2025 Insurance Update

Tanner Health providers participate in many health insurance plans and provider networks for various types of coverages. This site provides basic information to educate you about recent managed care plan changes along with what insurance plans Tanner providers participate.

The primary change occurring Jan. 1, 2025, is that Tanner Health providers will no longer be Participating Providers with Humana Medicare Advantage PPO. You can find specific information related to this change at Humana Insurance Update - Tanner Health.

WHAT YOU NEED TO KNOW

What are Original Medicare and Medicare Advantage?

Original Medicare is federal health insurance for people aged 65 and older and others under 65 with certain disabilities or conditions. Medicare Supplement Insurance (Medigap) can be purchased from many insurance companies to lower a Medicare beneficiary's share of out-of-pocket costs in Original Medicare.

Medicare Advantage plans are offered by a private Medicare insurance plan that contracts directly with the government as an alternative to Original Medicare. Medicare Advantage plans still require beneficiaries to pay the Medicare Part B premium, and there could be an additional premium based on the plan. The plan determines the deductibles and copays along with an annual out-of-pocket limit. The plan may also utilize a Provider Network that may differentiate benefits and out-of-pocket expenses based on utilization of a Participating or Non-Participating Provider or may not cover services provided by Non-Participating Providers.

What is open enrollment for Original Medicare and Medicare Advantage?

Every year, open enrollment runs from Oct. 15 to Dec. 7, and changes made go into effect on Jan. 1 of the following year. People can review plans offered in their area and make changes to their Medicare coverage. These changes can include switching from Original Medicare to a Medicare Advantage plan (or vice versa), switching between Medicare Advantage plans and electing or switching Medicare Part D prescription drug plans.

Medicare Advantage enrollees also can change plans or switch to traditional Medicare between Jan. 1 through March 31, which is called the Medicare Advantage Open Enrollment Period.

If you miss these windows to make updates, you may have to wait until the next enrollment period to make any changes.

Which Medicare Advantage plans does Tanner Health accept?

While Tanner will no longer be a Participating Provider with the Humana Medicare Advantage PPO plan as of Jan. 1, 2025, there are other Medicare Advantage plans in which Tanner participates.

Below is a list of Tanner-participating Medicare and Medicare Managed Plans to refer to during your open enrollment.

If you have additional questions and want to speak with a Tanner representative about Tanner’s participation in your health plan or Medicare options, call 770-812-8752 or email medicare@tanner.org for assistance.

Please contact your insurance provider or your company benefits manager with any specific questions about your coverage.

Have more questions?
You'll find Tanner's FAQ on insurance here.

Managed Care PLAN Participation: January 2025

Tanner Health Hospitals and Tanner Medical Group practices participate in the following

medical health plans as of January 1, 2025. Tanner Health does not guarantee participation with
all insurance plan products, which may be defined by the insurance payer. Please verify with the
insurance payer to confirm participating status.

Tanner will provide services to patients with insurance coverage in which Tanner does not
participate when the patient’s plan has out-of-network benefits, and the plan authorizes
the services if required. The patient may experience higher out-of-pocket expenses by utilizing
Tanner for out-of-network benefit coverage. These out-of-pocket expenses may include higher
deductibles, copayment, coinsurance, etc.

Key:

Yes: Contracted/Participating
No: Not Contracted/Non-Participating

Medicare Plans⁵

	Tanner Georgia Hospitals	Tanner East Alabama Hospital	Tanner Medical Group - Georgia	Tanner Medical Group - Alabama
Original Medicare	Yes	Yes	Yes	Yes
All Payer Medigap Plans (Medicare Supplement to Original Medicare)	Yes	Yes	Yes	Yes
Aetna Medicare Advantage	Yes	Yes	Yes	Yes
Anthem and/or Blue Cross Blue Shield Medicare Advantage	No	Yes	Yes	Yes
Cigna Medicare Advantage	Yes	Yes	Yes	No
Clover Health Medicare Advantage	Yes	Yes	Yes	Yes
Humana Medicare Advantage PPO	No	No	No	No
Pruitt Health Premier	Yes	Yes	Yes	Yes
United Healthcare Medicare Advantage	No	No	Yes	No

⁵ Some Medicare Advantage products have the same coverage, regardless of whether the patient
receives care from a Participating or non-Participating Provider. The product has the same patient
out-of-pocket expense (copay, deductible, etc.) for in-network and out-of-network Providers
(i.e., Georgia State Health Benefit Plan Health Plan through United Healthcare and Blue Cross).
Please review the terms of policy coverage or contact your insurance company with any specific
questions about coverage.

Commercial Insurance Plans

	Tanner Georgia Hospitals	Tanner East Alabama Hospital	Tanner Medical Group - Georgia	Tanner Medical Group - Alabama
Aetna	Yes	Yes	Yes	Yes
Anthem (BCGA) and/or Blue Cross Blue Shield Alabama	Yes¹	Yes	Yes	Yes
Cigna	Yes²	Yes²	Yes²	Yes²
First Health	Yes	Yes	Yes	Yes
Galaxy Health Network	Yes	Yes	Yes	Yes
Health One Alliance (Alliant Health Plans)	Yes	Yes	Yes	Yes
MultiPlan	No	No	Yes	No
NovaNet	Yes	Yes	Yes	Yes
PHCS	Yes	Yes	Yes	Yes
United Healthcare	Yes	Yes	Yes	Yes
VIVA Health	No	Yes	No	No

¹ Tanner Medical Center/Carrollton does not participate in the Blue Pathway Guided Access HMO,
Pathway, Blue Connection EPO (Blue HPN), BlueChoice (POS), Blue Choice Healthcare Plan,
and Blue Choice HMO.

² Tanner Health providers do not participate in the Cigna LocalPlus-related products.

Marketplace (Exchange) Insurance Plans

	Tanner Georgia Hospitals	Tanner East Alabama Hospital	Tanner Medical Group - Georgia	Tanner Medical Group - Alabama
Anthem Pathway X	Yes³	No	Yes	Yes³
Blue Cross Blue Shield of Alabama	No	Yes	No	Yes
Health One Alliance (Alliant Health Plan - Solocare)	Yes	Yes	Yes	Yes

³ Tanner Medical Center/Carrollton and Tanner Medical Group – Alabama does not participate
in the Pathway X Guided Access HMO-related products.

Medicaid Managed Care Plans

	Tanner Georgia Hospitals	Tanner East Alabama Hospital	Tanner Medical Group - Georgia	Tanner Medical Group - Alabama
Amerigroup	Yes	No	Yes⁴	No
CareSource	Yes	No	Yes	No
Peach State (Centene)	Yes	Yes	Yes	No

⁴ Tanner Urgent Care does not participate in Amerigroup.

Questions?

If you have a question about what your current
insurance plan covers or which hospitals or
medical offices accept it,
contact your insurance provider.

If you have a question about your employer-
provided insurance plan or about how it compares
to other plans that may be offered,
contact your company's benefits department.