IPA
MANAGED CARE CONTRACTS
August 18, 2023
IPA Physicians participates with the following plans:
- 1199 National Benefit Fund
- Aetna
- Affinity by Molina Healthcare
- Agewell New York LLC
- Amida Care (uses BeaconHealthOptions to manage behavioral health services)
- Beech Street
- Carelon Behavioral Health effective 3/1/23 (formerly known as Beacon Health Options) (manages Centers Plan for Healthy Living MAP, Emblem’s, Emblem SOMOS, The NYS Empire Plan, Hamaspik Choice, Village Care Max MAP/DSNP and VNS Choice behavioral health services)
Beacon Health Strategies (manages Amida Care behavioral health services) - Centers Plan for Healthy Living (uses Carelon Behavioral Health to manage behavioral health services for MAP LOB
- Centivo
- Cigna HealthCare (IPA 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
- ElderServe Health, Inc.
- Emblem Health (GHI-HIP) (uses Carelon Behavioral Health to manage behavioral health services)
- Empire Blue Cross Blue Shield
- Empire BlueCross BlueShield HealthPlus
- Empire BCBS Blue Access
- Empire BCBS Blue View Vision
- Fidelis Care
- First Health/Coventry
- Group Health Inc. (GHI (uses Carelon Behavioral Health to manage behavioral health services)
- Hamaspik Choice (uses Carelon Behavioral Health to manage behavioral health services)
- Health Plan of NY (HIP) (uses Carelon Behavioral Health to manage behavioral health services)
- Healthfirst PHSP & MHI
- Hotel Trades Council
- Humana Health Plan, Inc.
- Magna Care
- Magnacare IPA, LLC
- MetroPlus Health Plan, Inc.
- Multiplan/PHCS
- Optum/UBH (manages all United Healthcare lines of business and Oscar behavioral health services)
- Oscar Health Insurance for New York (uses Optum/UBH to manage behavioral health services)
- Pomco Health Insurance for New York
- SOMOS Emblem (uses Carelon Behavioral Health to manage behavioral health services)
- SOMOS Empire Healthplus
- The NYS Empire Plan (uses Carelon Behavioral Health to manage behavioral health services)
- Tricare (Health Net Federal Services) uses MHN to manage behavioral health services)
- United Healthcare/Oxford Health Plans (uses Optum/UBH to manage behavioral health services)
- VillageCareMax (uses Carelon Behavioral Health to manage behavioral health services for Village Care Max MAP & DSNP LOB
- Vision Care Service (Superior Vision)
- VNS Choice (uses Carelon Behavioral Health to manage behavioral health services)
- Wellcare of NY Health Plan
Unless specifically noted otherwise, assume that Physicians participates in all Plans’ lines of business.
