Insurance / Billing

Tennessee Orthopaedic Alliance: Columbia (TOA Columbia) accepts most insurance plans and workers’ compensation. Before scheduling your appointment, we recommend you contact your insurance company to confirm that we are a participating provider for your plan, as this information is subject to change. Below is a list of insurance plans and networks in which we participate:

Commercial plans:

• Aetna:
   • Elect Choice EPO
   • Managed Choice POS
   • Open Choice PPO
• BCBS Federal
• BCBSTN – Network P & S & E
• BCBS Out of State (including Anthem)
• Cigna
• Humana
• United Healthcare Plans (Excluding plans thru State exchange)
• UMR administrated by United Healthcare (Some plans require PCP Authorization)
• UHC River Valley Commercial Plans (Excluding plans thru State exchange & some plans require PCP Authorization)

Preferred provider organizations (PPO):

• BeechStreet
• HealthSCOPE Benefits
• NovaNet
• PHCS/First Health/MultiPlan
• Prime Health
• SHA (Signature Health Alliance)(Bluegrass Family Health)
• USA MCO

Government plans:

• ChampVATricare – Prime (Prime needs authorization from PCP)
• Tricare – Standard
• Medicare – Traditional Medicare A/B & Railroad
• VA CCN (Veteran Affairs) – (Must have VA Referral)

Medicare replacement plans:

• Aetna Medicare Advantage PPOAetna Medicare Advantage HMO (Requires Authorization)
• Amerivantage
• Humana Medicare PPO & PFFS plans/no HMO plans
• BCBSTN Medicare Advantage plans including:
   • BlueCare Plus and TN HMO
   • United Health Care Medicare Complete
   • United Healthcare Dual Complete Preferred
• United Health Care Medicare Advantage
• WellCare Medicare

Any Medicare replacement plans which were the old Medicare PFFS Plans Tenncare plans:

• Amerigroup TennCare
• BCBSTN – Bluecare and Tenncare select
• BCBSTN – Cover TN
• BCBSTN – CoverKids

TennCare Select

• UHC Community Plan Tennessee Orthopaedic

Alliance: Columbia (TOA Columbia) accepts self-pay patients; we can easily set up a payment plan that is convenient for you. We are happy to discuss your options when you come in for your appointment.