Insurances Accepted and Managed Care

LGMC has signed agreements with approximately 30 managed care organizations, including Aetna, Blue Cross/Blue Shield, Humana Office of Group Benefits and United Healthcare. LGMC also has approximately eleven group contracts with certain employers, enabling their staff to access hospital services at a discounted rate. In addition, LGMC is an equity member of the Acadian Health Care Alliance, a regional physician-hospital organization. LGMC is the sole provider of tertiary services among Acadian Health Care Alliance (the “Alliance”) member hospitals. Numerous agreements have been negotiated on behalf of LGMC by the Alliance, including agreements with CIGNA, Private Health Care Systems, Gilsbar 360 and several Medicare Select payers.

LGMC also has contracts with several Medicare Advantage (private fee for service) plans, underwritten by Aetna Health Management, Coventry Health Care, Humana Health Benefit Plan, Pyramid Life Insurance Company, United Healthcare Insurance Company, American Progressive Life & Health Company, Marquette National Life Insurance Company and WellCare of Louisiana. In 2012, LGMC contracted with 3 Medicaid Coordinated Care Networks:  Amerigroup, LaCare, and Louisiana Healthcare Connections.  LGH is a Preferred Provider for the following Affordable Care Act (Exchange) Plans: Blue Cross Blue Shield, Louisiana Health Cooperative and Vantage Health Plan.

Commercial Managed Care Provider Networks
American LifeCare
Bayou Medical Management    
Blue Cross and Blue Shield
  (includes Office of Group Benefits, LA State Employees)
Coventry of Louisiana
Diagnostic Management Associates    
FARA (excluding workers comp)    
Gislbar 360  
Private Healthcare Systems (PHCS)
United Healthcare
Verity Healthnet
Medicare Managed Care Provider Networks
Aetna PFS ✓  ✓ 
Ameriplus Preferred Care (Medicare Select)  
American Pioneer Life  
Pyramid Life  
United Teacher-Associates  
United World  
Blue Cross and Blue Shield (Medicare Select)
Coventry PFFS
Humana Gold Choice-PFFS  
Humana Medicare Advantage  
Humana Medicare Select  
Med-Care Advantage (Medicare Select)  
Continental Life Insurance Co.  
Lincoln Heritage Insurance Co.  
Mutual Protective Insurance Co.  
Southwest Home Life Insurance Co.  
States General Life Insurance Co.  
State Mutual Insurance Co.  
Sierra Health and Life (Medicare Select)  
Today's Option PFFS
Medicaid Managed Care Provider Networks (Bayou Health)
Louisiana Healthcare Connections
AmeriHealth Caritas (LaCare)
Community Health Solutions
United Health Care
Affordable Care Act Provider Networks (HealthCare Exchange)
Blue Cross Blue Shield
Louisiana Health Cooperative 
Vantage Health Plan