Insurance

We accept Medicare, workers’ compensation, and most private insurance plans. Please call us for more detail regarding insurance and fees. Our staff will verify and explain your benefits before treatment. Below is a list of a few of the many plans we provide for:

More Insurance Information

1199SEIU

  • Greater New York Benefit Fund
  • Greater New York for New Jersey Members
  • Home Care Benefit Fund
  • Home Health Aide Benefit Fund
  • Licensed Practical Nurses Welfare Fund
  • National Benefit Fund
  • National Benefit Fund for Rochester Members

AARP

  • AARP Medicare Advantage HMO
  • AARP Medicare Advantage POS
  • AARP Medicare Advantage PPO
  • AARP Medicare Complete (HMO)
  • AARP MedicareComplete Choice (PPO)
  • AARP MedicareComplete SecureHorizons
  • AARP Personal Health Insurance Plan

Aetna

  • ActiveCare 1-HD
  • ActiveCare 2
  • ActiveCare Select
  • Aetna Affordable Health Choices limited benefits insurance plan (SRC only)
  • Aetna Basic HMO (available in CA only)
  • Aetna Choice POS (Aetna HealthFund)
  • Aetna Choice POS II (Aetna HealthFund)
  • Aetna Choice POS II on the Altius Network
  • Aetna Choice® POS (Open Access)
  • Aetna Choice® POS II (Open Access)
  • Aetna DC Bronze, Silver and Gold HMO
  • Aetna DC Bronze, Silver and Gold HNOnly
  • Aetna DC Bronze, Silver and Gold OAMC
  • Aetna Health Network Only (Open Access)
  • Aetna Health Network Only (Open Access) on the Altius Network
  • Aetna Health Network Option (Open Access)
  • Aetna Health Network Option (Open Access) on the Altius Network
  • Aetna HealthFund HMO (available in CA only)
  • Aetna HealthFund® Aetna Health Network Only (Open Access)
  • Aetna HealthFund® Aetna Health Network Option (Open Access)
  • Aetna Select
  • Aetna Signature Administrators (PPO)
  • Aetna Value Network HMO (available in CA and NV only)
  • Aexcel Aetna Select
  • Aexcel Aetna Select (Open Access)
  • Aexcel Choice POS II
  • Aexcel Choice POS II (Aetna HealthFund)
  • Aexcel Elect Choice EPO
  • Aexcel Elect Choice EPO (Open Access)
  • Aexcel Managed Choice POS
  • Aexcel Managed Choice POS (Open Access)
  • Aexcel Open Access Aetna Select (Aetna HealthFund)
  • Aexcel Open Access Elect Choice (Aetna HealthFund)
  • Aexcel Open Access Managed Choice POS (HealthFund)
  • Aexcel Plus Aetna Select
  • Aexcel Plus Aetna Select (Open Access)
  • Aexcel Plus Choice POS II
  • Aexcel Plus Choice POS II (Aetna HealthFund)
  • Aexcel Plus Elect Choice EPO
  • Aexcel Plus Elect Choice EPO (Open Access)
  • Aexcel Plus Managed Choice POS
  • Aexcel Plus Managed Choice POS (Open Access)
  • Aexcel Plus Open Access Aetna Select (Aetna HealthFund)
  • Aexcel Plus Open Access Elect Choice (Aetna HealthFund)
  • Aexcel Plus Open Access Managed Choice POS (HealthFund)
  • Aexcel Plus PPO
  • Aexcel Plus PPO (Aetna HealthFund)
  • Aexcel PPO
  • Aexcel PPO (Aetna HealthFund)
  • AK Bronze $20 Copay PD
  • AK Bronze Ded. Only HSA PD
  • AK Catastrophic 100% PD
  • AK Silver $10 Copay PD
  • AK Silver $5 Copay 2750 PD
  • AZ Aetna Whole Health – Arizona Care Network
  • AZ Aetna Whole Health – Banner Health Network
  • AZ Banner Health Network Bronze $20 Copay PD
  • AZ Banner Health Network Bronze HSA PD
  • AZ Banner Health Network Catastrophic 100% PD
  • AZ Banner Health Network Gold $5 Copay PD
  • AZ Banner Health Network Silver $10 Copay PD
  • AZ Banner Health Network Silver $5 Copay 2750 PD
  • AZ Marketplace: Aetna Advantage 5750 PD
  • AZ Marketplace: Banner Health Network Bronze $20 Copay
  • AZ Marketplace: Banner Health Network Catastrophic 100%
  • AZ Marketplace: Banner Health Network Gold $5 Copay
  • AZ Marketplace: Banner Health Network Silver $10 Copay
  • AZ Marketplace: Banner Health Network Silver $5 Copay 2750
  • AZ Medicare Individual Arizona Value HMO Plan
  • Behavioral Health Program
