Insurance / Billing

Mid-Tennessee Bone and Joint accepts most insurance plans and workers’ compensation.  Before scheduling your appointment, we recommend you contact your insurance company to confirm that we are a participating provider for your plan, as this information is subject to change.  Below is a list of insurance plans and networks in which we participate:

Commercial plans:
Aetna
BCBSTN – Network P & S
BCBSTN – Access TN
BCBSTN – Cover Kids
Cigna – all products
Humana
Healthspring – Commercial HMO
United Healthcare – all products
UMR administrated by United Healthcare
UHC River Valley Commercial Plans:
• Heritage Choice
• Heritage Choice Standard
• Heritage Plus (EPO/PPO)
• Heritage Select
• Heritage Select Advantage
• Multiplan

Tenncare plans:
BCBSTN – Bluecare and Tenncare select
UHC Community Plan (effective 7/1/16)

Preferred provider organizations (PPO):
Beechstreet
ChoiceCare
Coventry
Cigna/Great-West/One Health Plan
HealthSCOPE Benefits
PHCS/First Health/Multiplan
SHA (Signature Health Alliance)
TRPN – Three Rivers Provider Networks

Government plans:
Champus
Tricare – Standard & Prime (Prime needs authorization from PCP)
Medicare – Traditional Medicare A/B & Railroad

Medicare replacement plans
Healthspring Medicare – Must have PCP referral
Humana Medicare PPO & PFFS plans/no HMO plans
Windsor/WellCare Medicare
BCBSTN Medicare Advantage plans including:
• BlueCare Plus and BlueChoice TN HMO
• United Health Care Medicare Complete
• United Healthcare Dual Complete Preferred (effective 7/1/16)

Any Medicare replacement plans which were the old Medicare PFFS Plans

MTBJ does not cover:
Amerigroup Tenncare
BCBSTN – Cover TN

Mid-Tennessee Bone and Joint accepts self-pay patients and we can easily set up a payment plan that is convenient for you.  We are happy to discuss your options when you come in for your appointment.