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Insurance Plans

Insurance Plans Accepted by Emory Healthcare

This is a list of insurance plans that Emory Healthcare currently accepts or plans to accept for the Calendar Year 2024. The list is subject to change. Please call your insurance carrier directly to clarify the coverage provided by your specific policy. If you have any questions regarding your insurance coverage, please contact your insurance carrier.

If you need help understanding your coverage, please call our information line at 404-778-7777 or outside Atlanta at 1-800-75-EMORY (1-800-753-6679).

* or “{*}” Indicators: see below for Additional Plan Participation Information.

Private Commercial Insurance Plans

Aetna HMO
Aetna POS
Aetna PPO
Aetna Whole Health
BCBS HPN (Blue Connection)
Beech Street
*Cigna Health Plans (excluding Cigna Local Plus or Cigna Connect Plans)
*Cigna + Oscar Open Access (excluding Cigna + Oscar LocalPlus)
CorVel PPO
Crescent Health Solutions
FirstHealth PPO (formerly a Coventry Product)
Galaxy Health Network
Humana HMO
Humana POS
Humana PPO
**Kaiser EPO Self-Funded Plans
**Kaiser Permanente Added & Multi-Choice
Kaiser Permanente Dual Choice PPO
**Kaiser Permanente HMO Health Plans
Tricare Prime Option Plan
LifeWell Health Partners
Memorial Health Services
Northeast Georgia Health Partners
Private Health Care Systems (PHCS)
State Health Benefit Plan
United Healthcare (All Commercial Plans)
USA Managed Care Organization
****United Healthcare Narrow Network Plans: Core and Charter
****United Healthcare Tiered Network Plans: Nexus

Accepted Exchange Insurance Plans

Aetna CVS Plans
Ambetter by Peach State Health Plan: Bronze, Silver, and Gold Plans (see exchange plan exceptions below)
BCBS Anthem Pathway X Health Plans – (all plans) 
BCBS Pathway Guided Access & Enhanced Plans
BCBS Pathway HMO Plans
**Kaiser Exchange Options (all plans)
Oscar Health Plan of Georgia (Gold, Silver, Bronze)

NOT Accepted Exchange Insurance Plans

X Alliant Health Exchange Plans
X Ambetter Select Plans
X Care Source Exchange Plans
X Cigna Connect Plans
X United Healthcare Exchange Plans (Gold, Silver, Bronze)
X Friday Health Plans
X Bright Health Plans

Georgia Medicaid & CMO Plans

Traditional Georgia Medicaid
Care Source (Medicaid only)
Peach State Health Plan

Medicare Advantage Insurance Plans

In addition to traditional Medicare and Medicare supplemental plans, Emory Healthcare accepts the following Medicare Advantage plans:

Traditional Medicare Part A & Part B
Aetna Medicare Advantage HMO
Aetna Medicare Advantage PPO
AllWell by PeachState Medicare Adv HMO (D-SNP)
BCBS Medicare Advantage HMO
BCBS Medicare Advantage PPO
Cigna HealthSpring Medicare Advantage HMO & PPO
Clover Health Choice PPO
Clover Health Choice Value PPO
Clover LiveHealthy PPO (Walmart)
Humana Gold Plus Medicare Advantage HMO
Humana Gold Choice Medicare Advantage PPO
**Kaiser Medicare Advantage
Sonder Complete Health HMO
Sonder Diabetes Wellness HMO (C-SNP)
Sonder Dual Complete
Sonder Heart Healthy HMO (C-SNP)
WellCare Medicare Advantage HMO Health Plans
WellCare Medicare Advantage PPO Health Plans
***United Healthcare Medicare Advantage Plans

Additional Participation Information:

*For Cigna health plans, Emory Healthcare participates with all Cigna Health Plans, including Cigna + Oscar Open Access plans, except for the following plans Emory Healthcare does not accept: Cigna LocalPlus. Cigna Connect, or Cigna + Oscar LocalPlus plans.

**For Kaiser health plans, referral and authorization provisions apply. Please contact your primary care physician’s office or member services phone number located on the back of your insurance card for more information.

***For United Healthcare Medicare Advantage health plans, Emory Healthcare participates with all plan types except for the following: Private Fee-For-Service Benefit Plans and Medicare Advantage Medical Savings Account Benefit Plans.

****For United Healthcare Narrow Network Plans and Tiered Network Plans, there are select counties where Emory is the top Tiered Provider. Please contact your primary care physician’s office or member services phone number located on the back of your insurance card for more information.