  • CA Aetna Whole Health – Hill Physicians & Mercy Medical Group
  • CA Aetna Whole Health – PrimeCare Physicians HMO
  • CA Aetna Whole Health – PrimeCare Physicians OAMC
  • CA Aetna Whole Health – SCCIPA
  • CA Medicare HMO Orange/San Bernadino/Losa Angeled CA Prime Plan
  • CO Aetna Whole Health – Colorado Front Range
  • CO Medicare HMO Denver CO Prime Plan
  • CO Medicare PPO Denver CO Prime Plan
  • CT Aetna Whole Health – Connecticut Preferred Health Network
  • CT Aetna Whole Health PHN Bronze $15 Copay PD
  • CT Aetna Whole Health PHN Gold $0 Copay PD
  • CT Aetna Whole Health PHN Silver $10 Copay PD
  • CT Bronze $20 Copy PD
  • CT Bronze Deductible Only HSA PD
  • CT Gold Copay $5 PD
  • CT Silver $10 Copay 2750 PD
  • CT Silver $10 Copay PD
  • DE Bronze $20 Copay HNOnly PD
  • DE Bronze $20 Copay PPO PD
  • DE Bronze Ded. Only HSA HNOnly PD
  • DE Bronze Ded. Only HSA PPO PD
  • DE Gold $5 copay HNOnly PD
  • DE Gold $5 Copay PPO PD
  • DE Marketplace: Bronze Ded. Only HSA HNOnly
  • DE Marketplace: Bronze Ded. Only HSA PPO
  • DE Marketplace: Gold $10 Copay HNOnly
  • DE Marketplace: Gold $10 Copay PPO
  • DE Marketplace: Silver $10 Copay HNOnly
  • DE Marketplace: Silver $10 Copay PPO
  • DE Marketplace: Silver $5 Copay 2750 HNOnly
  • DE Marketplace: Silver $5 Copay 2750 PPO
  • DE Silver $10 Copay HNOnly PD
  • DE Silver $10 Copay PPO PD
  • DE Silver $5 Copay 2750 HNOnly PD
  • DE Silver $5 Copay 2750 PPO PD
  • Elect Choice EPO
  • Elect Choice EPO (Open Access)
  • Elect Choice EPO (Open Access) on the Altius Network
  • Employee Assistance Program
  • FL Bronze $20 Copay Savings Plus HMO
  • FL Bronze Ded. Only HSA MC
  • FL Bronze Ded. Only HSA Savings Plus HMO
  • FL Catastrophic 100% Savings Plus HMO
  • FL Gold $10 Copay Savings Plus HMO
  • FL Marketplace: Bronze $20 Copay Savings Plus HMO
  • FL Marketplace: Bronze Ded. Only HSA Savings Plus HMO
  • FL Marketplace: Catastrophic Savings Plus HMO
  • FL Marketplace: Gold $10 Copay Savings Plus HMO
  • FL Marketplace: Silver $10 Copay 2750 Savings Plus HMO
  • FL Marketplace: Silver $10 Copay Savings Plus HMO
  • FL Sarasota/Manatee Bronze $20 Copay Savings Plus HMO
  • FL Sarasota/Manatee Bronze Ded. Only HSA Savings Plus HMO
  • FL Sarasota/Manatee Catastrophic 100% Savings Plus HMO
  • FL Sarasota/Manatee Gold $5 Copay Savings Plus HMO
  • FL Sarasota/Manatee Silver $10 Copay Savings Plus HMO
  • FL Sarasota/Manatee Silver $5 Copay 2750 Savings Plus HMO
  • FL Silver $10 Copay Savings Plus HMO
  • FL Silver $5 Copay 2750 Savings Plus HMO
  • GA Bronze $15 Copay
  • GA Bronze Ded. Only HSA
  • GA Catastrophic 100%
  • GA Gold $10 Copay HMO
  • GA Silver $10 Copay
  • GA Silver $5 Copay 2750
  • HCA Well Care (Levels 1, 2 & 3)
  • HMO
  • HMO Deductible Plan (CA members only)
  • IL Bronze $15 Copay
  • IL Bronze Ded. Only HSA
  • IL Catastrophic 100%
  • IL Gold $10 Copay
  • IL Silver $10 Copay
  • LM HealthWorks Plan
  • Managed Choice (Open Access)
  • Managed Choice (Open Access) on the Altius Network
  • Managed Choice POS
  • MD Bronze, Silver and Gold HMO
  • MD Bronze, Silver and Gold OAMC
  • ME Aetna Whole Health – Maine
  • Medicare Open (Private Fee-for-Service)
  • Medicare Plan (HMO)
  • Medicare Plan (Open Access HMO)
  • Medicare Plan (PPO)
  • MI Bronze $20 Copay PD
  • MI Bronze Ded. Only HSA PD
  • MI Catastrophic 100% PD
  • MI Silver $10 Copay PD
  • MI Silver $5 Copay 2750 PD
  • MO & KS Aetna Whole Health – MW Comm. Health Solutions
  • National Advantage Program
  • NC Bronze Ded. Only HSA PD
  • NC Medicare HMO Raleigh NC Prime Plan
  • New York Certified PPO (Workers’ Comp)
  • New York Recommendation of Care PPO (Workers’ Comp)
  • NJ Bronze 2500 Savings Plus PD
  • NJ Gold 100 Savings Plus PD
  • NJ Medicare HMO Northern New Jersey Prime Plan
