Participating Insurance Plans and Geographies

Overview

Alma works with an expansive group of commercial insurance carriers across the United States. We are working to go in network with even more insurance carriers in the near future, and we will share these exciting updates here.

Alma also works with covered programs including EAPs and Optum Care Connect, providing additional opportunities to connect with clients and grow your practice. You can learn more about them here:

The Alma insurance program includes the following insurance plans and geographies. To be eligible for payment, you must be (1) licensed in the state you're providing service and (2) credentialed via Alma with each network payer.

Please keep in mind that insurance companies define benefits in countless ways — based on location, employer contracts, and many other factors. Therefore, we cannot guarantee which individual health plans will be considered in-network until we have specific insurance policy information. We always suggest that you submit your client's insurance details to our team to confirm their in-network eligibility, expected payment responsibility, and mental health benefits. 

Participating Insurance Plans

Optum

  • Primary States: AZ, CA, CO, CT, DE, FL, GA, IA, IL, IN, IO, KS, KY, MA, ME, MD, MN, MO, NC, NJ, NM, NV, NY, OH, OR, PA, RI, TN, TX, VA, UT, WA, WI, and D.C.
  • Secondary States: All Others      

Optum is inclusive of several health plans that are included in the Alma insurance program, including:

  • UnitedHealthcare
  • UnitedHealthcare Global
  • UnitedHealthCare Exchange Plans (ONEX)
  • Oscar
  • Oxford
  • UHC Student Resources
  • UMR
  • All Savers (UHC)
  • Health Plans Inc
  • Surest (Formerly Bind)

Optum is inclusive of several health plans that Alma does not currently accept, including:

  • Select Health
  • Health Plans of Nevada
  • Cenpatico
  • Sierra Health and Life Health Plans
  • Arizona Complete Health
  • Optum Medicare and Medicaid plans

Aetna

  • Primary States: AZ, CA, CO, CT, DE, FL, GA, IA, IL, IN, KS, KY, MA, MD, ME, MN, MO, NC, NJ, NM, NV, NY, OH, OR, PA, RI, TN, TX, VA, UT, WA, WI, and D.C.
  • Secondary States: All Others

Included in Aetna's Signature Administrators:

  • Meritain
  • Nippon
  • Allied Benefit Systems
  • GEHA - United Healthcare Shared Services (UHSS)
  • Trustmark
  • Trustmark Small Business Benefits
  • Health Scope
  • Christian Brothers Services

Aetna is inclusive of several health plans that Alma does not currently accept, including:

  • GEHA - Aetna**
  • Boon Chapman
  • AmeriBen
  • Health First
  • Piedmont/S&S Healthcare
  • Health Smart
  • Emi Health
  • WebTPA
  • Aetna Medicare and Medicaid plans

** GEHA - Aetna is not currently accepted UNLESS the plan includes mental health benefits managed by United Healthcare Shared Services. 

If you have a prospective client with subsidiary insurance related to Aetna, please reach out to support@helloalma.com to confirm whether that subsidiary insurance is currently billable through Alma.

Cigna

  • Primary States: AZ, CA, CO, CT, DE, FL, GA, IA, IL, IN, KS, KY, MA, MD, ME, MO, NC, NJ, NM, NV, NY, OH, OR, PA, RI, TN, TX, VA, UT, WA, WI, and D.C.
  • Secondary States: All others with the exception of Minnesota

Cigna is inclusive of several health plans that are included in the Alma insurance program, including:

  • Allegiance
  • Daniel H. Cook Administrators
  • Professional Benefit Administrators
  • S&S Healthcare Strategies
  • Tall Tree Administrators
  • Trustmark 
  • Wellfleet Group, LLC
  • Southwest Service Administrators
  • Paragon Benefits

Cigna is inclusive of several health plans that Alma does not currently accept,, including:

  • Flume Health
  • Florida Health Administrators
  • Gilsbar TPA
  • Healthpartners Inc.
  • Magnolia Health
  • Priority Health
  • UPMC Healthplan

Regional Plans

Blue Cross Blue Shield of Massachusetts

Alma providers across all 50 states are welcome to get credentialed with Blue Cross Blue Shield of Massachusetts. Unlike Anthem Blue Cross and Blue Shield, you do not need to be located or licensed in Massachusetts to be credentialed with Blue Cross Blue Shield of Massachusetts. 

However, only providers located in Massachusetts will be eligible to see Blue Cross Blue Shield of Massachusetts clients both in person and virtually. Providers located outside of Massachusetts will only be eligible to see virtual Blue Cross Blue Shield of Massachusetts clients. Learn more about Blue Cross Blue Shield of Massachusetts and Alma here: Blue Cross Blue Shield of Massachusetts FAQ

Point32Health 

Point32Health is a new regional insurer formed from the merger between Harvard Pilgrim Health Care and Tufts Health Plan, two of Massachusetts’s largest health plans. 

We have prioritized contracting directly with Point32Health to ensure continuity of care for Alma clients and providers formerly in-network with Harvard Pilgrim health plans. Alma’s partnership with Point32Health launched on November 1st with no lapse of in-network coverage for clients whose providers opted-in to Point32Health.

Please note that we are not credentialing new providers with Point32Health at this time. We will update the Alma community when we resume credentialing in 2024. See Point32Health (Formerly Harvard Pilgrim) FAQs to learn more.

Was this article helpful?

119 out of 133 found this helpful

Have more questions? Submit a request