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Cerner Breach Notification

Insurance Coverage

Insurance Coverage Information

Great River Health hospitals and clinics are contracted with the insurance providers listed below. This means we are in-network participants with these payers.

Great River Health may not participate in all plans offered by an insurance carrier. We encourage you to check with your insurance company to verify your coverage for services provided at Great River Health by contacting your insurance plan’s Member Services using the number listed on the back of your ID card. You may also want to contact them about precertification requirements for specific services.

We are providing this information as a resource for you. The information provided here is subject to change as insurance plan coverages are often updated. This list is not meant to be all-inclusive. It is important to contact your insurance company if you have any concerns about the coverage your plan provides for healthcare services at Great River Health.

Southeast Iowa Regional Medical Center

A

Accountable Health Plans of America, Inc

  • Repricer

Aetna Health Management, LLC

  • Commercial: PPO
  • Commercial: HMO
  • Rental Products: First Health
  • Medicare Advantage: ESA Plans only

American Health Plan of Iowa, Inc.

  • Medicare Advantage

B

Brighton Amish Church

C

ChoiceCare Network (Humana)

  • Medicare Advantage: PPO
  • Medicare Advantage: HMO
  • Commercial: PPO
  • Commercial: HMO

E

Employee Benefit Systems

F

First Agency

  • Commercial

G

Government Employees Health Association, Inc.

H

HealthSmart

Humana (see ChoiceCare Network)

I

Immergrun, Inc

Iowa Total Care, Inc

  • Medicaid MCO
  • Medicare (Wellcare)
  • Marketplace (Ambetter)

M

Medicare

  • Medicare A & B

Midlands Choice

  • Repricer

Molina Healthcare of Iowa, Inc.

Molina Medicare D-SNP

  • Medicaid MCO

MultiPlan, Inc.

  • Repricer

O

OccuNet, Inc.

  • Repricer

P

Plain Church Medical Group, Inc.

T

TriWest Healthcare Alliance Cooperation

U

United Behavioral Health

  • Commercial: PPO
  • Commercial: HMO
  • Medicare Advantage

United Healthcare Insurance Company

  • Commercial: PPO
  • Commercial: HMO
  • Medicare Advantage

W

Wellmark Blue Cross and Blue Shield of Iowa

  • Commercial: PPO
  • Commercial: HMO
  • Medicare Advantage

Wellpoint Iowa, Inc. (formerly Amerigroup Iowa, Inc.)

  • Medicaid MCO

Henry County Health Center

A

Accountable Health Plans of America, Inc

  • Repricer

Aetna Health Management, LLC

  • Commercial: PPO
  • Commercial: HMO
  • Rental Products: First Health
  • Medicare Advantage: ESA Plans only

American Health Plan of Iowa, Inc.

  • Medicare Advantage

B

Brighton Amish Church

C

ChoiceCare Network (Humana)

  • Medicare Advantage: PPO
  • Medicare Advantage: HMO

E

ELAP Services, LLC

  • Innovaire only

F

First Agency

I

Immergrun, Inc

Iowa Total Care, Inc

  • Medicaid MCO
  • Medicare (Wellcare)
  • Marketplace (Ambetter)

M

Medicare

  • Medicare A & B

Molina Healthcare of Iowa, Inc.

  • Molina Medicare D-SNP
  • Medicaid MCO

O

OccuNet, Inc.

P

Plain Church Medical Group, Inc.

T

TriWest Healthcare Alliance Cooperation

U

United Healthcare Insurance Company

  • Commercial: PPO
  • Commercial: HMO
  • Medicare Advantage

W

Wellmark Blue Cross and Blue Shield of Iowa

  • Commercial: PPO
  • Commercial: HMO
  • Medicare Advantage

Wellpoint Iowa, Inc. (formerly Amerigroup Iowa, Inc.)

  • Medicaid MCO

Heritage Medical Equipment & Supplies

A

Accountable Health Plans of America, Inc

  • Repricer

ACS

  • Department of Labor

B

Beech Street

  • Repricer

Brighton Amish Church

C

CompLogic, LLC

E

Employee Benefit Systems

Encompass Health Management Systems

F

First Agency

H

Homelink

I

Immergrun, Inc

Integrated Health Plan, Inc

Iowa Total Care, Inc

  • Medicaid MCO
  • Medicare (Wellcare)
  • Marketplace (Ambetter)

M

Medicare

  • Medicare A & B

Midlands Choice

  • Repricer

Molina Healthcare of Iowa, Inc.

  • Molina Medicare D-SNP
  • Medicaid MCO

MultiPlan, Inc.

  • Repricer

O

OccuNet, Inc.

P

Plain Church Medical Group, Inc.

T

Three Rivers Provider Network, Inc

  • Repricer

TriWest Healthcare Alliance Cooperation

W

Wellmark Blue Cross and Blue Shield of Iowa

  • Commercial: PPO
  • Commercial: HMO
  • Medicare Advantage

Wellpoint Iowa, Inc. (formerly Amerigroup Iowa, Inc.)

  • Medicaid MCO