  • NJ Silver $25 Copay Savings Plus PD
  • NJ Silver $50 Copay Savings Plus PD
  • NV Bronze $20 Coapy AVN HMO PD
  • NV Silver $10 Copay AVN HMO PD
  • NY Bronze Ded. Only EPO NY Signature PD
  • NY Bronze Ded. Only EPO NY Signature PD DEP 30
  • NY Bronze Ded. Only EPO NY Signautre PD C/O
  • NY Gold $10 Copay EPO NY Signature PD C/O
  • NY Gold $10 Copay EPO NY Signature PD DEP 30
  • NY Gold $10 Copay EPO NY Signautre PD
  • NY Medicare PPO Onondaga NY Prime Plan
  • NY Pinnacle OAMC PD
  • NY Platinum $5 Copay EPO NY Signature PD
  • NY Platinum $5 Copay EPO NY Signature PD DEP 30
  • NY Platinum $5 Copay EPO Signature PD C/O
  • NY Silver $20 Copay EPO NY Signature DEP 30
  • NY Silver $20 Copay EPO NY Signature PD
  • NY Silver $20 Copay EPO NY Signature PD C/O
  • NYC Community Plan
  • OH Aetna Whole Health – Mercy Health
  • OH Bronze $20 Copay
  • OH Bronze Ded. Only HSA
  • OH Gold $10 Copay
  • OH Silver $10 Copay
  • OH Silver $10 Copay 2750
  • Open Access (HMO)
  • Open Access Aetna Select (Aetna Health Fund)
  • Open Access Elect Choice EPO (Aetna Health Fund)
  • Open Access Managed Choice POS (Aetna Health Fund)
  • Open Choice PPO
  • Open Choice PPO on the Altius Network
  • Open Choice® PPO (Aetna Health Fund)
  • PA Aetna Whole Health – PinnacleHealth
  • PA Aetna Whole Health – Valley Preferred
  • PA Aetna Whole Health – WellSpan
  • PA Bronze $15 Copay
  • PA Bronze $20 Copay OAMC
  • PA Bronze Ded. Only HSA HMO
  • PA Bronze Ded. Only HSA OAMC
  • PA Gold $0 Copay Savings Plus HMO
  • PA Gold $5 Copay OAMC PD
  • PA Marketplace: Bronze $15 Copay Savings Plus HMO
  • PA Marketplace: Bronze $20 Copay HMO
  • PA Marketplace: Bronze $20 Copay OAMC
  • PA Marketplace: Bronze Ded. Only HSA HMO
  • PA Marketplace: Bronze Ded. Only HSA OAMC
  • PA Marketplace: Gold $0 Copay Savings Plus HMO
  • PA Marketplace: Gold $5 Copay HMO
  • PA Marketplace: Gold $5 Copay OAMC
  • PA Marketplace: Silver $10 Copay HMO
  • PA Marketplace: Silver $10 Copay OAMC
  • PA Marketplace: Silver $10 Copay Savings Plus HMO
  • PA Marketplace: Silver $5 Copay 2500 Savings Plus HMO
  • PA Marketplace: Silver $5 Copay 2750 HMO
  • PA Marketplace: Silver $5 Copay 2750 OAMC
  • PA Medicare HMO Pinnacle PA Prime Plan
  • PA Silver $10 Copay HMO
  • PA Silver $10 Copay OAMC
  • PA Silver $10 Copay Savings Plus HMO
  • PA Silver $5 Copay 2500 Savings Plus HMO
  • PA Silver $5 Copay 2750 HMO
  • PA Silver $5 Copay 2750 OAMC
  • PCP Referral Plan (TX only)
  • Peak Preference HNOnly (Open Access) on the Altius Network
  • Peak Preference HNOption (Open Access) on the Altius Network
  • Premier Care Network
  • QPOS
  • Savings Plus of Arizona
  • Savings Plus of California
  • Savings Plus of Chicago, IL
  • Savings Plus of Chicago, IL (HMO)
  • Savings Plus of Florida (Brevard and Tampa)
  • Savings Plus of Lake County, OH
  • Savings Plus of Metro, NY
  • Savings Plus of New Jersey
  • Savings Plus of Ohio
  • Savings Plus of Oklahoma
  • Savings Plus of Southeast Pennsylvania
  • Savings Plus of Tennessee
  • Savings Plus of Texas
  • Select (Open Access)
  • Select (Open Access) on the Altius Network
  • Springfield Premier Aetna Choice POS II
  • Springfield Premier Open Choice PPO
  • Student Health Plans
  • TN Aetna Whole Health – Baptist/Select Health Alliance
  • TN Bronze Ded. Only HSA PD
  • Topeka Preferred Aetna Choice POS II
  • Topeka Preferred Aetna Select (Open Access)
  • Topeka Preferred Elect Choice EPO (Open Access)
  • Topeka Preferred Managed Choice (Open Access)
  • Topeka Preferred Open Choice PPO
  • Traditional Choice® Indemnity
  • TRS-Care Networks
  • TX Aetna Whole Health – Baptist Health System & HealthTexas Medical Group
  • TX Aetna Whole Health – Baylor Scott & White Quality Alliance
  • TX Aetna Whole Health – Memorial Hermann Accountable Care Network
