Insurance Plans

Insurance Plans Accepted by Emory Healthcare

At Emory Healthcare, we accept a wide range of insurance plans. Please note that our list of approved companies is subject to change.

Please contact your insurance company to clarify your coverage before you receive any medical service. You should also call the company if you have any questions about your insurance coverage or policy.

Emory Healthcare’s list of approved insurance providers for 2024:

Federal (“Exchange”) Plans

Accepted Plans

  • Aetna CVS Plans
  • Ambetter by Peach State Health Plan (Bronze, Silver, and Gold)
  • BCBS Anthem Pathway X Health Plans (all plans)
  • BCBS Pathway Guided Access and Enhanced Plans
  • BCBS Pathway HMO Plans
  • ** Kaiser Exchange Options (all plans)
  • Oscar Health Plan of Georgia (Bronze, Silver, and Gold) 

Non-Accepted Plans

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

Georgia Medicaid & CMO Plans

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

Medicare Advantage Plans

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

  • Aetna Medicare Advantage HMO
  • Aetna Medicare Advantage PPO
  • AllWell by PeachState Medicare Advantage HMO (D-SNP)
  • BCBS Medicare Advantage HMO
  • BCBS Medicare Advantage PPO
  • Cigna HealthSpring Medicare Advantage HMO
  • Cigna HealthSpring Medicare Advantage PPO
  • Clover Health Choice PPO
  • Clover Health Choice Value PPO
  • Clover LiveHealthy PPO (Walmart)
  • Humana Gold Choice Medicare Advantage PPO
  • Humana Gold Plus Medicare Advantage HMO
  • ** Kaiser Medicare Advantage
  • Sonder Complete Health HMO
  • Sonder Diabetes Wellness HMO (C-SNP)
  • Sonder Dual Complete
  • Sonder Heart Healthy HMO (C-SNP)
  • *** United Healthcare Medicare Advantage Plans
  • WellCare Medicare Advantage HMO Health Plans
  • WellCare Medicare Advantage PPO Health Plans 
Call Emory Healthcare’s Medicare Insurance Helpline: 1-855-256-1501, M-F 9am-8pm.

Private Commercial Insurance Plans

  • Aetna HMO
  • Aetna POS
  • Aetna PPO
  • Aetna Whole Health
  • BCBS HMO
  • BCBS HPN (Blue Connection)
  • BCBS POS
  • BCBS PPO
  • Beech Street
  • * Cigna Health Plans (excluding Cigna LocalPlus, 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
  • LifeWell Health Partners
  • Memorial Health Services
  • MultiPlan
  • Northeast Georgia Health Partners
  • NovaNet
  • Private Health Care Systems (PHCS)
  • State Health Benefit Plan
  • Tricare Prime Option Plan
  • **** United Healthcare Narrow Network Plans: Core and Charter
  • **** United Healthcare Tiered Network Plans: Nexus 

Additional Insurance Plan Participation Information

Here are additional details about some of the approved insurance plans listed above:

We participate with all Cigna Health plans, including Cigna + Oscar Open Access plans, except: Cigna Connect, Cigna LocalPlus, and Cigna + Oscar LocalPlus plans.

** For Kaiser Permanente plans, referral and authorization provisions apply. Contact your primary care provider’s office or the member services phone number printed on the back of your insurance card for more information.

*** We participate in all United Healthcare Medicare Advantage health plans except: Medicare Advantage Medical Savings Account Benefit Plans and Private Fee-for-Service Benefit Plans.

**** We are a Top-Tiered Provider in select counties for United Healthcare Narrow Network Plans and Tiered Network Plans. Contact your primary care provider or call the member services phone number printed on the back of your insurance card for more information. 

Help with Understanding Your Insurance Coverage

If you need help understanding your insurance coverage, call our information line at 404-778-7777 or 1-800-753-6679.