Insurance Coverage Partners

Shield HealthCare specializes in third-party insurance billing for medical supplies on the customer’s behalf.

Contracted providers include Medicare, state Medicaid programs, HMOs, and private insurance plans. We verify customer insurance eligibility and obtain all necessary documentation to ensure compliance with insurance carrier guidelines.

We provide direct billing for the following contracted insurance plans:

Nationwide:

• Centene
• Medicare
• TRICARE

Arkansas

• Medicaid (State Aid)
• Medicare
• Summit Community Care
• Superior Select

California

• Adventist Medical Center IPA
• Alignment Health Plan
• Alameda Alliance
• Amada Health
• Angeles IPA
• Anthem Blue Cross Partnership Plan
• Associated Hispanic Physicians of Southern California IPA
• Aspire Health Plan
• Bella Vista Medical Group
• Blue Shield of California
• Brand New Day
• Brown & Toland Health Services
• California Children’s Services
• CalOptima Community HealthCare
• CalOptima Direct
• CenCal Health
• Centinela Valley IPA
• Central California Alliance for Health
• Central Health Medicare Plan
• Central Health Plan of California
• CHOC Health Alliance
• Citrus Valley Physicians Group
• Clinicas Del Camino Real
• Community Care IPA
• Community Family Care Medical Group IPA, Qualified Healthcare
• Community Health Group San Diego
• Contra Costa Health Plan
• County Medical Services (CMS), County of San Diego Managed Care Solutions
• Crown City Medical Group
• Dignity Health (Formerly Mercy Healthcare CHW)
• El Proyecto del Barrio
• Exceptional Care Medical Group
• Family Care Specialists IPA
• ​​​​​​​​​​​​​​​​​​Genetically Handicapped Persons Program (GHPP)
• Global Care Medical Group IPA
• Gold Coast Health Plan
• Golden Physicians (San Diego only)
• Health Care LA IPA
• Health Program of Alameda County (HealthPac)
• Health Plan of San Joaquin
• Health Plan of San Mateo
• HealthCare LA
• Heritage Victor Valley Medical Group
• Inland Empire Health Plan (IEHP)
• Imperial Health Holdings Medical Group
• Integrated Health Partners
• Kern Family Health Care
• L.A. Care Health Plan
• Medicare
• Medi-Cal (State Aid)
• MedPro Central Valley Medical Providers
• Meritage Medical Group (Queen of the Valley & Santa Rosa Memorial)
• Molina Healthcare of California
• Mountain Valley Health Plan
• Nivano Physicians
• North East Medical Services (NEMS)
• OPTUM HealthCare (formally HealthCare Partners)
• Partnership HealthPlan of California
• Prospect Medical Group
• Prospect Medical Group – L.A. Care
• Rady Children’s Hospital
• River City Medical Group
• San Francisco Health Plan
• Santa Clara Family Health Plan
• Sante Community Physicians
• Sharp Community Medical Group
• Torrance Memorial Hospital IPA
• UC San Diego Health
• United Care Medical Group
• United Physicians Network
• Valley Health Plan
• Ventura County Health Care Plan
• Watts Healthcare IPA
• Welcome Health Medical Group
• Workers Compensation

Colorado

• Anthem Blue Cross Blue Shield of Colorado
• Child Health Plan Plus

  Colorado Access
• Denver Health, All plans
• Integrated Health Plan
• Medicaid/Health First (State Aid)
• Medicare
• Rocky Mountain Health Plan

Florida

• Medicare
• Sunshine Health

Illinois

• Aetna Better Health of Illinois
• Blue Cross Blue Shield of Illinois
• Caterpillar, UnitedHealthcare
• CountyCare
• Harmony/WellCare Health Plan
• Humana Illinois
• Medicaid (State Aid)
• Medicare
• Meridian Health Plan of Illinois
• Molina Healthcare of Illinois
• YouthCare HealthChoice Illinois

Michigan

• Medicare
• Michigan Complete Health

Nevada

• Medicare
• SilverSummit HealthPlan

Ohio

• Aetna Better Health OH
• Ambetter from Buckeye Health Plan
• AmeriHealth Caritas Ohio Medicaid
• Anthem Blue Cross Blue Shield of Ohio
• Buckeye Health Plan
• CareSource
• Humana Healthy Horizons Ohio
• Medical Mutal of Ohio Commercial
• Medicaid (State Aid)
• Medicare
• Molina Healthcare of Ohio
• MyCare Ohio
• Ohio Complex Medical Help
• UnitedHealthcare of Ohio

South Carolina

• Absolute Total Care
• Medicare

Texas

• Aetna Better Health of Texas
• Ambetter
• Blue Cross Blue Shield of Texas
• Community First Health Plans
• Community Health Choice
• Cook Children’s Health Plan
• Dell Children’s Health Plan
• Driscoll Health Plan
• FirstCare Health Plans
• KelseyCare Advantage
• Medicaid (State Aid)
• Medicare
• Molina Healthcare of Texas
• Parkland Community Health Plan
• RightCare from Scott & White Health Plan
• SmartHealth
• Superior HealthPlan
• Texas Children’s Health Plan
• UnitedHealthcare of Texas
• Wellpoint (Previously Amerigroup)

Washington

• Amerigroup
• Community Health Plan of Washington
• Coordinated Care Health Plan
• Medicaid / Apple Health
• Medicare
• Molina Healthcare of Washington
• Premera Blue Cross
• Regence BlueShield of Washington

Wisconsin

• Medicare
• MHS Health Wisconsin