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.
Participating Plans
Commercial Plans
- Aetna
- Aetna S. Carolina Preferred
- 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 Blue Essentials
- Commercial Network Open Access (PPO)
- Preferred Blue Network
- Preferred Blue Network FEP
- Innovation Network (Novel Product)
- State Health Plan (SHP)
- BlueCross BlueShield of North Carolina – North Carolina practices only
- ChoiceCare Network PPO (Humana)
- CIGNA
- 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
- Jehovah’s Witnesses (ROJW) - Spartanburg Medical Center only
- MedCost and MedCost Ultra
- Preferred Administrators
- Spartanburg Regional Healthcare System Employee Plan
- Value Plan
- Choice Plan
- UnitedHealthcare
- All Savers Health Plan
- Heritage/United Healthcare of the River Valley
- Surest
- United Healthcare Choice and Choice Plus
- United Healthcare Choice Advanced and Choice Plus Advanced
- United Healthcare Core and Core Essential
- United Healthcare EDGE
- United Healthcare Navigate
- United Healthcare NexusACO
- UnitedHealthcare Options PPO Plans
- United Healthcare Tiered Benefit Plans
Health Exchanges
- ATC - Ambetter Exchange
- Blue Option - BlueChoice Health Plan
- Blue Essentials - BlueCross BlueShield of South Carolina
- BlueExtend Network Exclusive Provider Organization
- Blue VirtuConnect
- First Choice NEXT
- Molina Healthcare
State Health Plans
- State Health Plan-SC
- State Health Plan-NC
Medicaid Health Plans
- Absolute Total Care
- First Choice (Select Health)
- First Choice VIP Care (HMO D-SNP)
- Healthy Blue
- Healthy Horizons (Humana Medicaid)
- Molina
- SC Medicaid
Medicare Advantage Health Plans
- Traditional Medicare
- Aetna
- Aetna Medicare Premier Plus (PPO)
- Aetna Medicare Eagle (PPO)
- Aetna Medicare Primary (PPO)
- Aetna Medicare Premier (PPO)
- Aetna Medicare Value Plus (PPO)
- Aetna Medicare Dual Choice (PPO D-SNP)
- Aetna Medicare Value Plus (HMO)
- Aetna Medicare Assure (HMO D-SNP)
- Aetna Medicare Assure Flex (HMO D-SNP)
- Aetna Medicare Assure Primary (HMO D-SNP)
- BlueCross BlueShield of South Carolina
- BlueCross Total PPO
- BlueCross Total Value
- BlueCross BlueBasic
- BlueCross BlueShield of North Carolina – North Carolina practices only
- Cigna Medicare
- Cigna Preferred Savings Medicare (HMO)
- Cigna True Choice Medicare (PPO)
- Cigna Preferred Medicare (HMO)
- Cigna Courage Medicare (HMO)
- Cigna True Choice Plus Medicare (PPO)
- Devoted Health
- Devoted LIBERTY CHOICE South Carolina (PPO)
- Devoted CHOICE South Carolina (PPO)
- Devoted CHOICE GIVEBACK South Carolina (PPO)
- Devoted CORE South Carolina (HMO)
- Devoted LIBERTY CHOICE South
- Devoted PREMIUM South Carolina (HMO)
- Humana
- Gold Plus
- Gold Plus SNP-DE
- Gold Choice
- HumanaChoice
- Humana USAA Honor Giveback (PPO)
- HumanaChoice SNP-DE (PPO D-SNP)
- Humana Gold Plus Giveback (HMO)
- HumanaChoice Giveback (PPO)
- Humana Full Access (Regional PPO)
- Molina Healthcare
- Molina Medicare Complete Care
- UnitedHealthcare
- AARP Medicare Advantage Patriot (HMO-POS)(Regional PPO)
- AARP Medicare Advantage Essentials (PPO)
- AARP Medicare Advantage (HMO-POS)(PPO)(Regional PPO)
- AARP Medicare Advantage Extras (PPO)
