Employed Physicians
MANAGED CARE CONTRACTS
Paying for care


IPA MANAGED CARE CONTRACTS April 25, 2016

  • 1199 National Benefit Fund
  • Access Medicare (Cuatro LLC)
  • Aetna
  • Affinity Health Plan (uses Beacon Health to manage behavioral health services except for Exchange) (FHMC is not contracted for Psych Services on Exchange)
  • Agewell New York LLC
  • AlphaCare
  • Amida Care (uses Beacon Health to manage behavioral health services)
  • Beacon Health Options (Beacon Health Strategies & Value Options)
  • Beacon Health Strategies (manages Affinity, Amida Care, Centers Plan for Healthy Living, CenterLight, ElderServe, MetroPlus & Senior Whole Health behavioral health services)
  • Beech Street/Viant
  • CenterLight Healthcare (fka Comprehensive Care Management) (uses Beacon Health to manage behavioral health services)
  • Centers Plan for Healthy Living (uses Beacon Health to manage behavioral health services)
  • CIGNA HealthCare (FHMC is not contracted for Psych Services. CIGNA uses CIGNA Behavioral Health)
  • Elderplan (FIDA (Dual Eligible Program ) and MLTC products only)
  • Elderserv Health, Inc. (uses Beacon Health to manage behavioral health services)
  • Emblem Health (GHI – HIP) (uses Value Options to manage behavioral health services)
  • Empire BlueCross BlueShield
  • Empire BlueCross BlueShield HealthPlus
  • Fidelis Care
  • First Health (aka Coventry)
  • Galaxy Health Network
  • Group Health Inc. (GHI) (uses Value Options to manage behavioral health services)
  • Health Plan of NY (HIP) (uses Value Options to manage behavioral health services)
  • HealthFirst
  • HHH Choices Health Plan
  • Humana Health Plan
  • Independence Care System, Inc. (ICS)
  • Integra MLTC, Inc.
  • Magna Care
  • Managed Health Network (MHN) (for HealthNet Federal line of business only)
  • MetroPlus Health Plan, Inc. (uses Beacon Health to manage behavioral health services)
  • MultiPlan /PHCS
  • Oscar (uses Value Options to manage behavioral health services)
  • Optum Health (manages all United Healthcare lines of business’ behavioral health services)
  • TriCare (via Health Net Federal Services) (uses MHN to manage behavioral health services)
  • United Healthcare/Oxford Health Plans (uses Optum to manage behavioral health services)
  • Value Options (manages Emblem’s, Oscar, The NYS Empire Plan and VNS Choice behavioral health services)
  • Village Care Max
  • VNS Choice (uses Value Options to manage behavioral health services)
  • WellCare

Note: Reimbursement for some outpatient services (ie: Clinic/DTC) may require physician participation in plan. Hospital participation does not guarantee physician participation.Unless specifically noted otherwise, assume that Hospital participates in all Plans’ lines of business.