Accepted Insurances

We believe insurance should not be a barrier to quality care. Therefore, Revere Health participates with most plans operating in the state of Utah either directly or indirectly, including SelectHealth. We contract with major insurance organizations (payers) as well as local and national networks that have hundreds of smaller payers. We also work with third-party administrators and employer groups and organizations that access these provider networks.

With few exceptions, Revere Health is likely going to be considered “in-network” with most insurances. The following is a summary of insurance plans accepted by Revere Health.

Please note this does not necessarily represent a complete list of all plans. There are exceptions and circumstances where participation may vary based on geographic location, provider credentialing, as well as other factors.

Aetna

Aetna Standard Plans

  • Aetna Select
  • Elect Choice EPO
  • Managed Choice POS
  • Open Choice PPO

Aetna Open Access Plans

  • Aetna Choice POS (Aetna HealthFund)
  • Aetna Choice POS II (Aetna HealthFund)
  • Aetna HealthFund Aetna Health Network Only (Open Access)
  • Aetna HealthFund Aetna Health Network Option (Open Access)
  • Aetna Open Access Elect Choice EPO (Aetna HealthFund)
  • Open Access Aetna Select (Aetna HealthFund)
  • Open Choice PPO (Aetna HealthFund)

Utah & Wyoming Special Networks

  • Peak Preference HNOnly (Open Access)
  • Peak Preference HNOption (Open Access)

Utah Connected Network is the old Aetna Network that includes the IHC facilities in their network. Revere Health Surgery Center is not in this network.

  • Utah Connected Network — Open Choice PPO
  • Utah Connected Network — Managed Choice (Open Access)
  • Utah Connected Network — Aetna Choice POS II
  • Utah Connected Network — Elect Choice EPO (Open Access)
  • Utah Connected Network — Aetna Select (Open Access)

American Health Advantage of Utah

Revere Health providers participate on American Health Advantage, which is an Institutional Special Needs Plan contracted with Medicare. The plan is specially designed for eligible Medicare beneficiaries living in a long-term care nursing home. Currently, American Health Advantage is covering residents of long-term nursing homes in Box Elder, Salt Lake, Utah and Weber counties.

BridgeSpan

Revere Health providers participate on all BridgeSpan plans offered on the Healthcare Exchange Marketplace in Utah. BridgeSpan is a Regence BCBS company and falls under our relationship with Regence BCBS.

Bright Health

Revere Health is contracted with Bright Health which is a new commercial plan that has been offered on the federal marketplace (individual and family plans) since January 1, 2022.

Cigna

Revere Health providers participate on all plans offered in the state of Utah.

  • HMO
  • OAP – Open Access Plus
  • OAPC
  • PPO (Utah Valley and other central Utah area Intermountain hospitals are only in the PPO network)
  • Cigna Utah Connect Individual & Family Plan (IFPs) – a Utah Market Exchange Plan started 1/1/2020

Cigna HealthSpring Medicare Advantage

Revere Health providers participate on the Cigna Medicare Advantage plan operated by Cigna HealthSpring that was rolled out January 1, 2021. The American Fork Surgery Center is not currently included in the Cigna HealthSpring network.

Coventry

Revere Health providers participate on all plans offered in the state of Utah through the Aetna Standard Network. See Aetna for additional information.

DMBA

Revere Health providers participate on all plans offered in the state of Utah.

  • Deseret Choice
  • Deseret Select
  • Deseret Value
  • Deseret Premier
  • Deseret Protect
  • Student Health Plan
  • Senior Service Plan
  • Church Activity Insurance
  • Missionary

EMI Health

Revere Health providers participate on all plans offered in the state of Utah.

  • Care Plus
  • Basic Med
  • Conversion
  • EMI Health NetworkCare Plans (plans accessing the EMI Health Network)

First Health

Revere Health providers participate on all plans offered in the state of Utah through the Aetna Standard Network.  See Aetna for additional information. 