  • TX Aetna Whole Health – Memorial Hermann CAN Select
  • TX Aetna Whole Health – Seton Health Alliance
  • TX Bronze $15 Austin Community Plan
  • TX Bronze $15 Copay
  • TX Bronze $15 Copay San Antonio Community Plan
  • TX Bronze HSA Austin Community Plan PD
  • TX Bronze HSA PD
  • TX Bronze HSA San Antonio Community Plan PD
  • TX Gold $10 Copay
  • TX Gold $10 Copay Austin Community Plan
  • TX Gold $10 San Antonio Community Plan
  • TX Marketplace: Bronze $15 Copay
  • TX Marketplace: Bronze $15 Copay Austin Community Plan
  • TX Marketplace: Bronze $15 Copay San Antonio Community Plan
  • TX Marketplace: Bronze HSA
  • TX Marketplace: Bronze HSA Austin Community Plan
  • TX Marketplace: Bronze HSA San Antonio Community Plan
  • TX Marketplace: Gold $10 Copay
  • TX Marketplace: Gold $5 Copay Austin Community Plan
  • TX Marketplace: Memorial Hermann Silver $5 Copay 2750
  • TX Marketplace: Silver $10 Copay
  • TX Marketplace: Silver $10 Copay Austin Community Plan
  • TX Marketplace: Silver $10 Copay San Antonio Community Plan
  • TX Medicare HMO Dallas TX Prime Plan
  • TX Medicare HMO San Antonio TX Prime Plan
  • TX Memorial Hermann Bronze $15 Copay
  • TX Memorial Hermann Bronze HSA PD
  • TX Memorial Hermann Gold $10 Copay
  • TX Memorial Hermann Silver $10 Copay
  • TX Memorial Hermann Silver $10 Copay 2750
  • TX Silver $10 Copay 2750
  • TX Silver $10 Copay 2750 Austin Community Plan
  • TX Silver $10 Copay 2750 San Antonio Community Plan
  • TX Silver $10 Copay Austin Community Plan PD
  • TX Silver $10 Copay PD
  • TX Silver $10 Copay San Antonio Community Plan PD
  • VA Aetna Whole Health – Coastal Virginia Health Partners
  • VA Aetna Whole Health – VA Preferred – Roanoke
  • VA Aetna Whole Health Bronze $30 Copay
  • VA Aetna Whole Health Bronze Ded. Only HSA PD
  • VA Aetna Whole Health Catastrophic 100% PD
  • VA Aetna Whole Health Gold $10 Copay
  • VA Aetna Whole Health Silver $10 Copay
  • VA Aetna Whole Health Silver $10 Copay 2750
  • VA Bronze $30 Copay
  • VA Bronze Ded. Only HSA PD
  • VA Catastrophic 100% PD
  • VA Coastal VA HP Bronze $30 Copay
  • VA Coastal VA HP Bronze Ded. Only HSA PD
  • VA Coastal VA HP Catastrophic 100% PD
  • VA Coastal VA HP Gold $10 Copay
  • VA Coastal VA HP Silver $10 Copay
  • VA Coastal VA HP Silver $10 Copay 2750
  • VA Gold $5 Copay PD
  • VA Marketplace: Aetna Whole Health Bronze $30 Copay
  • VA Marketplace: Aetna Whole Health Bronze Ded. Only HSA
  • VA Marketplace: Aetna Whole Health Catastrophic 100%
  • VA Marketplace: Aetna Whole Health Gold $10 Copay
  • VA Marketplace: Aetna Whole Health Silver $10 Copay
  • VA Marketplace: Aetna Whole Health Silver $10 Copay 2750
  • VA Marketplace: Coastal VA HP Bronze $30 Copay
  • VA Marketplace: Coastal VA HP Bronze Ded. Only HSA
  • VA Marketplace: Coastal VA HP Catastrophic 100%
  • VA Marketplace: Coastal VA HP Gold $10 Copay
  • VA Marketplace: Coastal VA HP Silver $10 Copay
  • VA Marketplace: Coastal VA HP Silver $10 Copay 2750
  • VA Medicare HMO VA Innovation Prime Plan
  • VA Silver $10 Copay
  • VA Silver $10 Copay 2750
  • Value Performance Network
  • Virginia Healthcare Reform Plans
  • Vision
  • Vitalidad Mexico con Aetna
  • Vitalidad Plus California con Aetna
  • Voluntary Plans
  • WA Aetna Whole Health – Pacific Medical Centers
  • WA Aetna Whole Health – Providence-Swedish Health Alliance
  • WA Aetna Whole Health – Rainier Health Network
  • WA Aetna Whole Health – The Polyclinic
  • WI Aetna Whole Health – The Aurora Network
  • Wichita Preferred Aetna Choice POS II
  • Wichita Preferred Aetna Select (Open Access)
  • Wichita Preferred Elect Choice EPO
  • Wichita Preferred Elect Choice EPO (Open Access)
  • Wichita Preferred Managed Choice (Open Access)
  • Wichita Preferred Managed Choice POS
  • Wichita Preferred Open Choice PPO
  • Workers’ Comp Access

