COMMERCIAL PLANS
Aetna/Coventry (HMO/POS/PPO)
Aetna’s Aexcel Network only includes physicians in select specialties who meet Aetna’s criteria for clinical quality and efficiency.
Alliant Health Plans
Effective 1/1/21 Alliant expansion includes Columbus and Athens
Anthem BCBS of GA (HMO/POS/PPO)
Excludes Pathway & Medicare Advantage
Beech Street (PPO)
Cigna (HMO/POS/PPO/Local Plus)
Includes Cigna + Oscar Product
Galaxy Health Network (PPO)
Only in network with Piedmont Mountainside and Piedmont Newton hospitals.
Humana (HMO/POS/PPO)
Kaiser
Network open for Columbus Market only
LifeWell (HealthScope)
National Preferred Provider Network (PPO)
Only in network with Piedmont Mountainside and Piedmont Newton hospitals.
NovaNet (PPO)
Excludes Piedmont Athens and Piedmont Columbus hospitals.
PHCS/MultiPlan (PPO)
Excludes Piedmont Athens Regional hospital.
Prime Health
Includes only Piedmont Rockdale Hospital.
United Healthcare (HMO/POS/PPO)
Excludes Medicare Advantage
MARKETPLACE/EXCHANGE PLANS
Alliant Health Plans SoloCare (PPO)
Effective 1/1/21 Alliant expansion includes Columbus and Athens.
Ambetter
Anthem BCBS of GA Pathway
Includes only Piedmont Columbus Midtown and Piedmont Columbus Northside hospitals.
CareSource Marketplace
Kaiser Exchange (HMO)
Includes grandfathered PCPs and OB/GYNs who opted-in in 2018.
MEDICARE ADVANTAGE PLANS
Aetna Coventry
Anthem BCBS of GA Medicare Advantage (MediBlue)
Only in network with Piedmont Columbus Midtown and Piedmont Northside hospitals.
Caresource Medicare Advantage
Effective 1/1/2021
Cigna Healthspring
Clover Health Medicare Advantage
Effective 1/1/2021
Georgia Health Assurance Medicare Advantage
Humana Medicare Advantage
Kaiser Medicare Advantage
Med-Care Advantage Select
Only in network with Piedmont Rockdale hospital.
Peach State (Allwell)
Only in network with Piedmont Walton and Columbus hospitals. Only in network with Columbus MyHealth physicians who joined the Clinic and previously participated in AllWell.
Positive Healthcare Partners
Excludes Piedmont Walton and Piedmont Columbus hospitals.
Pruitt Health Premier
Excludes Piedmont Columbus hospitals.
Sonder Medicare Advantage
Effective 1/1/2021
Therapy Network of GA/Wellcare (PT,OT,ST)
Only in network with Piedmont Rockdale, Newton, and Columbus hospitals.
WellCare Medicare Advantage
Only in network with Piedmont Rockdale hospital.
MANAGED MEDICAID CMO PLANS
Amerigroup
Only Employed TINs.
CareSource Medicaid
Peach State Medicaid
Effective 1/1/21, Peachstate Medicaid will be available to all Clinic physicians.
Therapy Network of GA/Wellcare (PT,OT,ST)
Only in network with Piedmont Newton, Rockdale, Walton, and Columbus hospitals.
WellCare Medicaid
VETERANS AFFAIRS & CIVILIAN MILITARY PLANS
Optum VA Community Care Network
Effective 10/1/2020. No longer administered by TriWest.
Tricare Prime HMO
(referrals required)
Tricare Select PPO
(no referrals)
