Jane Dotson
If you're wondering whether Valley Medical Group accepts your insurance, you'll need to check with your insurance provider. Valley Medical Group accepts most major health insurance plans, but the specific plans and providers vary depending on the Valley Medical branch. For example, Valley Health System accepts insurance plans from Aetna, Amerihealth Braven Health, Cigna, Clover Centivo, and more. Meanwhile, Valley Medical Center advises patients to review the flyer, Medicare--Am I Covered? and to contact them with any questions regarding insurance plan participation status.
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What You'll Learn
Valley Medical Center accepts Medicare
Valley Medical Center (VMC) accepts Medicare. However, it is important to note that the specific insurance plans accepted by Valley Medical Group are different from those accepted by The Valley Hospital. Therefore, it is always a good idea to verify beforehand if your specific insurance plan is accepted by VMC. You can do this by contacting VMC's Patient Financial Services Department or the Payer Contracting team at Valley Health.
VMC is committed to providing clear and transparent billing and payment procedures for its patients. They offer several payment options and ways to pay your bill. It is important to understand that you may receive bills from VMC for various services, including those provided by contracted providers such as surgeons, radiologists, anesthesiologists, and pathologists. These contracted providers will bill you separately. Additionally, if your visit is related to a motor vehicle or non-work-related accident, you will need to provide all relevant third-party liability information within 15 days.
In terms of insurance coverage, it is worth noting that some services may not be covered under your insurance's preventive care benefits, which may result in out-of-pocket expenses. These typically include the evaluation and management of new or worsening health conditions, as well as diagnostic tests for new or existing medical conditions. To avoid unexpected costs, it is recommended to discuss your specific insurance plan's coverage and any potential out-of-pocket expenses with VMC staff before receiving treatment.
Washington state law offers protection against "surprise billing" or "balance billing." This means that if you receive emergency care or are treated at an in-network hospital or outpatient surgical facility by an out-of-network provider, you will not be charged more than your plan's copayments, coinsurance, and/or deductible. This protection ensures that you are not burdened with unexpected medical expenses. However, it is always advisable to review your insurance plan's guidelines and understand the specific providers, hospitals, and facilities that are within your insurer's network to make informed choices about your healthcare.
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Valley Health System accepts Aetna insurance
Valley Health System accepts a wide range of insurance plans, including Aetna. It is important to note that insurance coverage can vary depending on the specific Valley Health System facility and the patient's healthcare provider. Therefore, patients are advised to verify their insurance coverage with their provider before seeking treatment.
The Valley Health System includes The Valley Hospital and Valley Medical Group, which contract separately with insurers. This means that the insurance plans accepted by The Valley Hospital may differ from those accepted by Valley Medical Group. Patients can find a list of insurers that have contracts with each entity on the Valley Health System website.
Aetna insurance is accepted by the Valley Health System, with some exclusions. For example, Valley Health System accepts Aetna but excludes Aetna Better Health Medicaid HMO. It is important for patients with Aetna insurance to understand the specific details of their plan and any potential exclusions or restrictions.
In addition to Aetna, the Valley Health System accepts insurance plans from various other providers. These include Amerihealth Braven Health (excluding Braven Medicare Plus (HMO)), Cigna (including Medicare), Clover, Centivo, Horizon Blue Cross Blue Shield of NJ, and many others. A comprehensive list of accepted insurance plans can be found on the Valley Health System website.
It is worth noting that, in some cases, a referral from a healthcare provider to a Valley Health System facility does not guarantee that the services will be covered as "in-network" by the patient's health plan. Patients are advised to contact the Valley Health System's Managed Care Department for any questions or concerns regarding insurance coverage and billing. Additionally, patients without insurance coverage will need to make financial arrangements before receiving services, and information about financial assistance programs is available.
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Valley Medical Group's accepted insurance plans
Valley Medical Group (VMG) accepts most major health insurance plans, but it is recommended that patients check with their carrier or provider's office for confirmation. VMG accepts insurance from the following providers:
- Horizon BCBS (VPS, Inc./PC is Tier 1 in Omnia, including Commercial and Medicare LOB, and Medicaid)
- Aetna (excluding Aetna Better Health Medicaid HMO)
- Amerihealth Braven Health (excluding Braven Medicare Plus (HMO))
- Cigna (including Medicare)
- Clover Centivo
- Horizon Blue Cross Blue Shield of NJ
- Horizon NJ Health
- Mohawk Valley Health Plan (non-HMO plans only via Valley's CIGNA contract)
- Great-West Healthcare (now part of CIGNA)
- Oxford Health Plans
- United HealthCare (including United HealthCare Community Plan)
- Veterans Administration Community Care Network (CCN)
- Beech Street Community Care Network
- Consumer Health Network (CHN)
- Devon Health Services
- First Health
- Health Care Payors Coalition
- MagnaCare
- Multiplan
- NJ Urology Group (administered by HealthScope)
- Qualcare
VMG also accepts Medicare, although patients are advised to carefully review their benefits and non-covered services, as they will be financially responsible for any non-covered services. An example of a non-covered service is any self-administered drugs provided during a hospital outpatient visit. If a patient has Medicare supplemental insurance, VMG will submit a bill to them for all services, including non-covered Medicare charges.
