Participating Insurance Plans

The Nebraska Medical Center participates with several insurance plans and/or networks. Please verify, prior to receiving treatment, that The Nebraska Medical Center is an in-network facility. It is also important patients verify that all physicians providing care are contracted with his/her plan. Hospital services may be contracted however some physicians who provide services at The Nebraska Medical Center may not be. It is the patient's responsibility to know which providers are in his/her plan.

The insurance plans listed below are contracted for general services only. Please click here for a list of plans contracted specifically for transplants.

Current as of 10-26-2007

AARP MedicareComplete provided by SecureHorizons

UnitedHealthcare's Medicare Advantage plan.

Advantra from Coventry Health Care

Coventry's Medicare Advantage plan effective 01-01-08.

Aetna

Not directly contracted. See Midlands Choice for additional information.

BCE Emergis

See Multiplan.

Beech Street

Not directly contracted. See Healthcare Preferred for additional information.

Blue Cross Blue Shield of Nebraska

• Blue Traditional (Indemnity)
• BlueClassic (Indemnity)
• Blue Preferred (PPO)
  • Out-of-state PPO plans have access to network providers.
• Blue Pride (PPO)
• Heartland Comp (Managed Workers Compensation)
• MedicareBlue PPO (Regional Medicare Advantage PPO)

CCN

PPO network

Century Health Solutions

PPO network

Cigna

Not directly contracted. See Midlands Choice for additional information.

Community Care Partners

Contracted for Faith Regional Health benefit plan only.

Community Health Plan

PPO & HMO

Corvel

PPO and Workers Compensation

Coventry Health Care of Nebraska / Coventry Health & Life Insurance Company

• Advantra from Coventry Health Care (Medicare Advantage plan effective 01-01-08)
• Coventry Health & Life Insurance Company (PPO)
  • Out-of-state PPO plans have access to network providers.
• Coventry Healthcare (HMO)
• Coventry Healthcare (HRA Tier 1)
• Coventry Healthcare (POS)
• Coventry Healthcare (Open Access)
• Coventry Healthcare (Coventry One-individual product)

Coventry National Network (formerly known as First Health Direct)

PPO network

Definity Health

Must access a contracted plan/network to be considered in-network. Check ID card for network.

Exclusive Healthcare

See Mutual of Omaha

First Health

PPO network

First Health Direct

See Coventry National Network

Golden Rule

Must access a contracted plan/network to be considered in-network. Check ID card for network.

Healthcare Preferred (HCP)

PPO network

• Beech Street is contracted ONLY if ID card includes both the Beech Street and the HCP logo.

Macori/Maksin

UNMC Student PPO Health Plan.

Magellan

Contracted for Nebraska Medicaid recipients only.

MedicareBlue PPO

Blue Cross Blue Shield Medicare Advantage PPO Plan

Medicare Complete

See SecureHorizons by UnitedHealthcare

Midlands Choice

PPO network

• Aetna PPO, POS, Open Access Select, AHF & SRC plans access the Midlands Choice network.
• Cigna PPO, EPO & Open Access Plus plans access the Midlands Choice network.
  • Cigna plans with the "Away From Home Care" logo have access to the Midlands Choice network.

Multiplan

PPO network (acquired United Payors & United Providers, BCE Emergis and ProAmerica).

Mutual of Omaha

• Mutually Preferred (PPO)
• Exclusive HealthCare, Inc. (HMO)
• Open Access (HMO)
• Open Access (POS)
• Extraordinary Care Advantage (HMO) Benefit plan for The Nebraska Medical Center employees.
• Extraordinary Care Plus (PPO) Benefit plan for The Nebraska Medical Center employees.

OHARA

Workers Compensation

Primary Care Plus

Nebraska Medicaid Managed Care Plan

Principal Financial Group/Principal Life Insurance

Must access a contracted network to be considered in-network. Check ID card for Managed Care Network/Preferred Provider Organization.

Share Advantage

Nebraska Medicaid Managed Care Plan

SecureHorizons by UnitedHealthcare

UnitedHealthcare's Medicare Advantage plan

TRICARE

• Prime (HMO/POS)
• Standard (PPO)

United Behavioral Health

Contracted for professional services only. The Nebraska Medical Center facility is not contracted.

UnitedHealthcare of the Midlands Network, Inc.

• AARP MedicareComplete provided by SecureHorizons (Medicare Advantage plan)
• Choice (Open Access)
• Choice Plus (PPO)
• Definity Health (HRA/HSA)
• Golden Rule (PPO)
• Managed Indemnity (Indemnity)
• SecureHorizons by UnitedHealthcare (Medicare Advantage plan)
• Options PPO (PPO)
• Select (HMO)
• Select Plus (POS)
• Share Advantage (Managed Medicaid)

Financial Disclaimer

The Nebraska Medical Center offers the information on this Web site for general informational purposes only. Such information is subject to change without notice and changes may not be reflected on the Web site. While The Nebraska Medical Center has endeavored to make sure the information contained in this site is accurate, The Nebraska Medical Center does not guarantee the accuracy of such information, and it is provided without warranty or guarantee of any kind. Inclusion of such information is not a guarantee of coverage by any provider or for any services. Therefore, it is important that you verify provider participation and benefit coverage with your health plan or your plan administrator directly since provider network participation and covered services are subject to change.

The Nebraska Medical Center assumes no liability for any direct, indirect or other damages arising out of the use of this Web site.

If you have any questions regarding The Nebraska Medical Center’s participation in your health plan please contact the Managed Care department at (402) 559-2934 or email us. The Managed Care department is available Monday through Friday from 8:00 AM until 5:00 PM.