Insurance & Contracted Managed Care Plans
Why is this important? Because many patients are hearing that TOC is out of network with their insurance providers. Please know, that this is NOT correct information.
What should I do if my insurance provider tells me that TOC no longer accepts my insurance? Absolutely nothing! If your insurance provider is listed below, rest assured that we are in-network and will continue to be.
Why is this happening now? Although it was announced several months ago, our merger with TOA does not become official until January 1, 2021. It is this transition that is causing the automated responses from insurance providers. It is simply a timing and technical issue that will not disrupt your medical services.
We sincerely apologize for any inconvenience. If you need further assistance, please send your questions to parkerk@tocdocs.com.
Below is a list of insurance plans that TOC currently accepts. Our list is for reference purposes only and is subject to change. We encourage you to check with your health plan to confirm that Tennessee Orthopaedic Clinic is included. TOC may participate in some, but not all, products offered by a health plan. Coverage limitations are dependent on individual group contracts.
Please note that although listed on UHC’s website, we DO NOT participate in UHC’s Compass network.
If you have any questions, please contact your insurance provider.
| Insurance Provider | Product Type |
|---|---|
| Aetna | PPO / POS |
| Amerigroup | |
| Amerivantage | |
| Blue Cross Blue Shield | All states including Federal |
| BCBS Blue Advantage Mdcr | Medicare |
| Insurance Provider | Product Type |
|---|---|
| HealthSpring (new 1/1/2012) | Medicare |
| HealthTrac | Work Comp |
| Heritage Summit Health Care (Formerly Syntricity) | Work Comp |
| Humana | All plans |
| Humana / ChoiceCare (Formerly PHP, Cariten) | PPO & Mdcr (Mdcr – Gold & Gold choice) |
| Insurance Provider | Product Type |
|---|---|
| Tricare for Life | Government |
| Tricare Prime (Must have referral from PCP) | Government |
| Tricare Standard | Government |
| UHC | All products except OneNet PPO and Compass (a Marketplace Network) |
| UHC | Medicare |
| Insurance Provider | Product Type |
|---|---|
| BCBS of Tennessee | Network S |