American Republic Insurance Company

  • PHCS PPO

Anthem Blue Cross

  • Anthem Medicare Preferred Standard (PPO)
  • Blue Cross PPO (Prudent Buyer)
  • Lumenos Plans (PPO)
  • PPO Share
  • Premier Plus PPO

Anthem Blue Cross Blue Shield

  • Anthem MediBlue Preferred (PPO) (Connecticut)
  • Anthem Medicare Preferred
  • Anthem Medicare Preferred (New Hampshire)
  • Anthem Medicare Preferred (PPO) (California)
  • Anthem Medicare Preferred (PPO) (Colorado)
  • Anthem Medicare Preferred (PPO) (Indiana)
  • Anthem Medicare Preferred (PPO) (Kentucky)
  • Anthem Medicare Preferred (PPO) (Maine)
  • Anthem Medicare Preferred (PPO) (Missouri)
  • Anthem Medicare Preferred (PPO) (Nevada)
  • Anthem Medicare Preferred (PPO) (Ohio)
  • Anthem Medicare Preferred (PPO) (Wisconsin)
  • Anthem Medicare Preferred Standard (PPO) (Connecticut)
  • Blue Access Choice (PPO) (Missouri)
  • Blue Access Network (Indiana)
  • Blue Access PPO
  • Blue Cross PPO (Prudent Buyer)
  • Blue Medicare Access Value (RPPO)
  • Blue Medicare Advantage PPO
  • Federal Employee Program
  • Health Choice (Health Choice PPO)
  • National PPO (BlueCard PPO)
  • PPO (Colorado)
  • PPO (Connecticut)
  • PPO (Nevada)
  • PPO/EPO
  • Preferred Blue
  • Preferred Blue for PPO (New Hampshire)
  • Premier (Connecticut)

Arkansas Blue Cross Blue Shield

  • Arkansas FirstSource PPO
  • Blue Select (PPP)
  • Blue Solution PPO
  • BlueCare PPO
  • Comprehensive Blue PPO
  • HSA Blue PPO
  • Medi-Pak Advantage (PPO)
  • True Blue PPO

Blue Cross Blue Shield

  • BlueCard PPO
  • BlueCard PPO Basic
  • BlueCard Traditional (Indemnity)
  • Federal Employee Program – Basic Option
  • Federal Employee Program – Standard Option
  • Medicare Advantage PPO

Blue Cross Blue Shield Federal Employee Program

  • Basic
  • Standard

Blue Cross Blue Shield of Alabama

  • Preferred Provider Organization (PPO)

Blue Cross Blue Shield of Arizona

  • Acclaim PPO/EPO
  • Indemnity
  • PPO/EPO Statewide
  • Secure HMO Network

Blue Cross Blue Shield of Florida (Florida Blue)

  • BlueMedicare PPO / BlueMedicare Group PPO
  • BlueMedicare Regional PPO
  • BlueOptions

Blue Cross Blue Shield of Georgia

  • Blue Choice PPO
  • Blue Choice PPO, PPO, EPO
  • Blue Essential PPO
  • BlueChoice Preferred Provider Organization (PPO)
  • Gold Blue Choice PPO
  • Healthy Support PPO
  • Medicare Preferred (PPO)
  • National PPO (BlueCard PPO Basic)
  • Silver Blue Choice PPO

