Check this list frequently as it is ever changing. Thank you!
Our Providers currently participate with:
Aetna Choice POS/Elect Choice/HealthFund Plans/HMO/Managed Choice-POS/Open-Choice POS II
Aetna CVS Health – HMO – EXGA – Exchange plan GA – No referral required by PCP
Aetna Medicare PPO/Elite PPO/Freedom/Signature PPO/Value Plus Signature
Aetna PPO/POS/POS II/Multiplan
All Savers
Alliant PHCS ONLY – We are only approved for members with PHCS emblem on card!
American Medical Security
BC/BS PPO/POS/Open Access PPO & HMO/Pathway X & Premier but Premier only allows 3 visits/year
BC/BS Anthem Medicare Advantage PPO (And Advantage 2 PPO)
BC/BS Georgia Alt Network
BC/BS Highmark (Not High Performance Network)
Champva
Cigna+Oscar Open Access Plus ONLY (Not in network with Cigna+Oscar Local Plus)
Cigna PPO/Open Access Plus/Health Partners/Atlanta Plumbers & Steamfitters/Multiplan/Cigna Oscar
Cigna – Georgia Cigna Connect
Cigna True Choice Medicare PPO (We are out of network & pt will have higher deductible or %)
Claritev (formerly known as Multiplan)
Coresource/LIfewell (PHCS)
Devoted Health Medicare Advantage – PPO And Giveback (NOT DSNP OR CSNP)
First Health
Golden Rule
Group Resources (PHCS)
Humana Gold Plus Medicare HMO (Not HMO D-SNP)
Humana Medicare Advantage PPO
Humana Medicare Giveback HMO
Humana Honor PPO – Medicare Replacement
Humana PPO
Humana POS Open Access
Humana Northside Hospital Network National POS – Blue and Green Tiers
Medicare Part B (Cahaba)
Railroad Medicare
Meritain Health
Multiplan (New name: Claritev)
PHCS
Piedmont Wellstar Commercial
Tricare CHCBP Cobra – Mirrors Tricare Select
Tricare For Life
Tricare Prime NON-ACTIVE DUTY ONLY-WITH REFFERAL FROM PCM (IF NO PCM REFERRAL= HIGH DEDUCTIBLE AND PATIENT PAYS 50% OF ALLOWABLE)
Tricare Prime Active Duty Service Members (ADSM-HUMANA REFERRAL FROM PCM REQUIRED_
Tricare Reserve Select
Tricare Retired Reserve
Tricare Select Group A & B
Tricare Tamp Select ONLY
Tricare Young Adult Select
United Healthcare PPO
United Healthcare Care Improvement Plus
United Healthcare Choice HMO/EPO/PLUS
United Healthcare Select HMO/EPO/Choice
United Healthcare “Level Funded” United Healthcare Choice Plus PPO and POS – Copay only
United Healthcare -UHC AARP Medicare Advantage PPO/Choice Plan 1/Health Select -NOT HMO/POS
United Healthcare -UHC AARP Medicare Advantage Walgreens HMO-POS (No referrals required)
United Healthcare/UMR Surest
UMR
Wellstar Health Plan (Employee Medical Plan – New Plan Effective 1-1-2024)
We are NOT accepting the insurances listed below:
***NO AUTOMOBILE ACCIDENT INSURANCES***
Aetna Medicare HMO/Eagle PPO
Aetna Medicare Advantra Preferred PPO
Aetna Exchange plans
Aetna Select Open Access- Aetna Whole Health Emory Healthcare Network Northside Hospital System
Aetna Premier Care Network/Plus
Alliant – We are not contracted for Alliant members with NO PHCS emblem on their card
Ambetter
Amerigroup/Wellpoint Medicaid
Anthem – BC HPN (High Performance Network)
Anthem -BC PPO Premium BCOV Plan
BC/BS Medicare Dual Advantage DSNP (requires auths, not referrals per visit)
BC/BS Anthem Medicare Advantage HMO (REF&AUTHS REQ) NOT ACCEPTING NEW PTS/TESTS
BC/BS Anthem Mediblue Medicare plans
BC/BS EXP Heritage
BC/BS Anthem Medicare replacement Extra Help (HMO-POS)
BC/BS HIGHMARK POS (Out of Network but pt can be seen with higher deductibles/penalties)
BC/BS HIX/Exchange HMO – Blue Value HMO
BC/BS HMO Gatekeepers (PCP’s on card) – Includes Bluechoice HMO
BC/BS Pathway X Guided Access HMO or Pathway Guided Access HMO
BC/BS Pathway PCP Copay Choice
Bright Healthcare
Caresource
Cigna Care Network PPO – (Pt will owe deductible and out of network benefits apply)
Cigna+Oscar Local Plus
Cigna Healthsprings
Cigna HMO Connect
Cigna Local Plus
Cigna Marketplace
Cigna Medicare replacements (Exception is Cigna True Choice Medicare PPO – we are out of network & pt’s copay is higher)
Clear Spring Health BrightPath Advantage HMO
Clover
Coventry (any plan)
D-SNP or SNP plans of any type
Devoted Health Medicare Advantage – (NOT DSNP OR CSNP)
Humana Extra Care PPO (It’s a PPO D-SNP)
Humana HMO
Humana HMO X
Humana Gold Plus Medicare HMO D-SNP
Humana HDHP Northside Hospital Network – Yellow Tiers
Humana Medicare Heart & Diabetes DSNP
Kaiser Permanente Dual Choice PPO – Multiplan
Liberty HealthShare
Mailhandlers (Coventry)
MediBlue Prime Select Network Medicare replacement
Medicaid (any plan)
Medicare DSNP or CSNP Plans
Multiplan “Limited Benefit Plan”
Oscar Health Exchange – Medicaid
PHCS-Lifeshield National Insurance
PHCS- HPI
Secure Horizons Passport
Sonder Health plans (None of them)
United Healthcare Charter/Compass/Navigate/Navinet/Core/Core Essential/Core HMO/Harken/Passport
United Healthcare Exhange/Individual Exchange/Health Insurance Marketplace plans
United Healthcare Community Plan
United Healthcare Medicare Gold/Silver PPO or HMO (D-SNP/C-SNP/SNP)
United Healthcare Medicare HMO/POS WELLMED(PCP on card & requires PCP referrals for any service)
United Healthcare -UHC Medicare Advantage – POS 2 or CVS or Passport
United Healthcare -UHC AARP Medicare Advantage HMO-POS-(Insurance referrals required eff 5-1-26)
United Healthcare NexusACOR Walgreens Referrals Required
United Healthcare VA CCN (Community Care Network)
Veteran’s Administration
Wellcare Medicare