Alyssa Lane
Summit Medical Group accepts a wide range of insurance plans, including UnitedHealthcare, Cigna, BlueCross BlueShield, and Medicare Advantage. The specific plans accepted can vary by location and provider, so it is important to check with your local Summit Medical Group office to confirm which insurance plans they accept. Summit Medical Group also offers cash payments at all sites and participates with most automobile insurance companies and workers' compensation insurance providers.
| Characteristics | Values |
|---|---|
| Insurance plans accepted | Healthplus Medicaid Plans, Medicare Advantage, Cigna, Aetna, Braven Health, Humana, UnitedHealthcare Dual Complete HMO, BlueCross BlueShield of Tennessee, Beech Street, First Health, Coventry Health Plan, Mail Handlers Benefit Plan, Point Comfort Underwriters, One Health, USA Select, USA Accountable Alliance, NovaNet, East Tennessee Health Plan, Alliant Health Plans, Health One Alliance |
| Insurance plans not accepted | Traditional Medicaid, Oxford Metro, United Healthcare Compass |
| Other | Accepts cash payments at all sites, participates with most automobile insurance companies and workers' compensation insurance companies |
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What You'll Learn
- Summit Health accepts traditional Medicare and some Medicare Advantage plans
- Summit Medical Group accepts UnitedHealthcare Dual Complete HMO (D-SNP)
- Summit Health accepts Healthplus Medicaid Plans and all Medicare plans
- Summit Health works with HealthShare360 to help patients understand their Medicare options
- Summit Medical Group accepts Blue Network P and Blue Network S
Summit Health accepts traditional Medicare and some Medicare Advantage plans
In addition to Medicare and Medicaid plans, Summit Health also participates in a wide range of insurance products. This includes plans from various providers, such as BlueCross BlueShield of Tennessee, Cigna, UnitedHealthcare, and more. It is always recommended to verify with your specific location and physician to ensure participation in your health plan.
For those with automobile insurance, Summit Health participates with most automobile insurance companies and managed care physician provider panels. They also work with most workers' compensation insurance companies. Summit Health can help coordinate and expedite your treatment to ensure you receive high-quality, comprehensive care.
If you are new to Medicare or have questions about your options, Summit Health has partnered with HealthShare360, an unbiased local resource specializing in Medicare. They can help you compare coverage options and select the best plan for your individual needs. You can also refer to resources such as Medicare.gov or your local State Health Insurance Program (SHIP) to understand all the options available in your area.
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Summit Medical Group accepts UnitedHealthcare Dual Complete HMO (D-SNP)
UnitedHealthcare Dual Complete HMO (D-SNP) is a plan for those with both Medicare and Medicaid. Members must have Medicaid to enrol and will keep all their Medicaid benefits, adding even more. This plan provides benefits beyond Original Medicare, such as transportation to medical appointments and routine vision exams.
Summit Medical Group's physicians and advanced practitioners participate in a wide range of insurance products, but there are some plans in which they are not included. Summit Health, for example, does not accept traditional Medicaid but is in-network with some Medicaid Advantage plans.
Summit Health recommends that patients always verify location and physician participation with their health plan. Patients should also bring their most up-to-date insurance card(s) to every doctor's appointment and healthcare visit.
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Summit Health accepts Healthplus Medicaid Plans and all Medicare plans
Summit Health is an extensive medical group with locations in New York, New Jersey, and Westchester. They also have a presence in Knoxville, East and Middle Tennessee, and central Oklahoma. Summit Health accepts Healthplus Medicaid Plans and all Medicare plans, including Medicare Advantage.
In terms of Medicaid, Summit Health NY/Westchester locations accept all plans, including Healthplus Medicaid Plans and HMO & Medicaid plans. However, patients with Medicaid must select a PCP within the group before scheduling an appointment with a PCP. For Medicare, all Summit Health locations in New Jersey accept all Medicare plans. It is important to note that Summit Health NY/Westchester locations are not in-network with Humana Medicare.
Summit Health also works with Medicare enrollees to explain Medicare Advantage, Medicare Supplement Insurance, and Prescription Drug Plan options. They have partnered with HealthShare360, an unbiased local resource specializing in Medicare, to help patients compare coverage options and select the best plan for their individual needs.
In addition to Medicaid and Medicare, Summit Health and its affiliated Summit Medical Group also participate in a wide range of other insurance plans. These include plans from various providers, such as Cigna, UnitedHealthcare, and BlueCross BlueShield. Summit Health also accepts cash payments at all sites and works with most automobile insurance companies and workers' compensation insurance providers.
It is always recommended to verify location and physician participation with your specific health plan and to notify your provider of any changes in your insurance plan to ensure authorized and timely care.
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Summit Health works with HealthShare360 to help patients understand their Medicare options
HealthShare360's Medicare Advisor assists Summit Health patients in understanding their Medicare options, ensuring they can make an informed decision when choosing a plan. Summit Health accepts traditional Medicare and some Medicare Advantage plans, and is in-network with select Medicaid Advantage plans, though it does not accept traditional Medicaid.
Summit Health's partnership with HealthShare360 ensures that patients can access unbiased, specialist advice about their Medicare options. HealthShare360's agents are available to help patients sort through the various Medicare plans, making the process of selecting the right plan easier and less daunting.
In addition to Medicare, Summit Health also participates in a wide range of insurance plans, including commercial plans with access to the Cigna network, and HMO, POS, PPO, and EPO plans. Summit Health works with most major insurance providers and is committed to helping patients understand and utilize their insurance benefits effectively.
For patients with specific questions about their insurance coverage or billing, Summit Health provides contact information for dedicated billing inquiries, ensuring that patients can receive timely and accurate information about their insurance and billing inquiries.
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Summit Medical Group accepts Blue Network P and Blue Network S
Blue Network P is the broadest network offered by BlueCross BlueShield of Tennessee, with more than 56,000 contracted healthcare professionals in and around Tennessee. This network also includes access to telehealth, value-based care providers, and Blue Distinction® Centers for specialized care. Additionally, employees who live or travel outside of Tennessee will have access to more than 2 million providers across the country.
Blue Network S, on the other hand, offers a wide network of providers that includes 87% of the hospital systems in Tennessee and over 45,000 contracted healthcare professionals in and around the state. This network also provides coverage for employees who work for the federal government (FEP) and covers employers who provide health benefits for their employees.
Summit Medical Group's participation in Blue Network P and Blue Network S demonstrates their commitment to providing their patients with access to a wide range of quality insurance products. It is important to note that insurance plans and provider participation may vary over time, so patients should always check with their insurance company or Summit Medical Group to confirm their specific coverage details.
In addition to Blue Network P and Blue Network S, Summit Medical Group also accepts other insurance plans, including UnitedHealthcare Dual Complete HMO (D-SNP) and United Healthcare Secure Horizons (including AARP) at select locations. They also accept all Medicare Advantage plans, although these are currently only accepted at select locations as well. For Summit Health New Jersey locations, all Medicare plans are accepted, and select providers participate in Medicaid Advantage plans and Medicaid Managed Care coverage.
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Frequently asked questions
Summit Medical Group accepts insurance plans from providers including BlueCross BlueShield of Tennessee, Cigna, UnitedHealthcare, and Aetna.
Yes, Summit Medical Group accepts traditional Medicare and some Medicare Advantage plans.
Summit Health does not accept traditional Medicaid, but it is in-network with some Medicaid Advantage plans.
Yes, Summit Health participates with most automobile insurance companies.
You can find a list of insurances accepted by Summit Medical Group on their website.
