What plans do we accept?
We work with a variety of insurance policies, including commercial insurance plans such as employer-sponsored group plans, individual policies and private insurance purchased through the health insurance marketplaces established by the Affordable Care Act. Most Cancer Treatment Centers of America® (CTCA) facilities also work with Medicare and Medicare Part C (Medicare Advantage HMOs and PPOs) and, in some cases, Medicaid. Additionally, we accept some U.S. Department of Veterans Affairs and TRICARE plans. See a sample of insurance providers we work with.
Because of the complexity involved in how insurance plans are designed, the best way to understand your coverage at a CTCA® hospital or Outpatient Care Center is to contact one of our Oncology Information Specialists.
Insurance verification process
If you are interested in learning more about becoming a patient at CTCA, contact us to begin the insurance verification process. After we obtain your insurance policy information, we will conduct a preliminary check to determine how your insurance plan benefits might work and, if possible, schedule an appointment—all during the same phone call. If we need to investigate further, we will get back to you within 24 hours. Once your benefits have been confirmed, an Oncology Information Specialist will review the details of your insurance plan’s coverage and answer questions you may have.
Scheduling an appointment
If we were able to confirm how your benefits will work at CTCA and you are interested in coming to one of our hospitals or Outpatient Care Centers for a consultation or to begin treatment, we will schedule your initial appointment. If you are traveling from outside the area, our travel coordination team will assist you in making those arrangements. Learn more about what to expect when traveling to CTCA.
If your insurance plan was not approved at the CTCA location of your choice, we can explore your benefits at another CTCA hospital or Outpatient Care Center upon your request. If your insurance plan works with another CTCA hospital location and you decide to come for a consultation, we’ll let you know how we may be able to assist you with arranging travel.
Most insurance companies require pre-certification prior to coming to CTCA. Pre-certification involves pre-approval from your insurance plan for specific services. Our representatives will attempt to complete the pre-certification process on your behalf.
CTCA will bill your insurance plan for treatment you receive, and you will be responsible for any co-pays, coinsurance or deductibles and amounts not paid by your insurance plan. Throughout your treatment, our representatives will assist you in resolving insurance or payment-related issues.
Insurers we work with
Listed below is a sample of the insurance providers that cover treatment at CTCA. The list is not all-inclusive, and plans may vary by location and other factors. CTCA participation with any product or insurance plan is subject to change without notice. It is also important to note that insurance companies offer a variety of plans and may change the names and benefits at any time. Your coverage depends on the specific benefits outlined in your plan.
If you don’t see your provider on this list, your treatment may still be eligible for coverage. Call or chat now.
- 6 Degrees
- Accel Network
- Americas Choice Provider Network
- Arizona Foundation for Medical Care
- Blue Cross Blue Shield
- Blue Cross Blue Shield of Arizona
- Blue Cross Blue Shield of Illinois
- Blue Cross Blue Shield of Georgia
- Benefit Management Inc
- CNIC Network
- EAGCS (CMN)
- Evolutions Healthcare Systems
- First Health
- Fortified Provider Network
- Global Excel Management
- Global Third Party Administrators
- Golden Triangle
- Health Management Network
- Health Options Worldwide
- Health Payment Systems
- Healthcare Solutions Group
- Healthsmart Holdings
- Horizon New Jersey
- Independent Medical Systems (IMS)
- InterWest Health
- Medical Home Exchange
- MediNcrease Health Plan
- Midlands Choice
- Highmark Blue Cross Blue Shield of West Virginia
- Multiplan (PHCS, Savility, Beech)
- MultiPlan International
- New World Medical
- NX Health Network
- Presbyterian Health Systems
- Prime Health Services
- Quality Health Management
- Stratose (NPPN/Plancare Am, Coalition Am, HFN)
- Three Rivers Provider Network
- United Claim Services
- USA MCO
- World Trade Center Health Program