Blue Cross Blue Shield of Illinois

  • BasicBlue PPO
  • Blue Choice PPO
  • PPO
  • TraditionalBlue PPO

Blue Cross Blue Shield of Kansas

  • AffordaBlue
  • Blue & U Classic (Copay)
  • Blue & U First
  • Blue Choice
  • Preferred-Care Blue
  • Traditional

Blue Cross Blue Shield of Kansas City

  • BlueAccess
  • BlueCard Traditional
  • Preferred-Care Blue
  • Preferred-Care Network

Blue Cross Blue Shield of Louisiana

  • BlueMAX
  • BlueSaver

Blue Cross Blue Shield of Massachusetts

  • Advantage Blue
  • Blue Care Elect (PPO/EPO)
  • Blue Precision/PPO Blue Options v.4
  • PPO Network with Hospital Choice Cost Sharing feature
  • Preferred Blue PPO
  • Preferred Blue PPO Options v.4

Blue Cross Blue Shield of Michigan

  • Community Blue/Blue Preferred Plus PPO
  • Medicare Plus Blue (PPO)
  • Michigan Conference of Teamsters Welfare Fund (MCTWF) PPO
  • MIChild
  • MPSERS
  • PPO Plans – Group Enrollees
  • Traditional – Group Enrollees

Blue Cross Blue Shield of Minnesota

  • Allina Health Network (Blue Plus)
  • Blue Access Choice
  • Preferred-Care Blue

Blue Cross Blue Shield of Montana

  • Blue Preferred PPO (PPO)
  • Blue Preferred Security PPO

Blue Cross Blue Shield of Nebraska

  • Beatrice BlueChoice
  • Boone County BlueChoice
  • Methodist BlueChoice

Blue Cross Blue Shield of New Mexico

  • Blue Transitions (EPO)
  • BlueDirect (PPO)
  • BlueNet EPO
  • Preferred Provider Organization (PPO)

Blue Cross Blue Shield of North Carolina

  • Blue Options
  • Medicare Advantage PPO

Blue Cross Blue Shield of North Dakota

  • NDPERS PPO
  • Preferred Blue PPO

Blue Cross Blue Shield of Oklahoma

  • BlueChoice (PPO)
  • BlueOptions PPO
  • BluePreferredBluePreferred PPO

Blue Cross Blue Shield of Rhode Island

  • BlueSolutions
  • Bryant University Healthplan
  • HealthMate Coast-to-Coast
  • VantageBlue

Blue Cross Blue Shield of South Carolina

  • BlueCard PPO Basic
  • Medicare Advantage
  • National Medicare Advantage PPO
  • Preferred Blue – EPO
  • Preferred Blue – PPO

Blue Cross Blue Shield of Tennessee

  • Blue Advantage PPO

Blue Cross Blue Shield of Texas

  • Blue Choice Platinum PPO
  • Blue Choice Silver PPO
  • BlueChoice PPO Plan
  • BlueOptions
  • EPO
  • UT Select PPO

Blue Cross Blue Shield of Vermont

  • BCBSVT Network Providers
  • New England Health Plan

Blue Cross Blue Shield of Western New York

  • Forever Blue Medicare PPO (All Plans)
  • PPO 250D Select, 801 – 899, 6000 Series
  • PPO 7200 and 8000 Series

Blue Cross Blue Shield of Wyoming

  • Participating Provider (PPO)

Blue Cross of Idaho

  • Connected Care (East)
  • Medicare Advantage – Secure Blue PPO
  • PPO

Blue Cross of Northeastern Pennsylvania

  • AffordaBlue
  • BlueCare EPO
  • BlueCare PPO
  • BlueCare QHD EPO
  • BlueCare QHD PPO
  • Medicare Advantage PPO

Blue Shield of California

  • Active Choice Plans
  • Base PPO 30
  • Blue Shield of California PPO Network
  • Point of Service (POS)
  • Premier PPO 15
  • Shield Spectrum PPO 750 – 80/60
  • Trio ACO HMO

Blue Shield of Northeastern New York

  • EPO
  • Forever Blue Medicare PPO (All Plans)
  • PPO

Capital Blue Cross

  • PPO
  • PPO Choice 1
  • PPO Choice 2
  • SeniorBlue PPO

CareFirst Blue Cross Blue Shield

  • BlueChoice Advantage
  • BluePreferred
  • HealthyBlue Advantage
  • Preferred Provider Organization (PPO)

