Insurance Information Madison Hospital 

We know you’d rather be home—that’s why at CHI St. Joseph Health Madison Hospital, we strive to create an environment where you can be as comfortable as possible and still completely heal. Our 25-bed critical access hospital offers a Level IV Trauma Center, inpatient and outpatient services, physical therapy, emergency care, imaging services, laboratory and more.

CHI St. Joseph Health Madison Hospital works with the following payors.

This payor list is current as of October 6, 2017. It is important to check with your payor to confirm your coverage.

Commercial
  • Aetna EPO, PPO, POS, Open Access (including TRS ActiveCare)
  • Ambetter by Superior HealthPlan EPO, HMO
  • Beech Street PPO
  • Blue Cross Blue Shield Blue Essentials, PPO, POS, Traditional
  • Cigna HealthCare PPO, HMO, LocalPlus, Open Access
  • Coventry/First Health PPO
  • Entrust – Keating Auto Group
  • FirstCare PPO, HMO
  • Galaxy Health Network PPO
  • Great-West Healthcare (currently utilizing CIGNA)
  • HealthSmart Preferred Care PPO (Accountable/Interplan Health Group)
  • Humana ChoiceCare PPO, POS, EPO, HMO
  • Humana TRICARE Standard, Prime Remote
  • Independent Medical Systems (IMS) PPO
  • Molina Marketplace
  • MultiPlan PPO
  • Nexcaliber PPO
  • NX Health
  • Private Healthcare Systems (PHCS) PPO
  • Provider Select, Inc. PPO
  • Three Rivers Provider Network PPO
  • TriWest VAPC3, VA
  • United Healthcare Choice, Choice Plus, Options PPO
  • USA Managed Care Organization (USA MCO) PPO
Medicare
  • Blue Cross Blue Shield Medicare Advantage HMO, PPO
  • Humana Medicare PFFS, PPO
  • Molina Medicare Options, Options Plus, MMP
  • Traditional Medicare Part A, Part B
Medicaid
  • Amerigroup STAR, STAR+PLUS, CHIP
  • Blue Cross Blue Shield STAR, STAR+Plus, STAR Kids, CHIP
  • Molina STAR, STAR+PLUS, CHIP, CHIP Perinate
  • RightCare from Scott & White Health Plan STAR
  • Superior Health Plan STAR, STAR+PLUS, Foster Care, CHIP, CHIP Perinate
  • Traditional Medicaid

Workers Compensation
  • Beech Street
  • CorVel
  • Coventry/First Health
    • American International Group Health Care Network (AIG)
    • Constitution State Services LLC Health Care Network
    • Liberty Mutual Health Care Network
    • Texas Star Network (Texas Mutual Insurance)
    • The Hartford Workers Compensation Health Care Network
    • Travelers Health Care Network
    • Zenith Health Care Network
  • Galaxy Health Network
  • Injury Management Organization (IMO) Med-Select Network
    • State Office of Risk Management
  • MultiPlan
  • Political Subdivision Workers Compensation Alliance (PSWCS/The Alliance)
    • Texas Association of Counties Risk Management Pool
    • Texas Association of School Boards Risk Management Fund
    • Texas Council Risk Management Fund
    • Texas Municipal League Intergovernmental Risk Pool
    • Texas Water Conservation Association Risk Management Fund
  • Prime Health Services, Inc.
  • Rockport Healthcare
Sports Injury
  • Health Special Risk
  • Lonestar Athletic Injury Network
    • Student Assurance Services
  • Texas Kids First
    • Universal Fidelity Life Insurance Company
    • Unified Life Insurance Company

CHI St. Joseph Health Madison Hospital—because your family’s health is too important to trust to anyone else.