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

Arizona

Bridgeway Health Solutions
Cenpatico Integrated Care
Medicare

Arkansas

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

California

• Adventist Medical Center IPA
• Alignment Health Plan
• 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
• Blue Shield of California Promise Health Plan
• 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 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
• Inland Empire Health Plan (IEHP)
• Imperial Health Holdings Medical Group
• 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 – 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
• 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
• Denver Health, All plans
• Integrated Health Plan
• Medicaid/Health First (State Aid)
• Medicare
• Rocky Mountain Health Plan

Florida

Medicare
Sunshine Health

Georgia

Medicare
Peach State Health Plan

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

Kansas

Medicare
Sunflower State Health Plan

Louisiana

Louisiana Healthcare Connections
Medicare

Massachusetts

CeltiCare Health Plan of Massachusetts
Medicare

Michigan

Medicare
Michigan Complete Health

Mississippi

Magnolia Health Plan
Medicare

Missouri

Home State Health
Medicare

Nebraska

Medicare
Nebraska Total Care

Nevada

Medicare
SilverSummit HealthPlan

New Hampshire

Granite State Health Plan
Medicare

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
• UnitedHealthcare of Ohio

Pennsylvania

Medicare
Pennsylvania Health and Wellness

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