Insurance Participation

Virginia Insurance Participation

Patient First participates with all major health insurance plans. The following list should be used only as a guide as the status of the plans is subject to change. Please note the exceptions. If you are uncertain as to whether your individual health benefits plan includes receiving in-network services from Patient First, please call your insurance company.

 

Aetna

Commercial plans

  • Richmond: all covered services are in network
  • Hampton Roads: HMO services are out of network
  • Northern Virginia: all covered services are in network

Aetna Medicare Open Plan PFFS

  • Aetna Medicare HMO
  • Aetna Medicare OA HMO
  • Aetna Medicare PPO

 

Anthem Blue Cross Blue Shield

All Commercial plans

  • Richmond, Northern Virginia, and Newport News: HealthKeepers Plus services are out of network

Anthem Medicare (all plans)

 

Beech Street

 

CareFirst (BCBS)

Richmond: all services are out of area

Hampton Roads: all services are out of area

Northern Virginia: PCP and Urgent Care are in network

 

CIGNA HealthCare

 

Coventry Cares of Virginia

Urgent Care only
  

Coventry Health Care of Virginia, Inc. (formerly Southern Health)

 

Coventry National Network

 

First Health

 

Great-West Healthcare

 

Kaiser Permanente
Richmond: all services are out of network
Hampton Roads: all services are out of network
Northern Virginia: Urgent Care services (includes Medicare Plus) are in network

 

MAMSI
OneNet PPO
MAMSI Life and Health
MDIPA : not available in Tidewater
Optimum Choice

 

Medicare/Railroad Medicare (Accept Assignment)
Aetna Medicare Open Plan PFFS
  • Aetna Medicare HMO
  • Aetna Medicare OA HMO
  • Aetna Medicare PPO
Anthem Medicare (all plans)
Northern Virginia:  Kaiser Medicare Plus - Urgent Care only
UHC Henrico County Medicare - Primary and Urgent Care

 

MultiPlan/PHCS

 

Optima Family Care

Primary and Urgent Care

 

Optima FAMIS

Primary and Urgent Care 

 

Optima/Sentara
All commercial plans

 

Southern Health (Coventry Health Care of Virginia, inc.)

 

Tricare (Network Provider)

 

UnitedHealthCare

(Excludes UHC Medicare Advantage plans except UHC Henrico Medicare)

VHN