IMPORTANT HEALTH INSURANCE PLAN INFORMATION AS OF JANUARY 1, 2018


Summit Medical Group’s physicians and advanced practitioners participate in a wide range of excellent insurance products, but there are a few in which we are not included. We want you to know which plans include Summit doctors.

If you have questions about whether or not your Summit doctor or advanced practitioner is included in your insurance plan, please call our Patient Relations Department at 1-800-289-9545.

Commercial Plans Plan Name
Aetna Aetna Open Choice, Traditional Choice, Managed Choice, Elect Choice, Aetna PPO and POS
BlueCross BlueShield of Tennessee Blue Network PSM and Blue Network SSM
*BlueCross BlueShield of Tennessee, Inc. is an independent licensee of the BlueCross BlueShield Association.
CIGNA CIGNA HMO, POS, PPO, EPO, Open Access Plus Network, Network POS, Network Open Access and POS Open Access, GWH-CIGNA, PPO and Open Access, CIGNA Partnership PPO, CIGNA Standard PPO, CIGNA LocalPlus*
Humana Humana HMO, Humana NPOS, Humana PPO, Humana ChoiceCare PPO and Humana Choice POS, and Knoxville PPOx*
UnitedHealthcare River Valley Heritage Choice and Heritage Select
MultiPlan PHCS Network, MultiPlan Network
TRICARE (formerly Champus) TRICARE Standard and TRICARE-for-Life
UnitedHealthcare UnitedHealthcare PPO, HMO, POS, Select Plus
Other Beech Street, Baptist Health Plan (formerly Bluegrass Family Health), First Health, Coventry Health Plan and Mail Handlers Benefit Plan, Point Comfort Underwriters, One Health, The Initial Group, USA Select and USA Accountable Alliance

*Plan is not available in the Greeneville area.
 

Medicare Plans Plan Name
Humana Humana Gold Plus, Humana Choice
Medicare Original Medicare Program (Including all supplement plans)
UnitedHealthcare Community Plan UnitedHealthcare Dual Complete Preferred (Special Needs Plan)
Amerigroup Amerivantage Specialty + Rx (Special Needs Plan)
BlueCross BlueShield of Tennessee BlueCare Plus Tennessee (HMO SNP)SM (Special Needs Plan)
CIGNA-HealthSpring *For current patients already enrolled in CIGNA-HealthSpring CIGNA-HealthSpring *Please note: Summit will accept CIGNA-HealthSpring only for current
patients already enrolled in the plan. No new CIGNA-HealthSpring enrollees
will be accepted in 2018.

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Insurance Plans NOT accepted Plan Name
Secure Horizons of UnitedHealthcare All plans, including AARP Medicare Complete from Secure Horizons
BlueCross BlueShield of Tennessee Blue Network E, BlueAdvantage(PPO)SM Ruby, Sapphire and Diamond, BlueChoice(HMO)SM
Summit Medical Group is East Tennessee’s largest primary care organization with more than 300 providers at 60 practice locations in 14 counties. Summit also consists of four diagnostic centers, mobile diagnostic services, eight physical therapy centers, three express clinics, central laboratory and sleep services center. Summit provides healthcare services to more than 260,000 patients, averaging over one million encounters annually.
THE MARKETPLACE
(Health Insurance Exchange)

Summit Medical Group will accept the following plans on The Marketplace for individuals and small businesses:

BlueCross BlueShield of Tennessee – Blue Network S

For more information about The Marketplace, visit www.healthcare.gov.