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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 2026:

Federal (“Exchange”) Insurance Plans

Accepted Plans

  • Ambetter by Peach State Health Plan (Bronze, Silver, and Gold)
  • Ambetter Select Plus 
  • Ambetter Select Gwinnett
  • Ambetter Health Solutions
  • Anthem Silver Blue Value X
  • BCBS Anthem Pathway Health Plans
  • BCBS Pathway Guided Access and Enhanced Plans
  • BCBS Pathway HMO Plans
  • Blue Value Individual Network HMO
  • Kaiser Exchange Options (all plans) - See Footnote b
  • Oscar Health Plan of Georgia (Bronze, Silver, and Gold)

Non-Accepted Plans

  • Alliant Health Exchange Plans
  • Ambetter Select Wellstar & Ambetter Select St. Joseph’s Candler Plans
  • Care Source Exchange Plans
  • Cigna Connect Plans - See Footnote a
  • 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:

  • Traditional Medicare Part A & Part B
  • Aetna Medicare Advantage HMO
  • Aetna Medicare Advantage PPO
  • BCBS Medicare Advantage HMO
  • BCBS Medicare Advantage PPO
  • Cigna Medicare Advantage HMO & PPO
  • Clover Health Choice PPO
  • Clover Health Choice Value PPO
  • Clover LiveHealthy PPO (Walmart)
  • Devoted Medicare Advantage (only Georgia and Alabama patients; out-of-network for all other states)
  • Health Springs Medicare Advantage Plans (HMO & PPO)
  • Humana Gold Choice Medicare Advantage PPO
  • Humana Gold Plus Medicare Advantage HMO
  • Humana Medicare Advantage D-SNP Plans
  • Kaiser Medicare Advantage - See Footnote b
  • PruittHealth – Pruitt Health Premier Advantage (I-SNP plans)
  • United Healthcare Medicare Advantage I-SNP
  • WellCare Medicare Advantage (HMO & PPO)
Call Emory Healthcare’s Medicare Insurance Helpline: 1-855-256-1501, M-F 9am-8pm.

Accepted Commercial Insurance

  • Aetna HMO
  • Aetna POS
  • Aetna PPO
  • Aetna Whole Health
  • BCBS HMO
  • BCBS HPN (Blue Connection)
  • BCBS POS
  • BCBS PPO
  • BCBS PAR (indemnity plans)
  • Beech Street
  • Cigna Health Plans (excluding Cigna LocalPlus and Cigna Connect Plans) - See Footnote a 
  • Cigna + Oscar Open Access (excluding Cigna + Oscar LocalPlus) - See Footnote a 
  • CorVel PPO
  • Dept. of Veterans Affairs Community Care Network managed by Optum Public Sector Solutions
  • FirstHealth PPO (formerly a Coventry Product)
  • Galaxy Health Network
  • Kaiser EPO Self-Funded Plans - See Footnote b 
  • Kaiser Permanente Added & Multi-Choice - See Footnote b 
  • Kaiser Permanente Dual Choice PPO
  • Kaiser Permanente HMO Health Plans - See Footnote b 
  • Memorial Health Services
  • MultiPlan
  • Northeast Georgia Health Partners
  • NovaNet+
  • Private Health Care Systems (PHCS)
  • State Health Benefit Plan
  • Tricare Prime and Select Plans (Administered by Humana Military)
  • Tricare Prime (Administered by Caresource Military)
  • United Healthcare (All Commercial Plans)
  • United Healthcare Narrow Network Plans: Core and Charter - See Footnote c 
  • United Healthcare Tiered Network Plans: Nexus - See Footnote c 
  • USA Managed Care Organization

Accepted Transplant Networks

Emory Healthcare partners with the following transplant networks to provide specialized care for patients in need of organ and bone marrow transplants. Coverage and referral requirements may vary by plan. For details, please contact your insurance provider using the Member Services number on the back of your insurance card.

  • Aetna – National Institute of Excellence Transplant
  • Anthem – Centers of Medical Excellence (CME) Transplant Network
  • Cigna LifeSource – Transplant Provider Network (TPN)
  • Humana – National Transplant Provider Network (TPN)
  • LifeTrac – Transplant Provider Network
  • Optum – Transplant Network
  • Kaiser National TPN (Liver & Bone Marrow Transplant Programs) - referral required - See Footnote b

Accepted Centers of Excellence (COE) Programs

Emory Healthcare partners with select Centers of Excellence programs to offer specialized care for certain procedures. These programs may offer enhanced benefits or support services depending on your health plan. For more information, please contact your insurance provider using the Member Services number on the back of your insurance card.

  • Carrum Health – Bariatric Surgery
  • Walmart Centers of Excellence – Spine Surgery (Administered in partnership with Carrum Health)
  • Transcarent – Bariatric Surgery, Joint Replacement, and Spine Surgery
  • Optum – Orthopedic/Neurosurgery Specialty Network

Accepted Behavioral Health Networks

Emory Healthcare partners with select standalone behavioral health networks to support patients in accessing mental health and substance use services. These networks are accepted in addition to the medical insurance plans listed elsewhere on our website. In some cases, your behavioral health benefits may be managed separately from your medical plan.

Coverage, referral, and authorization requirements may vary by plan. For more information, please contact your insurance provider using the Member Services number on the back of your insurance card.

  • Cigna Behavioral Health – Behavioral Health Provider Network
  • United Behavioral Health (Optum Behavioral) – Behavioral Health Provider Network

Additional Plan Information

Cigna Exceptions for Behavioral Health Services: Emory Healthcare’s behavioral health providers have a special arrangement with Cigna Behavioral a.k.a. Evernorth Behavioral Health network that allows them to serve all Cigna health plan members for behavioral health services. This includes access to Emory Healthcare’s behavioral health providers and the inpatient and outpatient services of the Wesley Woods Psych facility and the Emory Decatur Hospital psychiatric department. This coverage extends to members of Cigna LocalPlus and Cigna Connect plans. However, it's important to note that for medical/acute care services outside of behavioral health services, Emory Healthcare’s providers and facilities are considered out-of-network for Cigna LocalPlus and Cigna Connect members.

For Kaiser health plans: Referral and authorization provisions apply. Please contact the KP Health Plan to confirm referral information as most behavioral health services are managed by Kaiser’s own TSPMG provider group.

For Meritain: Important to note that these members access behavioral health services through Emory Healthcare’s Aetna agreement, but claims should be submitted to Meritain.

Footnotes

Additional Insurance Plan Participation Information

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

(a) For Cigna Plans: All of Emory Healthcare participates with most Cigna Health Plans including Cigna + Oscar Open Access plans. However, for the following plans, Cigna LocalPlus, Cigna Connect, and Cigna + Oscar LocalPlus, Emory Healthcare only participates in Behavioral Health services and services provided by EMCF at Grady Hospital and at Grady outpatient clinics.

(b) 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.

(c) For United Healthcare Narrow Network Plans and Tiered Network Plans: There are select counties where Emory is the Top-Tiered Provider. Please contact your primary care physician’s office or member services phone number located 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.