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Insurance

About

About

It is always a good idea to confirm coverage and restrictions with your insurance provider prior to visits and procedures.

Thank you for choosing Spartanburg Regional Healthcare System. We strive to ensure that our patients understand their options when choosing a health plan.

We contract with the majority of health plans in our region. Please check with your healthcare plan to verify your coverage before scheduling services. This list is subject to change.

  • 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 a.m. – 5 p.m., Monday - Friday. If you have any questions or concerns about a bill, call 864-596-1001 or 800-281-5346

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.

Choosing Your Health Insurance Plan

Participating Plans

Participating Plans

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)
    • Aetna Premier Care Network (APCN)
    • Aetna Premier Care Network Plus
    • Coventry National
    • First Health
    • Bariatric Institute of Quality
  • Beech Street
  • BlueChoice Health Plan
    • Primary Choice
    • 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 South Carolina
    • Business BlueEssentials
    • Commercial Network Open Access (PPO)
    • Preferred Blue Network
    • Preferred Blue Network FEP
    • State Health Plan (SHP)
  • BlueCross BlueShield of North Carolina – North Carolina practices only
  • ChoiceCare Network PPO (Humana)
  • CIGNA
    • GWH-CIGNA Open Access Plus
    • Choice Fund Open Access Plus
    • CIGNA Healthcare PPO
    • Health Maintenance Organization (HMO) Open Access or Point of Service (POS) Open Access
    • Network Open Access
    • Open Access Plus
    • POS (or HMO) Open Access
    • PPO
  • Employers Health Network
  • Evolutions Healthcare Network
  • 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
    • Value Plan
    • Choice Plan
  • Three Rivers Provider Network (TRPN)
  • UnitedHealthcare
    • UnitedHealthcare Choice and Choice Plus
    • UnitedHealthcare Core and Core Choice Plus
    • UnitedHealthcare Select and Select Plus
    • UnitedHealthcare Options PPO
    • UnitedHealthcare Navigate®
    • UnitedHealthcare Charter
    • UnitedHealthcare Insurance Company of the River Valley
    • OneNet PPO (hospital only)
  • USA Managed Care Organization (USA MCO)

State Health Plans

  • State Health Plan-SC
  • State Health Plan-NC

Medicaid Health Plans

  • First Choice (Select Health)
  • Healthy Blue
  • Molina Healthcare
  • WellCare
  • Absolute Total Care

Medicare Advantage Health Plans

  • Aetna
    • Aetna Medicare Essential Plan (PPO)
    • Aetna Medicare PPO
    • Aetna Medicare Premier Plan (PPO)
  • America’s 1st Choice HMO
    • AFC Care RX
    • AFC Special Care RX
  • BlueCross BlueShield of South Carolina
    • BlueCross Total PPO
  • BlueCross BlueShield of North Carolina – North Carolina practices only
  • Bright Health
  • Cigna Medicare (aka Cigna Healthspring)
    • Preferred
    • Advantage
    • PreferredPlus
    • Preferred Part B savings
  • Humana
    • Gold Plus
    • Gold Plus SNP-DE
    • Gold Choice
    • HumanaChoice
  • UnitedHealthcare
    • AARP Medicare Complete HMO
    • Care Improvement Plus Medicare Advantage PPO
    • Care Improvement Plus Gold Rx LPPO
    • Care Improvement Plus Silver Rx RPPO SNP
    • Care Improvement Plus Gold Rx RPPO SNP
    • Care Improvement Plus Medicare Advantage RPPO
    • Care Improvement Plus Dual Advantage RPPO
    • Medicare Select
    • United Healthcare AARP Medicare Advantage
  • WellCare
    • Wellcare Elite
    • Wellcare Plus
    • Wellcare Compass
    • Wellcare Value
    • Wellcare Access
    • Wellcare Advance
    • Wellcare Premier
    • Wellcare Prime
    • Wellcare Absolute
    • Wellcare Flex Complete
  • Molina Healthcare
    • Molina Medicare Complete Care
  • Select Health Medicare
  • Absolute Total Care Medicare

Medicare and Medicaid Combination Health Plans

  • First Choice VIP Care PLUS (Healthy Connections Prime)
  • Molina Dual Options

Tricare

  • Humana Military (Standard, Prime and Tricare for Life)

Mental Health and Substance Abuse Networks

  • American Mental Health Network - MGC Psychiatry only
  • Beacon PsychCare
  • Companion Benefit Alternatives
  • Comprehensive Behavioral Health Care
  • Magellan Behavioral Health
  • Tricare – Value Options
  • Value Options Commercial - Spartanburg Medical Center only

Workers’ Compensation Networks

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

If you don’t see your insurance plan on this list, please contact your health plan for benefits & eligibilities. For any questions please call 864-560-4060.

Non-Participating Plans

Non-Participating Plans

  • Advanced Medical Pricing Solutions (AMPS)
  • Advanced Medical Strategies (AMS)
  • Context4Healthcare
  • EBSO
  • Elap Services
  • HealthJoy
  • HS Technologies (HST)
  • Payer Compass
  • Petra Insurance Group
  • Phia Group
Know Your Benefits

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 co-payments 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.

You may also pay your bill online.

News & Highlights

News & Highlights

There are more Medicare insurance options available than ever before. The Medicare Plan Comparison and Enrollment Center is a free service standing by to help.