Insurance

WMed Health participates with several insurance providers, including Medicaid and Medicaid Health Plans. Before your first visit, check with your insurance company to understand what services will be paid for by your insurance plan. Private/commercial insurance plans not listed below will be billed as a courtesy to our patients, however, patients could potentially be responsible for higher out-of-pocket costs.

For every appointment, you will need to bring your insurance card(s). Co-pays are due at the time of service and accepted forms of payment are cash, check, MasterCard, Visa, and Discover. If you have questions, our patient financial counselors we are ready to help you. Please call our Billing Department at 269.337.4460.

*Accepted at WMed Health Surgery clinic only
**WMed Health Psychiatry clinic patients must verify in-network coverage

In-Network Providers All Services Primary Care Specialty Care Psychiatry
Aetna Better Health Medicaid      
Aetna/Aetna Medicare Advantage      
Aetna Better Health Premier Plan (MI Health Link-Dual Medicare/Medicaid)    
Automated Benefit Services      
Blue Care Network Commercial      
Blue Care Network Medicare Advantage      
Blue Cross Blue Shield Medicare Plus PPO      
Blue Cross Blue Shield Mental Health Network      
Blue Cross Blue Shield PPO Trust, Personal Choice PPO      
Blue Cross Blue Shield Traditional      
Breast and Cervical CA Program (BCCCNP)*      
Children's Special Health Care Services (CSHCS)    
CIGNA**      
Cofinity/Humana Commercial      
First Health      
HealthNet Tricare    
HealthScope Benefits      
HealthSmart      
Healthy Michigan Plan    
Humana Medicare Advantage      
LifeSynch (Behavioral Health Plan; Humana Carve-Out)      
McLaren Health Medicaid    
Medicaid    
Medicare/Railroad Medicare      
Meridian Medicaid      
Meridian Medicare Advantage      
Meridian Complete (MI Health Link-Dual Medicare/Medicaid)    
MHNet (Behavioral Health Plan)      
MI Child    
Molina Medicaid    
New Directions (Behavioral Health Plan; BCBSM Carve-Out)      
OptumHealth/United Behavioral Health (Behavioral Health; UHC Carve-Out)      
Priority Health (HMO, POS, PPO and Medicare Advantage)      
Priority Health Medicaid    
Priority Health West MI Partners (Tier 2 Only)      
Private HealthCare Systems/MultiPlan      
SmartHealth      
United Healthcare Community Plan Medicaid      
United Healthcare Commercial (UHC)      
United Healthcare AARP Medicare Advantage Open Plans 1 and 2      
United Healthcare Dual Complete (Medicare Advantage)      
US Health and Life (USHL)      
Value Options (Behavioral Health Plan)      
Wellcare Medicare Advantage      

Marketplace Insurance Plans

Under the Affordable Care Act, private health insurance companies offer plans for individuals, families and small businesses to buy. In Michigan, Medicaid private plan coverage has been expanded to make the insurance plans available to more people. 

WMed Health participates in most plans offered on the private health insurance Marketplace and most plans available in Michigan on the Small Business Health Options Program.

  • Marketplace Insurance Plans

    Ambetter Meridian (No longer accepted as of January 1, 2024.)
    • Choice Bronze HSA
    • Clear Bronze
    • Clear Silver
    • CMS Standard Bronze
    • CMS Standard Expanded Bronze
    • CMS Standard Gold
    • CMS Standard Silver
    • Complete Gold
    • Complete Silver
    • Elite Bronze
    • Elite Gold
    • Everyday Bronze
    • Everyday Gold
    • Focused Silver
    • Virtual Access Bronze-PCP Required
    • Virtual Access Gold-PCP Required
    • Virtual Access Silver-PCP Required

    Blue Care Network
    • Blue Cross Preferred HMO Bronze
    • Blue Cross Preferred HMO Bronze Extra
    • Blue Cross Preferred HMO Bronze Saver HSA
    • Blue Cross Preferred HMO Bronze Secure
    • Blue Cross Preferred HMO Gold
    • Blue Cross Preferred HMO Gold Extra
    • Blue Cross Preferred HMO Silver
    • Blue Cross Preferred HMO Silver Saver Extra
    • Blue Cross Preferred HMO Silver Saver
    • Blue Cross Select HMO Bronze
    • Blue Cross Select HMO Bronze Extra
    • Blue Cross Select HMO Bronze Saver HSA
    • Blue Cross Select HMO Bronze Secure
    • Blue Cross Select HMO Silver
    • Blue Cross Select HMO Silver Saver
    • Blue Cross Select HMO Silver Extra

    Blue Cross Blue Shield of Michigan
    • Blue Cross Premier PPO Bronze Extra
    • Blue Cross Premier PPO Bronze HSA
    • Blue Cross Premier PPO Bronze Secure
    • Blue Cross Premier PPO Gold
    • Blue Cross Premier PPO Gold Extra
    • Blue Cross Premier PPO Silver
    • Blue Cross Premier PPO Silver Extra
    • Blue Cross Premier PPO Silver Saver HSA

    McLaren
    • McLaren Bronze 6500
    • McLaren Bronze Saver
    • McLaren Bronze Standard
    • McLaren Expanded Bronze Standard
    • McLaren Gold 1400
    • McLaren Gold Standard
    • McLaren Silver Exchange
    • McLaren Silver Exchange Rewards
    • McLaren Silver Standard

    Priority Health
    • MyPriority Bronze 9100
    • MyPriority HHSA Bronze 7100
    • MyPriority Silver 3600
    • MyPriority Silver 5500
    • MyPriority Standard Bronze 7500
    • MyPriority Standard Gold 2000
    • MyPriority Standard Silver 5800
    • MyPriority Travel Bronze 9100
    • MyPriority Travel Silver 5500

    United Healthcare
    • UHC Bronze Essential 9100
    • UHC Bronze Essential HSA
    • UHC Bronze Standard 7500
    • UHC Bronze Standard 9100
    • UHC Bronze Value 8900
    • UHC Bronze Value HSA
    • UHC Bronze Virtual First
    • UHC Gold Advantage
    • UHC Gold Advantage+
    • UHC Gold Standard
    • UHC Gold Value
    • UHC Silver Advantage
    • UHC Silver Advantage+
    • UHC Silver Standard
    • UHC Silver Value 3350
    • UHC Silver Value 4000
    • UHC Silver Virtual First