Caterpillar

  • UHC Choice Plan
  • UHC PPO Network Plan

CBA Blue

  • BlueCard PPO

Cigna

  • Behavioral Health
  • Choice Fund Open Access Plus
  • Choice Fund Open Access Plus with CareLink
  • Choice Fund PPO
  • CIGNA HealthCare Mid-Atlantic, Inc.- HMO
  • CIGNA HealthCare of Arizona, Inc. – Phoenix IPA
  • CIGNA HealthCare of California- Southern California Open Access
  • CIGNA HealthCare of California, Inc. – San Francisco
  • CIGNA HealthCare of California, Inc. – So. CA
  • CIGNA HealthCare of Central Missouri
  • CIGNA HealthCare of Colorado, Inc.
  • Cigna HealthCare Of Colorado, Inc. -HMO Plus
  • CIGNA HealthCare of Colorado, inc. HMO Select
  • Cigna HealthCare of Connecticut, Inc- HMO
  • CIGNA HealthCare of Delaware, Inc. HMO
  • CIGNA HealthCare of Florida, Inc. – Central Florida Select
  • CIGNA HealthCare of Florida, Inc. – Cocoa Beach
  • CIGNA HealthCare of Florida, Inc. – Fort Myers
  • CIGNA HealthCare of Florida, Inc. – Jacksonville
  • CIGNA HealthCare of Florida, Inc. – Ocala
  • CIGNA HealthCare of Florida, Inc. – Orlando HMO
  • CIGNA HealthCare of Florida, Inc. – South Florida HMO
  • CIGNA HealthCare of Florida, Inc. – South Florida Select
  • CIGNA HealthCare of Florida, Inc. – Tampa
  • CIGNA HealthCare of Georgia HMO-HMO Seamless
  • CIGNA HealthCare of Georgia NET-NET POS Seamless
  • CIGNA HealthCare of Georgia, Inc.
  • CIGNA HealthCare of Georgia, Inc. – Savannah
  • CIGNA HealthCare of Illinois, Inc.
  • CIGNA HealthCare of Illinois, Inc. – Chicago and Northwest Indiana
  • CIGNA HealthCare of Kansas/Missouri
  • CIGNA HealthCare of Louisiana, Inc. – Baton Rouge
  • CIGNA HealthCare of Louisiana, Inc. – New Orleans
  • CIGNA HealthCare of Louisiana, Inc. – Shreveport
  • CIGNA HealthCare of Louisiana, Inc. – Southwest
  • Cigna HealthCare Of Maine, Inc -HMO
  • CIGNA HealthCare of Massachusetts, Inc.
  • CIGNA HealthCare of NE Missouri
  • Cigna HealthCare Of New Hampshire -HMO
  • Cigna Healthcare of New Jersey – Northern NJ HMO
  • CIGNA HealthCare of New York, Inc.- HMO
  • CIGNA HealthCare of North Carolina NET-NET POS Seamless
  • CIGNA HealthCare of North Carolina, Inc.
  • CIGNA HealthCare of North Texas HMO-HMO POS Seamless
  • CIGNA HealthCare of North Texas Net-Net POS Seamless
  • CIGNA HealthCare of Ohio, Inc. – Central Ohio
  • CIGNA HealthCare of Ohio, Inc. – Cincinnati
  • CIGNA HealthCare of Ohio, Inc. – Cleveland
  • CIGNA HealthCare of Oklahoma, Inc. – OK City
  • CIGNA HealthCare of Oklahoma, Inc. – Tulsa
  • CIGNA HealthCare of Pennsylvania – Philadelphia
  • Cigna HealthCare Of Rhode Island, Inc -HMO
  • CIGNA HealthCare of South Louisiana Select Seamless
  • CIGNA HealthCare of South Texas HMO-POS Seamless
  • CIGNA HealthCare of South Texas Net-Net POS Seamless
  • Cigna HealthCare of Southern New Jersey,Inc, HMO
  • CIGNA HealthCare of St. Louis, Inc.
  • CIGNA HealthCare of SW Missouri
  • CIGNA HealthCare of Tennessee, Inc. – Memphis (HMO)
  • CIGNA HealthCare of Tennessee, Inc. – Memphis (POS)
  • CIGNA HealthCare of Tennessee, Inc. – Nashville
  • Cigna HealthCare of Texas- Open Access POS
  • CIGNA HealthCare of Texas, Inc – Corpus Christi
  • CIGNA HealthCare of Texas, Inc. – Austin
  • CIGNA HealthCare of Texas, Inc. – Corpus Christi/Coastal
  • CIGNA HealthCare of Texas, Inc. – Dallas Select
  • CIGNA HealthCare of Texas, Inc. – El Paso
  • CIGNA HealthCare of Texas, Inc. – Golden Triangle
  • CIGNA HealthCare of Texas, Inc. – Houston
  • CIGNA HealthCare of Texas, Inc. – Lufkin
  • CIGNA HealthCare of Texas, Inc. – North Texas
  • CIGNA HealthCare of Texas, Inc. – San Antonio
  • CIGNA HealthCare of Texas, Inc. – Tyler
  • CIGNA HealthCare of Texas, Inc. – Waco
  • CIGNA HealthCare of Utah, Inc.
  • CIGNA HealthCare Seamless Network – Florida
  • CIGNA HealthCare Seamless Network – New England
  • CIGNA HealthCare Seamless Network – Tennessee
  • CIGNA HealthCare Seamless Network – Tennessee POS
  • CIGNA HeathCare of Washington
  • CIGNA Managed Care Network of Alabama
  • CIGNA Managed Care Network of Arkansas
  • CIGNA Managed Care Network of Central Pennsylvania
  • CIGNA Managed Care Network of FL – Panama City
  • CIGNA Managed Care Network of FL – Pensacola
  • CIGNA Managed Care Network of GA – Augusta
  • CIGNA Managed Care Network of GA – Columbus
  • CIGNA Managed Care Network of GA – Macon
  • CIGNA Managed Care Network of GA – Savannah
  • CIGNA Managed Care Network of IL – Mattoon
  • CIGNA Managed Care Network of IL – Pontiac/Dwight
  • CIGNA Managed Care Network of Indiana
  • CIGNA Managed Care Network of Knoxville, TN (PHP)
  • CIGNA Managed Care Network of KS – Wichita
  • CIGNA Managed Care Network of KY – Glasgow
  • CIGNA Managed Care Network of KY – Louisville
  • CIGNA Managed Care Network of MS – Grenada
  • CIGNA Managed Care Network of Northern New England
  • CIGNA Managed Care Network of Northern New England
  • CIGNA Managed Care Network of NV – Las Vegas
  • CIGNA Managed Care Network of Pittsburgh Pennsylvania
  • CIGNA Managed Care Network of SC – Columbia
  • CIGNA Managed Care Network of SE Michigan
  • CIGNA Managed Care Network of TN – Chattanooga
  • CIGNA Managed Care Network of TN – Jackson
  • CIGNA Managed Care Network of TN – Knoxville HMO/Network
  • CIGNA Managed Care Network of West Virginia/SE Ohio
  • CIGNA Managed Care Network of Wisconsin
  • Cigna PPO
  • EPO
  • Health Alliance Plan
  • Health Savings
  • Health Savings (all deductible levels)
  • HMO
  • HMO – Northern California Open Access
  • HMO – Southern California Open Access
  • HMO – Southern California Value
  • HMO Open Access
  • LocalPlus
  • Medicare Access
  • Metro NY Seamless
  • Mid Atlantic Managed Care Network HMO/Network
  • Missouri NET-NET POS Seamless
  • myCigna California Bronze
  • myCigna California Gold
  • myCigna California Platinum
  • myCigna California Silver
  • myCigna Copay Assure Silver
  • myCigna Health Flex 1000
  • myCigna Health Flex 2000
  • myCigna Health Flex 2750
  • myCigna Health Flex 3000
  • myCigna Health Flex 5000
  • myCigna Health Savings 6000
  • myCigna Health Savings 6100
  • Network Open Access
  • Open Access (all deductible levels)
  • Open Access Plan
  • Open Access Plus
  • Open Access Plus/CareLink
  • Open Access Value (all deductible levels)
  • Open Access Value Plan
  • POS Open Access
  • Tennessee Select
  • Vision PPO
  • Workers’ Compensation

