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.

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 Machine Readable Files	PPO
	POS
	HMO
	Aetna Better Health Virginia (Managed Medicaid Plan)
	Aetna Better Health West Virginia (Managed Medicaid Plan)
	Aetna Medicare Advantage Plan
Anthem and other Blue Cross plans	PPO
	POS
	HMO (non-Anthem plans may not have benefits)
	Exchange plans (non-Anthem plans may not have benefits)
	Indemnity
	FEP
	Anthem Medicare Advantage
	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
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. Please go to see the Healthcare.gov website to find the Exchange plans sold in your county. Plan availability is determined by the subscriber's county of residence and all plans are not sold in all locations.	Anthem Healthkeepers Exchange
	CareSource
	Cigna Connect
	Highmark of WV
	Optima
	Sentara Health Plans
	United Healthcare
First Health	First Health Network
Federal Employee Program (FEP) 2023	Aetna Advantage
	Aetna Direct
	Aetna HealthFund CDHP and Aetna Value Plan
	Aetna HealthFund HDHP
	Aetna Open Access
	Aetna Saver (Open Access)
	APWU Health Plan CDHP
	APWU Health Plan High
	Blue Cross and Blue Shield Service Benefit Plan - All options
	Compass Rose Health Plan
	Foreign Service Benefit Plan
	GEHA - All plans
	HealthKeepers, Inc. HDHP
	M.D. IPA
	MHBP - All options
	NALC - All options
	Rural Carrier Benefit Plan
	SAMBA Health Benefit Plan
	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
HealthSmart	HPO
Highmark West Virginia	Exchange
	PPO
	Indemnity
	West Virginia Medicaid (eff 7/1/2024)
Humana Medicare Advantage (no PFFS)	PPO
	HMO

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 (eff 7/1/2024)
	Molina Healthcare
	Optima Family Care (becoming Sentara)
	Sentara Community Plan
	The Health Plan of the Upper Ohio Valley
	Unicare West Virginia
	United Healthcare
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
	Clear Spring Health Medicare Advantage
	Highmark West Virginia Medicare Advantage
	Humana Medicare Advantage
	Innovation Health Medicare Advantage
	Molina Medicare Advantage
	Optima Health Medicare Advantage
	United Healthcare Medicare Advantage
	Virginia Premier Medicare Advantage
	West Virginia Senior Advantage
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
Optima (Sentara Health Plans as of 1/1/2024)	PPO
	POS
	HMO
	Exchange
	Optima Medicare Advantage
	Optima Family Care (Managed Medicaid Plan)
Peak Health (8/1/2023)	PPO
	POS
	HMO



PEIA (UMR only) As of 7/31/2023, Valley Health will not accept PEIA through The Health Plan	PEIA (UMR only) As of 7/31/2023, Valley Health will not accept PEIA through The Health Plan.
Sentara Health Plans	PPO
	POS
	HMO
	Exchange
	Sentara Medicare Advantage
	Sentara Community Plan (Managed Medicaid Plan)
The Health Plan	PPO
	POS
	HMO
	Medicaid
Tricare	Tricare excludes Johns Hopkins US Family Health Plan, as it will not contract with Valley Health
Unicare West Virginia
Unicare West Virginia	West Virginia Medicaid
United Healthcare	PPO
	POS
	HMO
	Optimum Choice
	MDIPA
	OneNet PPO
	Options PPO
	Exchange
	United Healthcare Medicare Advantage Plans
	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 Managed Medicaid 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