Insurance / Billing

Mid-Tennessee Bone and Joint Clinic, A Division of TOA 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:
• Elect Choice EPO
• Managed Choice POS
• Open Choice PPO
BCBS Federal
BCBSTN – Network P & S & E
BCBS Out of State (including Anthem)
Cigna
Humana
United Healthcare Plans (Excluding plans thru State exchange)
UMR administrated by United Healthcare (Some plans require PCP Authorization)
UHC River Valley Commercial Plans (Excluding plans thru State exchange & some plans require PCP Authorization)
Preferred provider organizations (PPO):
BeechStreet
HealthSCOPE Benefits
NovaNet
PHCS/First Health/MultiPlan
Prime Health
SHA (Signature Health Alliance)(Bluegrass Family Health)
USA MCO
Government plans:
ChampVA
Tricare – Prime (Prime needs authorization from PCP)
Tricare – Standard
Medicare – Traditional Medicare A/B & Railroad
VA CCN (Veteran Affairs) – (Must have VA Referral)
Medicare replacement plans
Aetna Medicare Advantage PPO
Aetna Medicare Advantage HMO (Requires Authorization)
Amerivantage
Humana Medicare PPO & PFFS plans/no HMO plans
BCBSTN Medicare Advantage plans including:
• BlueCare Plus and TN HMO
• United Health Care Medicare Complete
• United Healthcare Dual Complete Preferred
United Health Care Medicare Advantage
WellCare Medicare
Any Medicare replacement plans which were the old Medicare PFFS Plans
Tenncare plans:
Amerigroup TennCare
BCBSTN – Bluecare and Tenncare select
BCBSTN – Cover TN
BCBSTN – CoverKids TennCare Select
UHC Community Plan

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.