Accepted Insurance & Managed Care

   
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/State of TN Plan 
Corrections Corporation of America

Inmate (OP) Health Program

LifeSynch (formerly CorpHealth) BHO (Pathways)
Corvel PPO, Work Comp, PHO 
Coventry Accessing Health Partners (Aetna purchased) PPO
Cracker Barrell  EAP 
Crawford & Co.

Work Comp

Department of Human Services Rehab Contract
Interplan Health Group (formerly DirectCare America) PPO, PHO
Dyersburg City Schools DEC (Sports Plus Dyersburg only) 
Evolutions Health Care (formerly Guardian Resources) PPO, PHO, Work Comp
First Health Plan PPO, Work Comp, PHO

GEHA using UHC PPO Network

PPO, PHO 
Health Partners (Dental, Vision) PPO
Health Payors Organization PPO
HealthScope Benefits

PPO, PHO

HealthSpring (MA Plan) Medicare Advantage
Humana Choice Care  
Humana Military Healthcare Services (TriCare)

Military Dependents

Humana Medicare Advantage Medicare Advantage Plan

JACOA

 

DEC (East Jackson Family Medical Center Only)

Magna/Milan Seating Systems

DEC (Screenings only)

Magellan

BHO

Masco Coporation of Indiana DEC (Wellness Program)
Methodist (Clergy) EAP

Metropolitan Behavioral Counseling

BHO

Milan Express Company

DEC (DOT Physicals & Drug Screens) 

Mississippi RiverKings DEC
Network Synergy Group Work Comp

Novanet (formerly Tennessee Healthcare)

PPO/Work Comp

OccuComp WorkComp

Pathways WTHN

 

Private Healthcare Systems (PHCS) PPO, POS
Sanford Health Plan (Falcon Plastics Emp & Dec only) PPO
Tennessee Breast & Cervical Cancer Early Detection Program State Program Screening

TennCare Select (administered by BCBST)

TennCare - PPO

Tennessee Department of Human Services Rehab Program Special State Program
Underwriters Services Corporation PPO, MedSouth & MCL ONLY

Union Pacific Railroad Retiree Benefit Program

DEC (Group Health)

United Healthcare  PPO/Non PPO
United Healthcare Community Plan TennCare (See UHC)
United Healthcare/Americhoice/United Behavior Health BHO (Pathways)
USA MCO

PPO, Work Comp, PHO

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 for 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
  • POS = "Point of Service" plans have larger networks than HMOs, but more restrictive benefits than PPOs
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

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

Driving directions

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) 660-1188.