Calidon Health Plans offers comprehensive health insurance and benefits solutions for individuals, families, and employers across the Southeast — with a network of 48,000+ providers and plans designed to fit every need and budget.
Whether you're an individual, a growing family, or an employer looking to offer competitive benefits, Calidon has a plan built for you.
Calidon Health Plans works with hospitals, health systems, physician groups, and ancillary providers to deliver coordinated care for our members.
Submit claims electronically via our provider portal or your clearinghouse. ERA/835 remittance files available within 2 business days of processing.
Join the Calidon network or renegotiate your existing contract. Contact our provider relations team to initiate a contracting conversation.
Submit prior authorization requests online 24/7 through the provider portal. Urgent requests reviewed within 24 hours.
Dedicated provider relations representatives available Monday–Friday 8am–6pm ET. Call 1-800-CALIDON option 2.
Participate in Calidon's value-based care and quality incentive programs — earn bonuses for meeting quality and utilization benchmarks.
Submit credentialing applications through CAQH. Initial credentialing typically completed within 60 days of complete application receipt.
Founded in 1987, Calidon Health Plans has grown from a single-state HMO into one of the Southeast's largest regional health insurers — serving 2.4 million members across six states with a broad portfolio of individual, group, Medicare Advantage, and Medicaid managed care products.
As a regional carrier, Calidon combines the financial strength and network breadth of a large insurer with local market knowledge and responsive service that national carriers often can't match.
Get a personalized quote in minutes — individual, family, or employer group.