Insurance Update for 2027

Medicare Insurance Update: 2027

Tanner Health providers participate in numerous health insurance plans and provider networks, offering a wide range of coverages. This page aims to inform you about the latest changes in managed care plans and details on the insurance plans Tanner providers work with, including Medicare supplement insurance options.

Medicare insurance: essential information

Understanding original Medicare, Medicare Advantage and Medigap insurance

Original Medicare is a federal health insurance program for individuals aged 65 and older and those under 65 with certain disabilities or conditions. Medicare supplement insurance, also known as Medigap insurance, can be purchased to help reduce out-of-pocket expenses for those with Original Medicare.

Medicare Advantage plans serve as an alternative to Original Medicare, offered by a private Medicare insurance company under government contract. These plans still require payment of the Medicare Part B premium, with potential additional premiums depending on the plan. The coverage details, such as deductibles, coinsurances, copays, and annual out-of-pocket limits, are determined by the plan. These plans may also rely on a provider network, which can affect benefits and costs based on the use of participating or non-participating providers.

Medicare enrollment dates and open enrollment periods

Open enrollment for Original Medicare and Medicare Advantage occurs annually from Oct. 15 to Dec. 7, with changes taking effect on Jan. 1 of the following year. During this period, beneficiaries can review area plans and adjust their Medicare coverage, including switching between Original Medicare and Medicare Advantage, changing Medicare Advantage plans, or modifying Medicare Part D prescription drug plans.

The Medicare Advantage Open Enrollment Period is from Jan. 1 to March 31, allowing enrollees to change plans or return to traditional Medicare. Missing these Medicare enrollment dates may require waiting until the next period to make updates.

Medicare Advantage participation by Tanner Health

Refer to the list below for Tanner-participating Medicare and Medicare Managed Plans during open enrollment.

For further inquiries regarding Tanner's participation in your health plan or Medicare supplement insurance options, contact a Tanner representative at 770-812-8752. For specific coverage questions, please reach out to your insurance provider or company benefits manager.

Managed care plan participation: January 2027

Tanner Health Hospitals and Tanner Medical Group practices participate in various medical health plans. Participation may vary by insurance payer, so verify with your insurer to confirm Tanner Health's status.

Tanner provides services to patients with non-participating insurance coverage if their plan has out-of-network benefits, with authorization if required. Utilizing Tanner out-of-network may result in higher out-of-pocket costs, including deductibles, copayments, and coinsurances.

Key:
Yes: Contracted/Participating
No: Not Contracted/Non-Participating

Medicare Plans¹	Tanner Georgia Hospitals	Tanner East Alabama Hospital	Tanner Medical Group - Georgia	Tanner Medical Group - Alabama
Original Medicare	Yes	Yes	Yes	Yes
All Payer Medigap Plans (Medicare Supplement to Original Medicare)	Yes	Yes	Yes	Yes
Aetna Medicare Advantage	Yes	Yes	Yes	Yes
Anthem Medicare Advantage (Blue Cross Blue Shield of Georgia)	No	No	Yes	No
Blue Cross Blue Shield of Alabama Medicare Advantage	No	Yes	No	Yes
Clover Health Medicare Advantage	Yes	Yes	Yes	Yes
Devoted Health	No	No	No	No
Georgia Health Advantage	No	No	No	No
HealthSpring Medicare Advantage	Yes	Yes	Yes	Yes
Humana Medicare Advantage	No	No	No	No
Kaiser Permanente	No	No	No	No
Pruitt Health Premiere	Yes	Yes	Yes	Yes
Simpra	No	No	No	No
United Healthcare Medicare Advantage	No	No	Yes	No
Wellcare Medicare Advantage	No	No	No	No

¹ Some Medicare Advantage products have consistent coverage, regardless of provider participation status. Patient out-of-pocket expenses, such as copays and deductibles, remain the same for in-network and out-of-network services (e.g., Georgia State Retiree Health Benefit Plan through United Healthcare and Blue Cross). Review policy terms or contact your insurer for specific coverage details.

Commercial Insurance Plans	Tanner Georgia Hospitals	Tanner East Alabama Hospitals	Tanner Medical Group - Georgia	Tanner Medical Group - Alabama
Aetna	Yes	Yes	Yes	Yes
Anthem (BCGA)	Yes²	Yes	Yes	Yes
Blue Cross Blue Shield Alabama	Yes	Yes	No	Yes
Cigna	Yes³	Yes³	Yes³	Yes³
First Health	Yes	Yes	Yes	Yes
Galaxy Health Network	Yes	Yes	Yes	Yes
Health One Alliance (Alliant Health Plans)	Yes	Yes	Yes	Yes
MultiPlan	No	No	Yes	No
NovaNet	Yes	Yes	Yes	Yes
PHCS	Yes	Yes	Yes	Yes
United Healthcare	Yes	Yes	Yes	Yes
VIVA Health	No	Yes	No	No

² Tanner's Georgia hospitals do not participate in the Blue Connection EPO (Blue HPN). Additionally, Tanner Medical Center/Carrollton does not participate in the BlueChoice POS, Blue Choice Healthcare Plan, and Blue Choice HMO.
³Tanner Health providers do not participate in the Cigna Local Plus-related products.

Marketplace (Exchange) Insurance Plans	Tanner Georgia Hospitals	Tanner East Alabama Hospitals	Tanner Medical Group - Georgia	Tanner Medical Group - Alabama
Ambetter	No	No	No	No
Anthem Pathway X	Yes	No	Yes	Yes²
Anthem Blue Value	No	No	No	No
Blue Cross Blue Shield of Alabama	No	Yes	No	Yes
Health One Alliance (Alliant Health Plan - Solocare)	Yes	Yes	Yes	Yes