|
Insurance |
Plans/Products |
Comments |
|
1199 National Benefit
& Pension Funds |
PPO |
Inpatient/Ambulatory only, not accepted in clinics |
|
Academic Health Plan (AHP)
|
PPO
|
Referrals are not required for this insurance plan and most patients will have a 20% or 10% coinsurance responsibility |
|
ADAP - NY State AIDS Program |
Outpatient ophthalmology services only |
Call to verify patient's eligibility and obtain authorization |
|
Aetna US Healthcare |
HMO, PPO |
HMO/POS - Referral required |
|
Affinity |
Medicaid
HMO, Child Health Plus, Family Health Plus |
Referral required |
|
Americhoice |
Medicaid
HMO, Child Health Plus, Family Health Plus |
Referral requirements are determined by the patient's benefit |
|
Amerigroup (formerly CarePlus) |
Medicaid
HMO, Child Health Plus, Family Health Plus |
No referral |
|
Anthem Health |
PPO, POS |
PPO - No referral |
|
Atlantis
Health Plan |
HMO |
No referral |
|
BCE Emergis (UP & UP) |
PPO |
PPO - No referral |
|
Beech Street Corp (merged with CapCare) |
PPO |
PPO - No referral |
|
Better Health Advantage |
PPO |
PPO - No referral |
|
Cigna Healthcare |
PPO, HMO |
HMO - Referral required, POS - No referral |
|
Community Care Network |
PPO |
PPO - No referral |
|
Community Care Partners |
SNIP |
No referral |
|
Consumer Health Network |
PPO |
PPO - No referral |
|
Devon Health Services |
PPO |
PPO - No referral |
|
Direct Care America |
PPO |
PPO - No referral |
|
Elderplan |
Medicare HMO |
No referral |
|
Empire Health Choice (BCBS) |
HMO, PPO, POS, Indemnity, Medicare HMO |
Not accepted in clinics |
|
Fidelis Care (Centercare) |
Medicaid HMO, Child
Health Plus, Family Health Plus |
No referral required |
|
First Health (Healthcare Compare/Affordable) |
PPO |
PPO - No referral |
|
Galaxy (Managed Care
Inc. - MCI) |
PPO |
PPO - No referral |
|
Global Medical Management |
PPO |
PPO - No referral |
|
Great West Healthcare |
PPO |
PPO - No referral |
|
Group Health Incorporated (GHI) |
CBP, Flex Select, PPO, HMO, Medicaid HMO, CHP, FHP, Medicare |
CHP, FHP, CAID - Referral required |
|
Healthfirst |
Medicaid HMO, Child
Health Plus, Family Health Plus, A Plus |
No referral |
|
Healthfirst/MHI |
HMO, Medicare HMO |
No referral |
|
Healthnet |
Commercial, PPO |
Inpatient/Ambulatory only, not accepted in clinics |
|
Healthplus |
Medicaid
HMO, Child Health Plus, Family Health Plus |
Authorization and referral required |
|
HIP/VYTRA |
HMO, Child Health Plus,
Medicaid HMO, Medicare HMO, Heritage, Prime |
Referral required |
|
Horizon Healthcare |
HMO, PPO, POS |
HMO, POS - Referral required |
|
Independent Health |
PPO |
PPO - No referral |
|
Magnacare |
HMO, PPO |
HMO, POS - Referral required |
|
Mastercare |
PPO |
PPO - No referral |
|
Medcare International |
PPO |
PPO - No referral |
|
Medicaid |
|
No referral |
|
Medicare |
|
No referral |
|
Metracomp |
PPO |
PPO - No referral |
|
Metroplus |
|
|
|
Multiplan |
PPO |
PPO - No referral |
|
National Health Plan |
PPO |
PPO - No referral |
|
National Preferred
Provider Network |
PPO |
PPO - No referral |
|
National Provider Network |
PPO |
PPO - No referral |
|
Neighborhood Health
Providers |
Medicaid HMO, Child
Health Plus, Family Health Plus |
Referral required |
|
Oxford Health Plans |
HMO, PPO, Medicare HMO, Liberty, Freedom |
Referral form does not apply to all |
|
POMCO |
PPO |
PPO - No referral |
|
Private Healthcare
Systems (PHCS) |
PPO |
PPO - No referral |
|
Proamerica
Managed Care |
PPO |
PPO - No referral |
|
Selectpro |
PPO |
PPO - No referral |
|
Travel Care Services |
PPO |
PPO - No referral |
|
United Healthcare |
HMO, PPO, Liberty, Freedom
Medicare, Medicaid |
Referral requirements are determined by the patient's benefit |
|
USA Managed Care Network |
PPO |
Referral required |
|
Wellcare |
Medicaid HMO, Child Health Plus, Family Health Plus |
No referral |
|
|
|
|
|
Revised 6/13/08 |