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:
• Navigate
• Nexus (Must have referral)
• All Savers
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
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
Healthspring Medicare Advantage (rebranded Cigna Medicare Advantage)
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 (effective 7/1/16)
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 (effective 7/1/16)

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.