Health Plans Accepted by the Hospital (Effective April, 2018)
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1 Health Plans Accepted by the Hospital (Effective April, 2018) 1199 SEIU National Benefit Fund Home Care Benefit Fund Greater New York Benefit Fund AARP AARP Medicare Complete Plan 1 United HealthCare AARP Medicare Complete Plan 2 United HealthCare AARP Medicare Complete Essential (HMO) United HealthCare Aetna NAP (National Advantage Plan) Aetna Affordable Health Choices *limited benefits insurance plan (SRC only) Aetna Choice POS (Open Access) Aetna Choice POS II (Aetna Health Fund) Aetna Choice POS II (Open Access) Aetna Choice POS II on the Altius Network Aetna Chickering (Student Insurance) Aetna Health Network Only (Open Access) Aetna Health Network Only (SM) (Open Access) on the Altius Network Aetna Health Network Options Aetna Health Network Options (SM) Open Access) on the Altius Network Aetna Medicare Plan (HMO/Open Access HMO) Aetna Medicare Plan (PPO) Aetna- New York Signature Off Exchange Aetna Open Access Elect Choice EPO (Aetna HealthFund) Aetna Open Access Managed Choice POS (Aetna HealthFund) Aetna Select Aetna Select (Open Access) Aetna Value Performance Network Aetna Voluntary Plans Elect Choice EPO Elect Choice EPO (Open Access) HMO HMO (Open Access) Healthy NY HMO 1
2 Managed Choice (Open Access) Managed Choice POS Managed Choice (Open Access) on the Altius Network Open Access Aetna Select (Aetna HealthFund) Open Choice PPO Open Choice PPO (Aetna HealthFund) PCP Referral Plan (TX members only) QPOS Affinity BHP Essential Plans 1 BHP Essential Plan 2 BHP Essential Plan 3 BHP Essential Plan 4 HARP (Health and Recovery Plan) Medicaid Managed Care AmeriChoice by United Healthcare Family Health Plus Medicaid United Community Plan Ameri Group- Health Plus NY HMO Amida Care Inc. Live Life Advantage HMO SNP Truth Life Advantage HMO SNP Live Life Plus Anthem BC & BS (Including Out of State) Blue Cross State Wide Schools Employees (SWSCHP) Beech Street Network CDPHP Cigna CDPHP*** only if member has out of network benefits priced through MagnaCare or Multipan PPO Products 2
3 POS Network and Open Access Plans Cigna Behavioral Health Community Care Network (CCN) Choice Care Network) Community Choice Health Plan (CCHP) NY only Managed Medicaid Connecticare HMO EPO POS Flex POS Consumer Health Network (CHN) Devon/Ullicare PPO Elderplan Inc. Elderplan for Medicaid Beneficiaries HMO SNP Elderplan Advantage for Nursing Home Residents HMO SNP Elderplan Classic Zero Premium HMO Elderplan Diabetes Care (HMO, SNP) Elderplan Extra Help HMO Elderplan Healthy Balance (HMO) Elderplan Long Term Care HMO SNP Elderplan Medicaid Advantage HMO SNP Emblem Health /GHI GHI City of NY Benefits Program GHI HMO Direct Access GHI EPO/PPO GHI Flex Select GHI HMO GHI Medicare/Medicaid FIDA GHI Network Access Emblem Health/HIP HIP Access I & II Plans (VYTRA HMO) HIP Prime HMO HIP Medicare Essential HIP Monte Medicare/Medicaid HIP Prime POS HIP Prime PPO/EPO HIP Select PPO/EPO HIP 3
4 Emblem Health Exchange Products Select Platinum Select Gold Select Silver Select Bronze Select Basis Empire Blue Cross Blue Shield HMO Preferred Guided Access POS Preferred Direct Access Indemnity Platinum Guided Access PPO Platinum Direct Access Premier Guided Access Medi Blue HMO Premier Direct Access Medi Blue PPO EPO Pathway Pathway X Pathway Enhanced Pathway X Enhanced Bronze Guided Access Bronze Direct Access Core Guided Access Core Direct Access Silver Guided Access Silver Direct Access Essential Guided Access Essential Direct Access Gold Guided Access Gold Direct Access Empire Blue Cross Health Plus Blue Cross Blue Cross Health Plus Essential 1 Blue Cross Health Plus Essential 2 Blue Cross Health Plus Essential 3 Blue Cross Health Plus Essential 4 Blue Cross HARP Fidelis Care Medicaid managed care programs Family Health Plus Fidelis Exchange 4
5 Fidelis Dual Advantage Fidelis Essential Galaxy Health Network Horizon Health Care of New York HealthFirst Medicare Health Smart World Trade Center Program Only Hebrew Hospital Home-HHH Choices Health Plan. LLC Special Needs Plan Medicaid Advantage Plus Plan (Choices Gold Plans) Hudson Health Plan Hudson Health Choice (Managed Medicaid) Humana Medicare HMO Humana POS MagnaCare IPA (FIDA) MagnaCare Medicare MagnaCare Medicaid MagnaCare Network Medicaid Medicare MediChoice Merritt Behavioral Care Multiplan MVP Medicare Basic Care PPO Medicare Gold PPO Medicare Gold Anywhere PPO Medicare Gold Value HMO Medicare Preferred Gold HMO 1199 National Benefit Fund MVP HMO NY 5
6 MVP HMO Care Advantage MVP Care Basic MVP Indemnity MVP Liberty MVP Liberty HDHP MVP POS MVP Preferred BridgeWell MVP Preferred EPO Open Access MVP EPO MVP Preferred PPO Open Access MVP Preferred PPO MVP Select Care EPO, HMO, Indemnity, POS, PPO MVP Select Care EPO, PPO Open Access MVP TriVantage EPO NY44 Health Benefits Plan Trust MVP Premier HMO Individual MVP Premier Small Group MVP Premier Plus HMO Individual MVP Premier Plus Small Group MVP Hudson Health Medicaid MVP Hudson Health Family Health Plus MVP MVP Essential MVP HARP National Health Administrators (NP) National Provider Network NY Empire United HealthCare Oxford Health Oxford EPO, PPO, HMO (Freedom Network/Liberty Network) Oxford Platinum PPO, EPO Oxford Gold PPO, EPO Oxford Silver-PPO, EPO Oxford Bronze PPO, EPO Oxford Medicare Partners Health Plan POMCO Private Health Care Systems (PHCS Network) Secure Horizon Select Pro Senior Whole Health 6
7 Three River Provider Network (TRPN) Todays Options Tricare/Federal Services PPO Standard PPO Select United Healthcare United Healthcare HMO, PPO, POS, Indemnity United Healthcare Medicare United Healthcare Compass Platinum United Healthcare Compass Gold United Healthcare Compass Silver United Healthcare Compass Bronze Value Options Behavioral Health Veteran Patient Centered Community Care (PCCC) Veteran Choice Program (VA Choice) VNA 7
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Summary of Benefits for Available in: Select Counties* in Maine *See Page 2 for a list of counties. Plan year: January 1, 2018 December 31, 2018 In this section, you ll learn about some of the benefits
Donald Robinson, MD, is a family
GETTING REWARDS FOR YOUR RESULTS: PAY-FOR-PERFORMANCE PROGRAMS More and more health plans are paying physicians for quality. Here s what you need to know about these, and how to get involved. Scott Endsley
Working with Anthem Subject Specific Webinar Series
Working with Anthem Subject Specific Webinar Series Special Session Working with Anthem Medicaid Access audio conference: 877-497-8913 Conference code: 132-281-9809# Please Mute Your Phone Use the mute