VMG accepts MasterCard, Visa, and Discover Card for patients without insurance coverage, although financial arrangements must be made prior to receiving services.
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Valley Health's accepted insurance and health plans
Valley Health accepts most major health insurance plans, including government payers, contracted payers, and preferred provider organizations. The Valley Hospital and Valley Medical Group contract separately with insurers, so it is important to check with your provider to determine their network status.
The Valley Hospital accepts insurance plans from the following providers:
- Aetna (excluding Aetna Better Health Medicaid HMO)
- Amerihealth Braven Health (excluding Braven Medicare Plus (HMO))
- Cigna (including Medicare)
- Clover Centivo
- Horizon Blue Cross Blue Shield of NJ
- Horizon NJ Health
- Mohawk Valley Health Plan (non-HMO plans only via Valley's CIGNA contract)
- Great-West Healthcare (now part of CIGNA)
- Oxford Health Plans
- United HealthCare (including United HealthCare Community Plan)
- Veterans Administration Community Care Network (CCN)
- Beech Street Community Care Network
- Consumer Health Network (CHN)
- Devon Health Services
- First Health
- Health Care Payors Coalition
- MagnaCare
- Multiplan
- NJ Urology Group (administered by HealthScope)
- Qualcare
Valley Medical Group accepts insurance plans from Horizon BCBS (VPS, Inc./PC is Tier 1 in Omnia, including Commercial and Medicare LOB, and Medicaid).
It is important to note that insurance companies have limits on the services they cover, and patients are responsible for knowing their specific plan's benefits, limitations, and exclusions. Patients are also responsible for payment of any co-payment, deductible, or coinsurance required by their insurance plan. If you have any questions about your insurance plan's participation status with Valley Health, you can contact their Payer Contracting team.
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$9.97 $19.99
$7.2 $8
Valley Hospital's insurance plans and financial arrangements
Valley Health System, including Valley Hospital and Valley Medical Group, accepts a wide range of insurance plans. The Valley Hospital and Valley Medical Group contract separately with insurers, so it is important to check whether your insurance is accepted by the specific Valley Health entity you are dealing with.
Valley Medical Group accepts most major health insurance plans. Some of the insurance plans accepted by Valley Medical Group include:
- Horizon BCBS (VPS, Inc./PC is Tier 1 in Omnia, including Commercial and Medicare LOB, and Medicaid)
- Aetna (excluding Aetna Better Health Medicaid HMO)
- Amerihealth Braven Health (Except Braven Medicare Plus (HMO))
- Cigna (including Medicare)
- Clover Centivo
- Horizon Blue Cross Blue Shield of NJ
- United HealthCare (including United HealthCare Community Plan)
- Veterans Administration Community Care Network (CCN)
- Oxford Health Plans
The Valley Hospital accepts insurance plans from government payers, contracted payers, and preferred provider organizations. Some of the insurance plans accepted by The Valley Hospital include:
- Aetna (excluding Aetna Better Health)
- Cigna (including Medicare)
- Horizon Blue Cross Blue Shield of NJ
- United HealthCare
- Veterans Administration Community Care Network (CCN)
It is important to note that insurance plans and coverage can vary, and it is the patient's responsibility to confirm their insurance coverage with their provider. Valley Health provides contact information for patients to inquire about their specific insurance plan's participation status. Additionally, some procedures may require pre-authorization from your insurance company or other financial arrangements in advance.
For those without insurance coverage, Valley Medical Center (VMC) offers a Financial Assistance program. Patients are expected to pay for any services not covered by their insurance plan.
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Frequently asked questions
Valley Medical Group accepts most major health insurance plans. However, it is recommended that you contact them to confirm if your specific insurance plan is accepted.
The Valley Hospital accepts insurance plans from different providers, including government payers, contracted payers, and preferred provider organizations.
Yes, Valley Medical Center accepts Medicare. However, it is important to carefully review your Medicare benefits to understand any non-covered services for which you may be financially responsible.
Yes, Valley Medical accepts Aetna insurance products except for Better Health Fida and Aetna Better Health Medicaid HMO.
If you do not have insurance coverage, you will need to make financial arrangements prior to receiving services at Valley Medical. You can explore their Financial Assistance program options or payment methods such as MasterCard, Visa, and Discover Card.