- AARP Medicare Advantage Giveback (PPO)
- UHC Dual Complete (PPO D-SNP)
- UHC Medicare Advantage (Regional PPO)
- Wellcare
- Patriot Giveback (HMO-POS
- Simple (HMO-POS)
- Mutual of Omaha Simple Open (PPO)
- Assist (HMO-POS)
- Assist Open (PPO)
- Dual Access (HMO-POS D-SNP)
- Dual Liberty (HMO-POS D-SNP)
- Dual Liberty Open (PPO D-SNP)
- Giveback Open (PPO)
- Wellcare Prime by Absolute Total Care
Medicare and Medicaid Combination Health Plans
- First Choice VIP Care Plus (Medicare-Medicaid Plan)
- Molina Dual Options
- Wellcare Prime by Absolute Total Care
North Carolina Managed Medicaid
- Healthy Blue NC Medicaid
- WellCare NC Medicaid
Tricare & VA
- Humana Military (Standard, Prime and Tricare for Life)
- VA Community Care Network (VA CCN through Optum)
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
If you don’t see your insurance plan on this list, please contact your health plan for benefits & eligibility. For any questions please call 864-560-4060.
Non-Participating Plans
- Absolute Total Care Medicare - Allwell
- Advanced Medical Pricing Solutions (AMPS)
- Advanced Medical Strategies (AMS)
- Aetna Medicare Essential Plan (PPO)
- Aetna Medicare PPO
- Aetna Medicare Premier Plan (PPO)
- Aetna Medicare Prime
- Aetna Medicare Prime (HMO-POS)
- Amerihealth NC Medicaid
- BlueCross Secure HMO
- BCBS Blue Essentials - Cooper Network
- BCBS Blue Essentials - Reedy Network
- BCBS HIA - Bobby Jones
- BCBS HIX - Prisma Exclusive (Reedy Product)
- BCBS Medicaid - Prisma Exclusive
- Carolina Complete Health NC Medicaid
- Cigna Local Plus
- Cigna Preferred AL Medicare (HMO)
- Cigna Fundamental Medicare (HMO)
- Cigna Preferred Plus Medicare (HMO)
- Clear Spring Health
- CompCare – Key Risk – Rehab only
- Context4Healthcare
- Corvel
- EBSO
- Elap Services
- Evolutions Healthcare Network
- HealthJoy
- HS Technologies (HST)
- Lifestyle Health Plans
- MedRisk
- Multiplan/PHCS-Primary Network
- Multiplan/PHCS-Complementary Network
- Multiplan/PHCS-Limited Benefit Plan
- Multiplan/PHCS-Practitioner Only Plan
- Multiplan/PHCS-Practitioner & Ancillary Plans
- NovaNet PPO
- OneNet PPO (hospital only)
- Payer Compass
- Petra Insurance Group
- Phia Group
- Provider Select, Inc.
- Select Health Medicare
- Three Rivers Provider Network (TRPN)
- United Health Medicare Select
- United HealthCare Charter
- United HealthCare Doctors
- United HealthCare Health Exchange
- United Healthcare NC Medicaid
- United South Carolina AARP Medicare Advantage Plans
- United South Carolina Assisted Living Plans
- United South Caroling Chronic Complete Plan
- United South Carolina Dual Complete Special Needs Plans
- United South Carolina Group Medicare Advantage Plans
- United South Carolina Nursing Home Plan
- United South Carolina United Healthcare Medicare Advantage Plans
- United South Carolina United Healthcare Medicare Gold/Silver
- USA Managed Care Organization (USA MCO)
- Wellcare No Premium (HMO)
- Wellcare Dual Liberty (HMO D-SNP)
- Wellcare No Premium Open (PPO)
- Wellcare by Allwell No Premium Medicare (HMO)
- Wellcare by Allwell Dual Access (HMO D-SNP)
- Wellcare by Allwell Dual Liberty (HMO D-SNP)
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
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.