Health Insurance
Does ETSU Health accept my health insurance plan?
This is one of the most common questions asked by patients every day. The answer can
have an important impact on the decisions you make regarding your care. ETSU Health
contracts with most major health insurance carriers, including Medicare and Medicaid.
Please call your insurance company and ask if your provider is covered and what (if
any) co-payments, co-insurances, and deductibles will be your responsibility.
Important Points to Consider
ETSU Health is contracted to participate with insurance products and provider networks
that offer both primary and specialty care.
Primary Care
If your benefit plan requires the selection of a primary care provider (i.e. a doctor,
nurse practitioner or physician assistant), please make sure your ETSU Health provider
is identified on your insurance card.
Specialty Care
Your benefit plan may require you to obtain a referral from your primary care provider
in order to receive coverage for services provided by one of our specialists.
Not All Services Covered
We may offer certain services that your plan does not cover. For example, some insurance
contracts do not include mental health or elective services in their plans. If you
have questions about your coverage, please call your insurance company to better understand
how your policy works prior to receiving care.
Medicare and Medicare Advantage
ETSU Health participates with Medicare, and many of the Medicare Advantage plans offered
in the area. Contact your Medicare Advantage health plan to verify ETSU Health's participation
prior to scheduling. Out of network penalties can result in out of pocket expense.