MANAGED CARE CONTRACTS
October 1, 2019
Flushing Hospital Medical Center participates with the following plans:
- 1199 National Benefit Fund
- Aetna
- Affinity Health Plan (uses Beacon Health to manage behavioral health services)
- Agewell New York LLC
- Amida Care (uses Beacon Health to manage behavioral health services)
- Beacon Health Options (Formerly known as Value Options ) (manages Emblem’s, The NYS Empire Plan and VNS Choice behavioral health services)
- Beacon Health Strategies (manages Affinity, Amida Care, Centers Plan for Healthy Living, ElderServe, Senior Whole Health and MetroPlus behavioral health services)
- Beech Street/Viant
- CenterLight Healthcare (fka Comprehensive Care Management)
- 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
- Hotel Trades Council (OR, IP Detox & Mental Health)
- Humana Health Plan
- 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 Optum to manage behavioral health services)
- Optum Health /UBH (manages all United Healthcare lines of business and Oscar behavioral health services)
- TriCare (via Health Net Federal Services) (uses MHN to manage behavioral health services)
- United Healthcare/Oxford Health Plans (uses Optum/UBH to manage 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.