MANAGED CARE CONTRACTS
July 8th, 2024
Flushing Hospital Medical Center participates with the following plans:
- 1199 National Benefit Fund
- Aetna
- Affinity by Molina Healthcare
- Amida Care (uses Beacon Health to manage behavioral health services)
- Beech Street/Viant
- Carelon Behavioral Health Effective 3/1/23 (formerly known as Beacon Health Options) (manages Centers Plan for Healthy Living MAP LOB, Emblem’s, Emblem SOMOS, The NYS Empire Plan, Hamaspik Choice, VNS Choice and Village Care Max MAP LOB & DSNP behavioral health services)
Beacon Health Strategies (manages Amida Care and ElderServe behavioral health services) - CenterLight Healthcare (fka Comprehensive Care Management)
- Centers Plan for Healthy Living (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services for MAP LOB
- Centivo
- CIGNA HealthCare (FHMC is not contracted with Cigna’s Medicare LOB and Psych Services. CIGNA uses Evernorth Behavioral Health / EBH)
- Create Flex, Create NYC & Create Long Island
- Elderplan
- Elderserv Health, Inc.
- Emblem Health (GHI – HIP) (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
- Empire BlueCross BlueShield
- Empire BCBS Blue Access
- Empire BlueCross BlueShield HealthPlus
- Fidelis Care
- First Health (aka Coventry)
- Galaxy Health Network
- Group Health Inc. (GHI) (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
- Hamaspik Choice (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
- Health Plan of NY (HIP) (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
- HealthFirst
- Hotel Trades Council (OR, IP Detox & Mental Health)
- Humana Health Plan
- Magna Care
- Magnacare IPA, LLC
- Managed Health Network (MHN) (for Health Net Federal Services. Hospital is only participating with MNH for Tricare business)
- MetroPlus Health Plan, Inc.
- MultiPlan /PHCS
- Oscar (uses UBH/Optum to manage behavioral health services)
- Senior Whole Health by Molina Healthcare
- SOMOS Emblem (uses Carelon Behavioral Health (formerly known as Beacon Health Options)to manage behavioral health services)
- SOMOS Empire Healthplus
- TriCare (via Health Net Federal Services) (uses MHN to manage behavioral health services)
- United Behavioral Health/Optum (manages all United Healthcare lines of business and Oscar behavioral health services)
- United Healthcare/Oxford Health Plans (uses Optum/UBH to manage behavioral health services)
- Village Care Max (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services for MAP & DSNP LOB
- VNS Choice (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
- WellCare of NY Choice Health Plan
Note: Reimbursement for some outpatient services (ie: Clinic) 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.