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Insurance Information

We know you’d rather be home—that’s why at CHI 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.

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

This payor list is current as of November 1, 2019. It is important to check with your payor to confirm your coverage.

 

COMMERCIAL
  • Aetna
    • EPO
    • POS
    • PPO
    • Open Access
  • Ambetter by Superior HealthPlan (Marketplace/Exchange)
  • Beech Street (A MultiPlan Network)
  • Blue Cross and Blue Shield
    • Blue Advantage HMO (Marketplace/Exchange)
    • Blue Choice PPO
    • Blue Essentials (formerly HMO Blue)
    • Blue Essentials Access
    • ParPlan
  • Cigna
    • HMO
    • LocalPlus
    • Open Access
    • PPO
  • Coventry / First Health (An Aetna Company)
  • Entrust
    • Keating Auto Group
  • FirstCare Health Plans
    • HMO
    • PPO
  • Galaxy Health Network
  • Great-West HealthCare (GWH-Cigna Network)
  • HealthSmart
  • Humana
    • ChoiceCare PPO
    • EPO
    • HMO
    • POS
    • PPO
  • Humana Military – TRICARE East Region
    • TRICARE Prime Remote
    • TRICARE Select
    • TRICARE for Life
  • Independent Medical Systems (IMS)
  • Molina Healthcare of Texas (Marketplace/Exchange)
  • MultiPlan
  • Nexcaliber
  • NX Health Network (NXHN)
  • Private Healthcare Systems (PHCS/Multiplan)
  • Provider Select
  • Three Rivers Provider Network
  • TriWest
    • VAPC3
  • UnitedHealthcare
    • Charter
    • Choice
    • Choice Plus
    • Core
    • Navigate
    • Options PPO
    • Select
  • USA Managed Care Organization (USA MCO)
MEDICARE
  • Blue Cross and Blue Shield
    • HMO
    • PPO
  • Humana Medicare Advantage
    • PFFS
    • PPO
  • Molina Healthcare of Texas
    • MMP
    • Options
    • Options Plus
  • Traditional Medicare
    • Part A
    • Part B
  • UnitedHealthcare Medicare Advantage
    • United AARP Medicare Complete
    • UnitedHealthcare Medicare Gold/Silver
    • UnitedHealthcare Dual Complete
    • Erickson Advantage Plans
    • UnitedHealthcare MedicareComplete Choice
MEDICAID
  • Amerigroup
    • CHIP
    • STAR
    • STAR+Plus
  • Blue Cross and Blue Shield
    • CHIP
    • STAR
    • STAR Kids
    • STAR+Plus
  • Molina Healthcare of Texas
    • CHIP
    • CHIP Perinate
    • STAR
    • STAR+Plus
  • Superior HealthPlan
    • CHIP
    • CHIP Perinate
    • Foster Care
    • STAR
    • STAR+Plus
  • Traditional Medicaid
  • UnitedHealthcare Community Plan
    • STAR
    • STAR Kids
    • STAR+Plus
WORKERS’ COMP
  • Beech Street
  • CorVel
  • Coventry
    • American International Group Health Care Network (AIG)
    • Constitution State Services LLC Health Care Network
    • Liberty Mutual Health Care Network
    • Texas Star Network (Texas Mutual Insurance)
    • The Hartford Workers Compensation Health Care Network
    • Travelers Health Care Network
    • Zenith Health Care Network
  • Galaxy Health Network
  • Injury Management Organization (IMO) Med-Select Network
    • State Office of Risk Management
  • Multiplan
  • Political Subdivision of Workers Compensation Alliance (PSWCA/The Alliance)
    • Texas Association of Counties Risk Management Pool
    • Texas Association of School Boards Risk Management Fund
    • Texas Council Risk Management Fund
    • Texas Municipal League Intergovernmental Risk Pool
    • Texas Water Conservation Association Risk Management Fund
  • Prime Health Services, Inc.
  • Rockport Healthcare
SPORTS INJURY
  • Health Special Risk
  • Lonestar Athletic Injury Network
    • Student Assurance Services
  • Texas Kids First
    • Universal Fidelity Life Insurance Company
    • Unified Life Insurance Company

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