Contracted Insurance Plans - Methodist Physicians Clinic and Staff

Below is a list of insurance plans that participate with our clinics, physicians and staff.

This list is not all-inclusive and is subject to change. Many insurance plans require approval for services before services can be performed. Before your visit to Methodist Physicians Clinic, review your health-plan booklet or call your insurance company to clarify your specific policy benefits and requirements.

Effective January 1, 2017
Nebraska - PPO (Preferred Provider Organization)
  • Accountable Health Plan (Interplan Health Group or IHG)
  • Accountable Health Plan (Workers Compensation)
  • Aetna (Advantra, Advantra Freedom PFFS, Coventry, Health Care PPO, Medicare PPO, PFFS)
  • BCBS IA PPO (Blue Card Program) and (Wellmark of IA)
  • BCBS NE, NEtwork Blue and Select Blue Choice, Methodist Blue Choice and Nebraska Medicine Blue Choice
  • Care Improvement Plus (Medicare Special Needs Plan)
  • Choice Care
  • Elite Choice
  • First Health (includes; Work Comp, FOCUS & Metra Comp)
  • GEHA (United Health Care Network)
  • Health Net (aka Humana Veterans)
  • HealthSmart (Accountable, Interplan, IHG)
  • Humana Choice Care, Medicare PPO& Choice PFFS
  • IHS (innovative Healthware Services/claim re-pricing for Elite Choice)
  • Interplan Health Group (changed to HealthSmart)
  • John Deere Health Plan (UHC of the River Valley)
  • MHNET (Behavioral Health ONLY)
  • Midlands Choice (Includes; Cigna)
  • Multiplan
  • Ohara (Workers Compensation)
  • UHC (United Health Care includes Americhoice)
  • UHC Medicare Solutions (Includes; AARP, Evercare DH, CH or MH and Americhoice)
  • UHC of the River Valley (John Deere)
  • United Behavioral Health (Behavioral Health ONLY)
Nebraska - HMO (Health Maintenance Organization)
  • Coventry HMO
  • Humana (MA/HMO) Medicare Advantage HMO – Product name is Humana Gold Plus HMO
  • UHC SecureHorizons (formerly UHC Medicare Complete POS)
  • UHC (United Health Care)
State of Nebraska/Medicaid/HMO Plans
  • Medicaid NE
  • Medicaid NE Total Care
  • Medicaid NE Wellcare
  • Medicaid NE UHC Community Plan
  • Every Woman Matters
Nebraska - POS (Point-of-Service)
  • Aetna Choice POS II
  • Aetna Managed Choice
  • Coventry POS
  • John Deere Health POS
  • UHC (United Health Care)
  • UHC SecureHorizons POS (formerly UHC Medicare Complete POS including AARP)
  • United Behavioral Health (UBH for Behavioral Health ONLY)
Iowa - PPO (Preferred Provider Organization)
  • Accountable Health Plan (Interplan Health Group or IHG)
  • Accountable Health Plan (Workers Compensation)
  • Aetna (includes Advantra, Advantra Freedom PFFS, Coventry, Health Care PPO, Medicare PPO & Medicare PFFS)
  • BCBS IA PPO (Blue Card Program) and (Wellmark of IA)
  • BCBS NE, Network Blue and Select Blue Choice
  • Care Improvement Plus (Medicare Special Needs Plan)
  • Choice Care
  • Elite Choice
  • First Health (includes; Work Comp, FOCUS and Metra Comp)
  • HealthSmart (Accountable, Interplan, IHG)
  • Humana Choice Care, Medicare PPO & Choice PFFS
  • Interplan Health Group (changed to HealthSmart)
  • John Deere Health Plan (UHC of the River Valley)
  • MHNET (Coventry - Behavioral Health ONLY)
  • Midlands Choice (includes; Cigna)
  • Multiplan
  • Ohara (Workers Compensation)
  • UHC (United Health Care includes Americhoice)
  • UHC of the River Valley (John Deere)
  • UHC Medicare Solutions (includes; AARP, Evercare DH, CH or MH)
  • United Behavioral Health (Behavioral Health ONLY)
  • Wellmark PPO Plans
Iowa - HMO (Health Maintenance Organization)
  • BCBS IA HMO POS (Wellmark BCBS of Iowa)
  • Aetna (Coventry) HMO
  • Humana Gold Plus HMO
  • UHC (United Health Care)
State of Iowa/Medicaid/HMO Plans
  • Medicaid IA
  • Medicaid IA Lock In
  • Medicaid IA AmeriGroup
  • Medicaid IA UHC of the River Valley
  • UHC Hawk-I (IA residents only)
  • Medicaid NE UHC Community Plan (Council Bluffs providers only)
Iowa - POS (Point-of-Service)
  • Aetna Choice POS II
  • Aetna Managed Choice
  • Aetna (Coventry; Includes Open Choice)
  • BCBS IA HMO POS (Wellmark BCBS of Iowa)
  • John Deere Health POS
  • UHC (United Health Care)
  • UHC Medicare Solutions (Including AARP)
2017 Medicare Plans
Medicare    

MHS participates with traditional Medicare

MEDICARE ADVANTAGE PRODUCTS    

METHODIST HEALTH SYSTEM "IN NETWORK"

AARP Medicare Complete provided through UHC Secure Horizons    

MHS participates in ALL UHC AARP/SecureHorizons Medicare products

BCBS

MHS participates in BCBSNE Medicare products

Coventry Advantra Platinum PPO/Coventry Advantra Silver HMO

MHS participates in Coventry Medicare products (excluding Total Care which is United exclusive)

Humana Choice PPO & Humana Gold Plus HMO

MHS participates in ALL Humana Medicare products

Care Improvement Plus

MHS participates in Care Improvement Plus Special Needs Plan

MEDICARE PFFS PRODUCTS    

MHS participates in PFFS Medicare products

2017 Market Place Plans
Aetna Leap NHN (NE Health Network)

Participating for both clinic and hospital

Aetna Leap MIPPA (Coventry broad network excluding CHI)

Participating for both clinic and hospital

Aetna Leap Broad Network

Participating for both clinic and hospital

Aetna Leap CHI

Out-of-Network for both clinic and hospital

Medica (Midlands Choice Network)

Participating for both clinic and hospital