Partners Work Comp

Key to Plan Types

  • EPO = “Exclusive Provider Organizations” are plans that are similar to HMOs in benefits, but have smaller networks of providers
  • DEC = These are agreements (Direct Employer Contracts or DECs) for discounts made directly between the employer and West Tennessee Healthcare. The purpose of this agreement is in parentheses directly following this code.
  • HMO = “Health Maintenance Organizations” are plans that have smaller networks than PPOs and more restrictive benefits
  • Inmate Health Program = A program to provide inpatient and outpatient care to a prison population
  • Military Dependents = The federal program which provides health coverage for military spouses and other dependents
  • OS = “Point of Service” plans have larger networks than HMOs, but more restrictive benefits than PPO
  • PPO = “Preferred Provider Organizations” are plans that offer the largest networks and best benefits for members
  • Special State Program = A program developed by the State of Tennessee for a specific population or disease group
  • TennCare = The successor to the Tennessee Medicaid Program which is based on managed care principles
  • Work Comp = Workers Compensation networks for use after on-the-job accident or injury
  • PHO – Physician Hospital Organization

Note: for Behavioral Health Contracts or EAP Contracts, please call for information at 731-660-8787.

Managed Care
West Tennessee Healthcare Building

1804 Highway 45 Bypass, Suite 116
Jackson, Tennessee 38305

731-660-8787
Fax: 731-660-8784
wthmcare@usit.net

The West Tennessee Healthcare facilities are approved by the U.S. Department of Health and Human Services for participation in Medicare and Medicaid Programs.


NONDISCRIMINATION NOTICE STATEMENT
West Tennessee Healthcare (WTH) does not exclude, deny benefits to, or otherwise discriminate against any person on the grounds of race, color, national origin, age, religion, disability, Limited English Proficiency or sex, including discrimination based on gender identity, sexual orientation, sex stereotyping or pregnancy in admission to, participation in, or receipt of the services and benefits under any of its programs and activities, whether carried out by WTH directly or through a contractor or any other entity with which WTH arranges to carry out its programs and activities.

For further information about this policy, contact Amy Garner (731) 541-9914.