Payor Contracting

Successful managed care agreements require contract provisions that foster a successful relationship between managed care companies and health care providers. UniNet maintains various payor agreements for a variety of categories.

This is a list of payor contracts that UniNet member physicians can choose to participate in. Contract availability varies in each UniNet chapter.

Payor Contracts

 

Omaha Chapter

Lincoln Chapter

Grand Island Chapter

Kearney Chapter

Aetna

 

 

 

 

  Aetna Leap – CHI Health Omaha

X

 

 

 

  Aetna Leap – Broad

X

X

X

X

  Aetna Open Access Select

X

 

 

 

  Aetna POS II/PPO

X

 

 

 

  Aetna Signature Administrators PPO

X

 

 

 

  Aetna Whole Health CHI Health  

  Accountable Care Network

X

 

 

 

Amerigroup Iowa

Iowa Medicaid managed care plan

X

X

 

 

AmeriHealth Iowa

Iowa Medicaid managed care plan

X

X

 

 

Blue Cross Blue Shield of Nebraska 

- Network Blue plans are in-network

- Blue Choice is in-network for some plans

- CHI Health facilities and CHI Health Clinic providers are out-of-network for BCBSN SelectBlue

- Call number on the back of your card to verify coverage

X

X

X

X

Cigna

Under Midlands Choice network

X

X

X

X

CompResults

Workers’ compensation only

X

 

 

 

Corvel

Workers’ compensation only

X

X

X

X

Coventry Health Care of Nebraska

 

 

 

 

  Coventry Advantra Platinum PPO and

  Silver HMO – Medicare Advantage Plans

X

 

 

 

  Coventry First Health PPO

X

X

X

X

  Coventry Health Care of Iowa

  HMO/POS, PPO, Open Access

X

 

 

 

  Coventry Health care of Nebraska 

  (HMO/POS/PPO) Aetna

X

X

X

X

  Coventry Total Care (HMO) in

  partnership with Alegent Creighton

  Health – Medicare Advantage Plan

X

 

 

 

  Coventry Health Care National

  Network (Legacy First Health Direct

  and Mail Handlers)

X

X

X

X

First Health Rental Network

X

X

X

X

Health Net Federal Services

 

 

 

X

Heartland Plains Health

Medicare Advantage plan for residents of Douglas and Lancaster counties

X

X

X

X

Medicare and Medicare Railroad

*Not through UniNet*

X

X

X

X

MHNet

Behavioral Health

X

X

X

X

Midlands Choice Network

Multiple insurers use Midlands Choice. Look for a Midlands Choice logo on your ID card.

X

X

X

X

Nebraska Total Care

Nebraska Medicaid Managed Care Plan

X

X

X

X

OHARA

Workers’ compensation only

X

 

 

X

PACE

(Program of All Inclusive Care for Elderly)

X

 

 

 

Private Healthcare Systems (PHCS)/ Multiplan

X

X

X

X

QualChoice

CHI Health Employee Health Plan

X

X

X

X

TRICARE from UnitedHealthcare Military & Veterans

-        Prime HMO/POS

-        Standard PPO

X

X

X

X

UnitedHealthcare

 

 

 

 

  AARP/Medicare Complete

X

 

 

 

  United Behavioral Health

X

X

X

X

  UnitedHealthcare of the Midlands

X

X

X

X

  UnitedHealthcare AARP Secure

  Horizons HMO, HMO/POS, PFFS -  

  Medicare Advantage plan

X

 

 

 

  UnitedHealthcare Choice HMO

X

X

X

X

  UnitedHealthcare Choice Plus PPO

X

X

X

X

  UnitedHealthcare Community Plan

  Iowa Medicaid managed care plan

X

X

X

X

  UnitedHealthcare Community Plan  

  Nebraska Medicaid managed care plan

X

X

X

X

  UnitedHealthcare Government

  Employee Hospital Association (GEHA)

X

X

X

X

  UnitedHealthcare Medicare Solutions

X

X

X

X

  UnitedHealthcare Navigate

X

X

X

X

  UnitedHealthcare Options PPO

X

X

X

X

  UnitedHealthcare Select HMO

X

 

 

 

  UnitedHealthcare Select Plus POS

X

 

 

 

WellCare

Nebraska Medicaid managed care plan

X

X

X

X