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Pelham Medical Center has contracts with the following managed health care plans:

This list is subject to change.  Please check with your health care plan to verify coverage before scheduling services. 

Please note that your health plan may require you to schedule certain services (such as lab work, physical therapy, imaging, etc.) at select locations in your network other than within the Spartanburg Regional Healthcare System.  Your insurer may hold you responsible for charges for services provided outside of that network.

We also participate with traditional Medicare and Medicaid.

MANAGED CARE CONTRACTS

December 2013

Aetna PPO/POS/EPO
Beech Street
BlueChoice HealthPlan
BlueCross BlueShield of SC (PPC)
BCBS State Health Plan
Carolina Care Plan
Choice Care PPO (Humana)
CIGNA (including Great West Healthcare)
Community Health Partners
Coventry Healthcare (includes First Health and Mail Handlers)
Coventry Healthcare of the Carolinas  (Wellpath HMO)
Evolutions Healthcare
Inman Mills
Integrated Health Plan
MedCost (includes American Healthcare Alliance)
NovaNet, Inc.
Provider Select, Inc.
Spartanburg Regional Healthcare System Employee Plan
SuperMed PPO
Three Rivers Provider Network (TRPN)
Tricare (Standard, Prime and Tricare for Life)
United Healthcare
USA Managed Care Organization (USA MCO)

Health Insurance Marketplace

CoventryOne Carelink

Medicare Advantage Contracts

America’s 1st Choice
BCBSSC- Medicare Blue
Cigna HealthSpring – Effective 1/1/2014
Humana Medicare Advantage – Effective 11/1/2013
First Choice VIP Care
Windsor Health Plan – TERMINATES 12/31/2013

Medicaid HMO and Medical Home Network Contracts

Advicare
First Choice (Select Health)
Palmetto Physician Connections (Plan ends 12/31/2013)
South Carolina Solutions (Plan ends 12/31/2013)