Skip to Content

Managed Care Contracts

Thank you for choosing Spartanburg Regional Healthcare
System as your provider of medical services. We strive to
ensure our patients understand they have options when choosing a health
plan. We contract with almost 100 percent of the more prominent health
plans in our region. Please check with your healthcare plan to verify your
coverage before scheduling services. This list is subject to change.
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. Should you choose to receive services outside
of your network, your insurer may hold you responsible for all charges
provided outside of your network.


PARTICIPATING PLANS

Updated May 2016

Commercial Plans

  • Aetna
    • CareLink
    • Choice POS
    • Choice POS II
    • Elect Choice
    • Health Network Only
    • Health Network Option
    • Limited Benefits Insurance Plan (PPO)
    • Managed Choice POS
    • Open Access Aetna Select
    • Open Access Elect Choice
    • Open Access Managed Choice
    • Open Choice PPO
    • Quality Point of Service
    • Select
    • Traditional Choice
    • Voluntary Group Medical Plan (Indemnity Plan)
  • Beech Street
  • BlueChoice Health Plan – Carolina Advantage
    • Advantage Plus
    • Advantage Plus HDHP
    • Business Advantage
    • Business Advantage HDHP
    • Carolina Advantage Plus HDHP
    • MyChoice Individual Coverage HDHP
    • MyChoice Open Access – HDHP and Value Plan
  • BlueCross BlueShield of SC – Business BlueEssentials
    • Commercial Network Open Access (PPO)
    • Preferred Blue Network
    • Preferred Blue Network FEP
    • State Health Plan (SHP)
  • BlueCross BlueShield of North Carolina – Medical Group of Carolinas North Carolina Practices Only
  • ChoiceCare Network PPO (Humana)
  • CIGNA (includes Great West Healthcare) – GWH-CIGNA Open Access Plus
    • Choice Fund Open Access Plus
    • CIGNA Healthcare PPO
    • HMO (or POS)
    • Indemnity
    • Network Open Access
    • Open Access Plus
    • POS (or HMO) Open Access
    • PPO
  • Community Health Partners
  • Coventry – Coventry Healthcare of the Carolinas
    • Coventry National
    • First Health
  • Employers Health Network
  • Evolutions Healthcare Network
  • Health Net
  • Inman Mills
  • Integrated Health Plan
  • Jehovah’s Witnesses (ROJW) - Spartanburg Medical Center Only
  • MedCost and MedCost Ultra
  • Multiplan
  • NovaNet PPO
  • Private Healthcare Systems (PHCS)
  • Provider Select, Inc.
  • Spartanburg Regional Healthcare System Employee Plan
  • Three Rivers Provider Network (TRPN)
  • Tricare (Standard, Prime and Tricare for Life)
  • United Healthcare
    • Charter
    • Charter Balanced
    • Charter Plus
    • Choice
    • Choice Plus
    • Core and Core Essentials
    • Health Savings Account
    • Indemnity
    • Navigate
    • Navigate Balanced
    • Navigate Plus
    • OneNet PPO (hospital only)
    • Options PPO
    • Select
    • Select Plus
    • Simply Engaged
    • Simply Engaged Plus
    • UnitedHealthcare Edge
    • UnitedHealthcare Heritage
    • UnitedHealthcare Options Non-Differential PPO
  • USA Managed Care Organization (USA MCO)

Health Insurance Marketplace Health Plans

  • Aetna CareLink (sold in Greenville only, SRHS 2nd tier)
  • BlueCross BlueShield of SC BlueEssentials
  • BlueChoice BlueOption

Medicare Advantage Health Plans

  • America’s 1st Choice PFFS, PPO, HMO
  • BlueCross BlueShield of South Carolina
  • BlueCross BlueShield of North Carolina – Medical Group of Carolinas North Carolina practices only
  • Cigna HealthSpring
  • Humana
  • WellCare

Medicare and Medicaid Combination Health Plans

  • Advicare Advocate (Healthy Connections Prime)
  • First Choice VIP Care PLUS (Healthy Connections Prime)
  • WellCare

Medicaid Health Plans

  • Advicare
  • First Choice (Select Health)
  • Molina Healthcare
  • WellCare

Mental Health and Substance Abuse Networks

  • American Mental Health Network - MGC Psychiatry Only
  • APS Healthcare
  • Companion Benefit Alternatives
  • Comprehensive Behavioral Health Care
  • Magellan Behavioral Health
  • Tricare – Value Options
  • United Behavioral Health
  • Value Options Commercial - Spartanburg Medical Center Only

Workers’ Compensation Networks

  • CompCare – Key Risk – Rehab only
  • Corvel – Rehab and Occupational Health Only
  • MedRisk – Rehab Only

NON PARTICIPATING PLANS

If you choose to receive care at Spartanburg Regional Healthcare System hospitals and/or Medical Group of the Carolinas physician offices, you should not enroll in the following plans as your out of pocket cost could be significantly higher.

Commercial Health Plans

  • BlueCross BlueShield of South Carolina – Business BlueExclusive Upstate I
  • BlueChoice – Business Advantage Select Upstate I
  • Cigna LocalPlus

Medicare Advantage Health Plans

  • Aetna
    • Aetna Medicare Plan (HMO)
    • Aetna Medicare Prime Plan (HMO)
    • Medicare Plan (PPO)
    • Medicare Prime Plan (PPO)
    • Open Access
  • Coventry Medicare – Advantra HMO / Advantra PPO
  • United Healthcare / Care Improvement Plus
    • AARP Medicare Complete
    • Care Improvement Plus Dual Advantage
    • Care Improvement Plus Gold Rx
    • Care Improvement Plus Medicare Advantage PPO
    • Care Improvement Plus Silver Rx
    • Medicare Supplement Plans
    • United Healthcare Nursing Home Plan

Medicare and Medicaid Combination Health Plans

  • Absolute Total Care (Healthy Connections Prime)
  • Molina Dual Options (Healthy Connections Prime)

Medicaid Health Plans

  • Absolute Total Care
  • BlueChoice HealthPlan Medicaid
  • Healthy Opportunity Greenville

BILLING INFORMATION: KNOW YOUR BENEFITS

  • Obtain proper authorization for services, submit referral or claim forms, fill out a coordination of benefits form, if necessary. Also, know that many insurance plans require patients to pay a co-payment or deductible amount that may be due at the time of registration, service or discharge. You are responsible for paying copayments required by your insurance provider to Spartanburg Regional Healthcare System. In addition to insurance cards and authorization forms, we may ask for a driver’s license or other identification. Let us know if your personal or insurance information has changed since your last visit.
  • Insurance benefits are the result of your contract with your insurance company. We are a third-party to those benefits and may need your help with your insurance company in order to ensure your claim is paid correctly and in a timely manner.

Our billing offices are staffed 8:30 a.m. – 5 p.m. If you have any questions or concerns about a bill, call:

  • Hospital Billing Customer Service—864-560-4123
  • Physician Billing Customer Service—864-560-4304 or 877-596-2455 (toll free)

You may also pay your bill online.

Online Bill Pay

Was this page helpful?

Yes
No

Thank you for your feedback!

Thank you for your feedback and helping us to improve our website.
There will be no additional response.

Upcoming Events

Stay Connected!

Get the latest news on the health topics that matter most to you.  Sign up