Health Choice Arizona/Health Choice Generations

Revere Health providers participate on all plans offered in the state of Arizona by Health Choice Arizona (Southern Utah Providers Only). These plans (Managed Medicaid Arizona and Medicare Advantage plans) are currently administered by Anthem BCBS of Arizona.  

Health Utah Network (Motiv Health)

Revere Health providers participate on this network which is offered to employer groups through the state. Starting 2022, this network is administered by Motiv Health. Revere Health is only currently participating on the Health Utah Network which is the network that Motiv Health uses for its provider network.

Humana

Revere Health providers participate on most plans offered in the state of Utah.  This includes most ancillary services, including the Surgery Center and St. George Imaging Center.

Intermountain Healthcare Nevada (SelectHealth NV)

Revere Health providers rendering services in our Mesquite, Nevada location are participating with Intermountain Healthcare Nevada’s SelectHealth Advantage plan. This is the SelectHealth Medicare Advantage plan in Nevada that is administered by Intermountain Healthcare Nevada (formerly HealthCare Partners of Nevada). Please note that Intermountain Healthcare Nevada administers other plans in Nevada where Revere Health is non-participating. Services rendered in Utah would fall under our SelectHealth contract in Utah.

Injury Care Solutions (ICS)

Revere Health providers in the Southern Utah region participate with Injury Care Solutions including the Imaging Center in St. George. 

Liberty HealthShare

Revere Health providers participate with Liberty HealthShare as of February 2017.  Liberty HealthShare is a health cost sharing organization (501(c)3), that provides their members with a non-insurance sharing of healthcare expenses. 

Mercy Care

Revere Health providers participate with Mercy Care in the Southern Utah region.  Mercy Care is a managed Medicaid plan in Arizona and their members can come across the border for care from Revere Health providers.

  • AHCCCS Complete Care (Medicaid Plan)
  • Arizona Long Term Care System
  • Mercy Care Advantage (Medicare Advantage)
  • Division of Developmental Disability

Molina

Revere Health providers participate on most plans offered in the state of Utah.

  • Medicare Advantage
  • Managed Medicaid
  • Commercial Plans
  • Molina Marketplace (exchange marketplace plan)

Motiv Health

Revere Health has participated with the Health Utah Network for many years. The Network was acquired by Motiv Health and they use this provider network for all of their current products in the state of Utah.

MultiPlan/PHCS/Beechstreet

Revere Health providers participate on all networks operating in the state of Utah under the MultiPlan umbrella.

P3 Health Plans

Revere Health providers located in St. George, Kanab and Mesquite, Nevada are participating on this plan.  P3 administers the SelectHealth Medicare Advantage plan in the state of Nevada.  Patients living in Nevada on this plan can access care with Revere Health providers in Mesquite and in Utah with our Southern Utah providers.

Provider Network of America (PNOA)

Revere Health providers throughout the state are participating on the Provider Network of American PPO Network (PNOA-PPO). This is a network of self-funded groups all over the country and the state of Utah. PNOA uses the Intermountain Healthcare system for hospital and skilled nursing facilities.

One Call Care

Only Revere Health’s Imaging Centers and Radiologists are participating in the One Call Care Network.  Imaging Centers include American Fork, Provo, Salem and St. George.

Optum Medical Network

Revere Health providers participate on most plans offered in the state of Utah.  This Network operates under the United Health Group umbrella and administers the UHC – AARP Medicare Advantage Plans in the state or Utah.

PEHP

Revere Health Providers participate on most plans offered in the state of Utah.

  • Capital Provider Panel
  • Summit Provider Panel
  • Advantage Provider Panel
  • Preferred Provider Panel

Regence Blue Cross Blue Shield

Revere Health providers participate on most plans offered in the state of Utah with one exception.

