Contracted Insurance Plans - Methodist Hospital, Methodist Women's Hospital, Methodist Jennie Edmundson Hospital

Below is a list of insurance plans that participate with our hospitals.

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 our hospital, review your health-plan booklet or call your insurance company to clarify your specific policy benefits and requirements. Other questions about insurance may be directed to the Customer Service department.

(All reference to Methodist Hospital includes Methodist Women's Hospital)

Effective January 1, 2017
Accountable Health Plan (aka Interplan Health Groug/IHG/HealthSmart)

Methodist Hospital/Methodist Jennie Edmundson

Accountable Health Plan Workers' Compensation

Methodist Hospital/Methodist Jennie Edmundson

Aetna

Methodist Hospital/Methodist Jennie Edmundson

Aetna Leap Broad Network (Marketplace Product)

Methodist Hospital/Methodist Jennie Edmundson

Aetna Leap NHN (Marketplace Product)

Methodist Hospital/Methodist Jennie Edmundson

Aetna Leap MIPPA (Marketplace Product)   

Methodist Hospital/Methodist Jennie Edmundson

Amerigroup (IA Medicaid)

Methodist Hospital/Methodist Jennie Edmundson

AmeriHealth (IA Medicaid)    

Methodist Hospital/Methodist Jennie Edmundson

Blue Cross Blue Shield NE Commercial (includes NEtwork Blue, Select Blue Choice, Methodist Blue Choice, NE Medicine Blue Choice & Blue Card PPO)

Methodist Hospital/Methodist Jennie Edmundson

Blue Cross Blue Shield NE (Medicare Advantage Core & Choice)

Methodist Hospital/Methodist Jennie Edmundson

Care Improvement Plus (Medicare Advantage)

Methodist Hospital/Methodist Jennie Edmundson

ChoiceCare   

Methodist Hospital/Methodist Jennie Edmundson

Cigna (accessing Midlands Choice only)   

Methodist Hospital/Methodist Jennie Edmundson

Comp Results, L.L.C.    Methodist Hospital

Methodist Jennie Edmundson

Coventry Health Care of NE
-Coventry Health Care PPO
-Coventry National Network & First Health
-Coventry Advantra & Advantra Freedom (Medicare)
-Coventry Work Comp (First Health Work Comp, FOCUS & MetraComp)

Methodist Hospital/Methodist Jennie Edmundson

Corvel

Methodist Jennie Edmundson

Crawford County (Involuntary Hold - Psych)

Methodist Jennie Edmundson

Elite Choice Custom Network

Methodist Hospital/Methodist Jennie Edmundson

First Health

Methodist Hospital/Methodist Jennie Edmundson

First Health Workers' Compensation

Methodist Hospital/Methodist Jennie Edmundson

Fremont County (Involuntary Hold - Psych)

Methodist Jennie Edmundson

GEHA - Government Employees Health Association (United Healthcare Network)    

Methodist Hospital/Methodist Jennie Edmundson

Greene County (Involuntary Hold – Psych)

Methodist Jennie Edmundson

Harrison County (Involuntary Hold - Psych)

Methodist Jennie Edmundson

HealthSmart fka Accountable/Interplan

Methodist Hospital/Methodist Jennie Edmundson

HumanaChoice PPO & Humana Gold Plus HMO (Medicare Advantage)

Methodist Hospital/Methodist Jennie Edmundson

Ida County (Involuntary Hold - Psych)

Methodist Jennie Edmundson

IHS (Innovative Healthware Services) (claim re-pricing for Elite Choice)

Methodist Hospital/Methodist Jennie Edmundson

Interplan Health Group (aka Accountable)

Methodist Hospital/Methodist Jennie Edmundson

Magellan Behavioral Health, Inc. (Commercial)

Methodist Hospital

MHNet (Behavioral Health)

Methodist Hospital/Methodist Jennie Edmundson

Midlands Choice

Methodist Hospital/Methodist Jennie Edmundson

Mills County (Involuntary Hold - Psych)

Methodist Jennie Edmundson

Monona County (Involuntary Hold - Psych)

Methodist Jennie Edmundson

Montgomery County (Involuntary Hold - Psych)

Methodist Jennie Edmundson

MultiPlan

Methodist Hospital/Methodist Jennie Edmundson

NE Total Care (NE Medicaid)

Methodist Hospital/Methodist Jennie Edmundson

O’HARA Workers' Compensation

Methodist Hospital/Methodist Jennie Edmundson

Pottawattamie County (Involuntary Hold - Psych)

Methodist Jennie Edmundson

Sac County (Involuntary Hold - Psych)

Methodist Jennie Edmundson

Shelby County (Involuntary Hold - Psych)

Methodist Jennie Edmundson

State of Nebraska Dept. Of Corrections

Methodist Hospital

United Behavioral Health  

Methodist Hospital/Methodist Jennie Edmundson

United Healthcare
-Commercial
-Community Plan (NE Medicaid)
-AARP SecureHorizons (Medicare)
-Iowa Hawk-i
-Evercare DH (Dual Eligible Mbrs with Medicare & Medicaid)
-Evercare CH or MH (Mbrs with chronic illness)
-Navigate
-UMR

Methodist Hospital/Methodist Jennie Edmundson

United Healthcare of the River Valley (fka John Deere Health Plan)    

Methodist Hospital/Methodist Jennie Edmundson


Value Options (Commercial)

Methodist Jennie Edmundson

WellCare (NE Medicaid)

Methodist Hospital/Methodist Jennie Edmundson

Wellmark of Iowa Commercial (Universal - all products)

Methodist Jennie Edmundson

Wellmark of Iowa (Direct agreement with HMO for limited services only, PPO and Indemnity will be filed under Blue Card to BCBSNE)

Methodist Hospital

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

Participating

Aetna Leap MIPPA (Coventry broad network excluding CHI)

Participating

Aetna Leap Broad Network

Participating

Aetna Leap CHI (CHI)

Out-of-network

Medica (Midlands Choice network)

Participating

 
2017 Medicare Plans
AARP Medicare Complete provided through UHC SecureHorizons

MHS participates in ALL UHC AARP/SecureHorizons Medicare products

BCBSNE Medicare

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 Uninet exclusive)

HumanaChoice 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