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Insurance Information

Updated as of January 6, 2023

We know you’d rather be home—that’s why at St. Joseph Health Madison Hospital, we strive to create an environment where you can be as comfortable as possible and still completely heal. Our 25-bed critical access hospital offers a Level IV Trauma Center, inpatient and outpatient services, physical therapy, emergency care, imaging services, laboratory and more.

St. Joseph Health Madison Hospital works with the following payors.

This payor list is current as of January 10, 2022. It is important to check with your payor to confirm your coverage.

A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z

A

Aetna

·         HMO/Open Access

·         POS

·         PPO

·         Worker's Comp

Ambetter

·         Exchange EPO

Amerigroup

·         Medicaid STAR

·         Medicaid STAR + PLUS

·         CHIP

        Amerigroup

·         Medicare Advantage (Classic HMO, Select, DSNP)

B

Beech Street

·         PPO

·         Workers’ Comp

Blue Cross Blue Shield of Texas

·         PPO

·         POS

·         Indemnity

·         Blue Medicare Advantage (All Products)

·         Blue Essentials (HMO)

·         Blue Premier

·         Blue Advantage HMO (Marketplace/Exchange Only)

·         Medicaid STAR

·         Medicaid STAR + PLUS

·         CHIP

·         Star Kids

C

Centivo

·         ELLWOOD Group

Cigna

·         PPO

·         Open Access

·         LocalPlus

·         HMO/Network

Cigna Healthspring

·         Medicare Advantage PPO

·         Medicare Advantage HMO

CorVel

·         Workers’ Comp

Coventry/First Health

·         HMO

·         PPO

·         Workers’ Comp

G

Galaxy Health Network

·         PPO

·         Workers’ Comp

H

HealthSmart

·         PPO

Humana

·         ChoiceCare Network

·         HMO

·         POS

·         PPO

·         Medicare Advantage (All Products)

I

Independent Medical Systems

·         PPO

Injury Management Organization (IMO) Med-Select Network

·         Workers’ Comp

M

Medicaid (Traditional)

Medicare (Traditional)

·         Parts A & B

MultiPlan

·         PPO

·         Workers’ Comp

N

Nexcaliber

P

Political Subdivision of Workers Compensation Alliance (PSWCA/The Alliance)

·         Workers’ Comp

Prime Health Services

·         Workers Comp

Private Healtcare Systems (PHCS)

·         PPO

Provider Select

·         PPO

·         Workers’ Comp

R

Rockport Healthcare

·         Workers’ Comp

S

Superior Health Plan

·         Medicaid STAR

·         Medicaid STAR + Plus

·         CHIP

·         CHIP Perinate

·         Foster Care

T

Three Rivers Provider Network

·         PPO

Texas True Choice (A Multiplan Network)

·         PPO

Tricare

·         Tricare Prime Remote

·         Tricare Select

TriWest

·         Community Care Network (formerly PC3)

U

United Healthcare

·         HMO

·         Charter

·         Navigate

·         Exchange HMO

·         POS

·         PPO

United Healthcare Community Plan

·         Medicare Advantage (All Products)

·         WellMed Medicare Advantage

·         Medicaid STAR

·         CHIP

·         CHIP Perinate

·         STAR Kids

·         STAR + PLUS MMP

USA Managed Care Organization

·         PPO

V

Valenz (formerly NX Health Network)

·         PPO

St. Joseph Health Madison Hospital—because your family’s health is too important to trust to anyone else.

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