  • Medicare Advantage PPO and HMO
  • National BlueCard Participating and Blue Card PPO
  • Preferred Blue Option Network
  • FocalPoint Network
  • Preferred ValueCare Network
  • Participating Network
  • Individual and Family Plans (BridgeSpan Plans – Exchange Marketplace plans)
  • Blue High-Performance Network
  • EXCEPTION: Revere Health is not participating on the Save Well Plan (EPO/PPO). This plan is a narrow network for Steward Health facilities and providers.

Samera Health

Samera Health is TPA formerly known as Benefit Administrative Solutions (BAS). It initially started as Town & Country Provider Network, but has since rebranded to Samera Health. All Revere Health providers and locations are participating on this network.

SelectHealth

Revere Health is contracted on all lines of business offered by SelectHealth, but individual participation and plan offerings may vary by provider, geographic factors, hospital privileges and other special circumstances.  Additionally, there are certain exclusions related to Revere Health’s ancillary services, such as American Fork Surgery Center and the Coral Desert Imaging Center in St. George.  For Select Share, all clinic providers and services are considered in network.

  • CHIP *only providers who treat pediatric patients are paneled.
  • Community Care (Medicaid Plan)
  • Select Care
  • Select Choice
  • Select Med
  • Select Value
  • SelectHealth Advantage (Medicare)
  • SelectHealth Share
  • SelectHealth Signature (new network offering in 2021)
  • All plans offered on the Healthcare Exchange Marketplace in Utah

Sierra Health

Revere Health providers participate on most plans offered in the state of Utah as well as several plans offered in Nevada.

  • Medicare Advantage PPO (UT)
  • Health Plan of Nevada Commercial (NV)
  • Health Plan of Nevada – Medicaid (NV)
  • Sierra Health and Life Commercial HMO (UT and NV)
  • Sierra Healthcare Options Commercial (UT and NV)

Solidarity HealthShare

Revere Health providers participate as preferred providers with Solidarity HealthShare.  Solidarity HealthShare is a health cost sharing organization (501(c)3), that provides their members with a non-insurance sharing of healthcare expenses.

Steward Health Choice UT

Revere Health providers participate on most plans offered in the state of Utah. Revere Health is not participating on the Steward Health:

  • Managed Medicaid Plan (UT)
  • Heath Choice Generations (UT Only) – Special Needs Plan for patient who are dual eligible for Medicare and Medicaid.

Teachers Health Trust

Revere Health providers in the Southern Region participate on this network.

Three Rivers Provider Network

Revere Health providers participate on most plans offered in the state of Utah.

Tricare (Health Net Federal Services)

Revere Health has a group contract and providers are routinely credentialed with Health Net Federal Services which administers Tricare for active military and their dependents.  Health Net Federal Services took over administration of Tricare starting 1/1/18.  United Health Care will continue to runout claims for Tricare for services rendered prior to 1/1/18.

  • Tricare Prime
  • Tricare Prime Remote
  • Tricare Reserve Select
  • Tricare Retired Reserve
  • Tricare Young Adult

Tricare for Life

Revere Health providers participate on most plans offered in the state of Utah.  Tricare for Life is a secondary plan for Medicare beneficiaries – any provider enrolled with Medicare will be able to accept Tricare for Life.

TriWest VA Community Care Network (CCN)

Revere Health is participating with the VA Community Care Network administered by TriWest in the West Region (VA Region 4).  The CCN combines and consolidates programs formerly known as VA Choice and VA Patient-Centered Primary Care programs.

United HealthCare

 Revere Health providers participate on most plans offered in the state of Utah. 

  • Choice
  • Choice Plus
  • Options PPO
  • UHC Community Plan – Managed Medicaid and Medicare Advantage Plans in Arizona (paneling for Southern Utah Providers only).
  • AARP Medicare Advantage
  • GEHA
  • UMR
  • OptumCare

University of Utah Health Plans

  • Healthy U – Managed Medicaid Plan
  • Healthy Advantage Plus – Medicare Advantage Plan
  • Healthy Premier – Individual and Family Exchange Plans
  • Healthy Preferred

Wise Network/Imagine Health

Revere Health providers participate on this network throughout the state of Utah.