Insurance List for OSPI and Board Certified East Valley joint replacement surgeons
*Our list gets added to frequently – if yours is not listed please call to see if it has been added!
Aetna:
- Aetna Affordable Health Choices® limited benefits insurance plan (SRC only)
- Aetna Choice® POS (Aetna HealthFund®)
- Aetna Choice® POS (Open Access)
- Aetna Choice® POS II (Aetna HealthFund®)
- Aetna Choice® POS II (Open Access)
- Aetna DC Bronze, Silver and Gold OAMC
- Aetna Health Network Only(℠) (Open Access)
- Aetna Health Network Option(℠) (Open Access)
- Aetna HealthFund® Aetna Health Network Only(℠) (Open Access)
- Aetna HealthFund® Aetna Health Network Option(℠) (Open Access)
- Aetna MD Bronze, Sliver and Gold OAMC
- Aetna Medicare℠ Plan (HMO / Open Access HMO)
- Aetna Medicare℠ Plan (PPO)
- Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
- Aetna Open Access® Managed Choice® POS (Aetna HealthFund®)
- Aetna Performance Network Providers
- Aetna Select(℠)
- Aetna Select(℠) (Open Access)
- Aetna Voluntary Plans
- Aetna Whole Health℠ – Mercy Health (OH)
- Aetna Whole Health℠ – SCCIPA (CA)
- Elect Choice® EPO
- Elect Choice® EPO (Open Access)
- HMO
- HMO (Open Access)
- Managed Choice® POS
- Managed Choice® POS (Open Access)
- NYC Community Plan(℠)
- National Advantage™ Program
- Open Access Aetna Select(℠) (Aetna HealthFund®)
- Open Choice® PPO
- Open Choice® PPO (Aetna HealthFund®)
- PCP Referral Plan (TX members only)
- QPOS®
Arizona Foundation
BCBS:
- HMO
- Indemnity
- Select PPO
- Senior Preferred/Medicare Supp
- Statewide PPO/EPO
- Workers Compensation
- HMO
- Indemnity
- Select PPO
- Senior Preferred/Medicare Supplement
- Statewide PPO & EPO
- Workers Compensation
- Any health plan that states on insurance card “Preferred Provider Network is BCBS” would be considered In-network for Dr. Clouse
- NO BLUE ALLIANCE PLANS!!
Cigna:
- Network
- HMO
- POS
- Open Access Plus
- OA Plus
- Choice Fund OA Plus
- PPO
- Choice Fund PPO
HealthNet:
- Health Insurance Marketplace: HMO, PPO/HSA (NO COMMUNITY CARE PLANS)
- Standard Medical Plan: HMO, POS, PPO/HSA
Humana:
- PPO, Choice Care Network PPO
- Medicare PPO Network
Medicare:
- Medicare Part B
- Railroad Medicare
- DME Supplier
UHC:
- AARP Medicare Complete HMO
- Lifeprint
- UHC Medicare Advantage PPO
- UHC Medicare Advantage HMO
- Commercial Plans: HMO, PPO, POS
- Options PPO
US Dept of Labor – FECA
WPS Tricare for Life
OTHER NETWORKS:
- BEECHSTREET PPO
- BEECHSTREET WORK COMP
- CORVEL PPO
- FORTIFIED PPO
- THREE RIVERS PPO
- MULTIPLAN/PHCS PPO
- COVENTRY/FIRST HEALTH NETWORK