Our Accepted Insurance

Our contract with Humana ended on Oct 1 2016. At this time, negotiations with Humana are still in progress and we are hopeful that an agreement will be reached.
Here are the key points to remember moving forward through open enrollment:

  • We have a dedicated team that will answer any questions and walk you through how patient access to care is impacted. Patient Call Center: 1-800-290-0836
  • Tenet Health has set up a protect my access site for members which helps you understand your insurance options for payers during open enrollment. Visit www.protectmyaccess.com for more information.
  • For any physicians or medical staff with Humana questions or to voice your opinion on this situation, please call 1-855-HUM-2016 or email HumanaSitRoom@tenethealth.com

During open enrollment for your health care benefits, be sure to know the facts about your choices and ensure they meet the needs of you and your family. We will continue to update Hilton Head Hospital’s managed care web page as we move forward. We are focused on helping our patients through this transition and we value our opportunity to serve our local community.

Hilton Head Hospital

For more information about insurance plans or other benefits, please call the Patient Financial Services department at (843) 689-8212.

Hilton Head Hospital has contracts with the following insurance providers. Please check the insurance provider's website for a complete list of subscribers. 

Updated October 2016

Insurance Provider 

  • Absolute Total Care
  • Advicare
  • Aetna Exchange Non Par
  • Aetna Health
  • Aetna Medicare
  • Aetna National Advantage Program (NAP)
  • Aetna Signature Products
  • Aetna Tenet Employees
  • Align Network WC
  • Amedisys Hospice
  • Americas 1st Choice Medicare PPO and PFFS
  • Americas Choice Provider Network PPO
  • BabyNet
  • BCBS of SC Exchange (HIX)
  • BCE Emergis
  • BeechStreet PPONext
  • Blue Cross Blue Shield Medicare Advantage
  • Blue Cross PAR
  • Blue Cross PPC
  • Blue Cross State
  • BlueChoice Medicaid
  • BlueChoice Healthplan
  • Broad Creek Care Center Managed SNF
  • Carolina Care Plan Core
  • Carolina Care Plan Network Access
  • Carolina Care Plan/PHP HMO
  • CCN WC
  • ChampVA Traditional
  • Cigna Network Lease
  • CIGNA PPO/HMO/GateKeeper
  • Cigna SC LocalPlus Non Participating
  • Consumers Choice Health Plan HIX
  • Consumers Choice Health Plan PPO
  • CorVel
  • Coventry Exchange Non Par
  • Coventry Medicare Advantage
  • Coventry National
  • ETHIX/Southcare
  • Evolutions Healthcare PPO
  • FEMA
  • First Health
  • First Health Workers Comp
  • Fraser Health Center Managed SNF
  • Galaxy Health Network
  • Georgia Healthcare Partnership PPO
  • Guardian Medicare Advantage PFFS
  • Guardian Medicare Advantage PFFS PPO
  • Hargray
  • Health Care Savings
  • Health Management Network
  • Health Payors Organization PPO
  • Healthscope PPO / HDSP
  • HealthSmart/HPO Wrap
  • HealthSmart/IHG Direct
  • Hospice Care of America
  • Hospice Care of South Carolina
  • Hospice Care of the Low Country
  • InStil Medicare Advantage
  • Island Hospice
  • Life Care Center Managed SNF
  • MedCost
  • Medicaid
  • Medicaid Traditional - South Carolina
  • Medical Savings Insurance Company
  • Medicare
  • Medicare HMO Non Contracted
  • Memorial Health Partners/GHP
  • MultiPlan PPO
  • National Provider Network PPO
  • NHC Healthcare - Bluffton SNF
  • Non - Contracted Medicaid HMO GA
  • Non-Contracted Hospice
  • Non-contracted Medicaid HMO SC
  • Non-Contracted Unison Managed Medicaid HHH
  • NPPN/Plan Care America
  • Olympus Managed Healthcare
  • One Health Plan PPO
  • PCIP State Administered Program
  • Physicians Care Network Access
  • Physicians Care Network Risk Sharing
  • Plotkin And Sons Consulting
  • Preferred Plan of Georgia PPO
  • Premier Health Systems
  • Preston Nursing Managed SNF
  • Prime Health Services Medicare Adv PPO
  • Prime Health Services PPO
  • Principal Health Care of Georgia/Coventry
  • Private Healthcare Systems
  • Private Healthcare Systems PPO
  • ProNet
  • PruittHealth Hospice
  • Sanctuary Hospice
  • SC Dept of Health and Environmental Control
  • SC DHEC Family Planning Sterilization Program
  • SelectCare Worldwide Corporation
  • Serenity Palliative and Hospice Inc
  • South Carolina Vocational Rehab
  • Southeast Health Partners
  • Sterling Medicare Advantage
  • Three Rivers Provider Network
  • Tidewater Hospice
  • Town of Hilton Head
  • TRICARE Traditional
  • TRICARE Traditional - Out of Area
  • United Healthcare Care Improvement Plus
  • United Healthcare Medicare
  • United HealthCare Non Options PPO
  • United Healthcare Options PPO
  • United Healthcare PPO
  • United Hospice of Beaufort
  • Universal Health Care PFFS/PPO
  • US Department of Labor
  • USA Managed Care PPO
  • Veterans Administration
  • Veterans Administration Mill Bill
  • Veterans Administration-Traditional
  • Veterans Evaluation Services
  • Volunteers in Medicine
  • Wellpath
  • WellPath Medicaid
  • Workers Compensation

Listing updated March 2015

Bluffton-Okatie Outpatient Surgery Center

Insurance Provider: 

  • Medicare
  • Medicaid
  • Aetna
  • BCBS PPO, S​tate ​and FEP ​and Eessentials
  • Care Improvement Plus
  • Cigna
  • Consumers Choice
  • Coventry
  • M​edcost
  • M​olina (In crediantialing, ​not yet approved)
  • Multiplan
  • UMR
  • United Healthcare PPO ​and M​edicare Replacement Plans

If You Have Health Insurance

We will need a copy of your insurance card, driver’s license and or photo identification. We also may need the insurance forms supplied by your employer or the insurance company. All patients should familiarize themselves with the terms of their insurance company. This will help with understanding the hospital’s billing procedures and charges.

If You Are a Member of an HMO or PPO

Your plan may have special requirements, such as a second surgical opinion or pre-certification for certain tests or procedures. It is your responsibility to make sure the requirements of your plan have been met. If your plan’s requirements are not followed, you may be financially responsible for all or part of the services rendered in the hospital. Some physician specialists may not participate in your healthcare plan; if so, their services may not be covered.

If You Are Covered by Medicare

We will need a copy of your Medicare card to verify your eligibility and process your Medicare claim. You should be aware that the Medicare Program specifically excludes payment for certain items and services such as cosmetic surgery, some oral surgery procedures, personal comfort items, hearing evaluations, take-home medications, and others. Deductibles and co-payments also are the responsibility of the patient.

If You Are Covered by Medicaid

We will need a copy of your Medicaid card. Medicaid also has payment limitations on a number of services and items. Co-payments are the responsibility of the patient.

If You Do Not Have Insurance

A representative from the Patient Accounting Department will discuss financial arrangements with you. A hospital representative, who is also a representative of the Division of Family Services, can assist you in applying for Medicaid or other government assistance programs.