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.