EmblemHealth

  • City of New York Employees (GHI PPO)
  • City of New York Employees (HIP HMO)
  • Federal Employees FEHB
  • GHI HMO
  • Medicaid

EmblemHealth (formerly known as GHI)

  • City of New York Employees (GHI PPO)
  • DC37 MED-TEAM
  • Federal Employees FEDVIP
  • Federal Employees FEHB
  • GHI HMO
  • Network Access

EmblemHealth (formerly known as HIP)

  • HIP Classic
  • HIP HMO Direct
  • HIP Medicaid
  • HIP Prime HMO
  • HIP Prime POS
  • HIP Prime PPO
  • HIP VIP Medicare
  • HIPaccess I

Empire Blue Cross Blue Shield

  • Empire EPO Essential
  • Empire MediBlue(SM) Freedom I (PPO)
  • Empire PPO
  • Empire Prism EPO
  • Empire Prism PPO
  • PPO
  • Value EPO

Empire Plan

  • The Empire Plan (NYSHIP UnitedHealthcare)

Excellus Blue Cross Blue Shield

  • Medicare PPO

Florida Blue: Blue Cross Blue Shield of Florida

  • BlueMedicare PPO / BlueMedicare Group PPO
  • BlueMedicare Regional PPO
  • BlueOptions

GEHA

  • PPO

GeoBlue

  • GeoBlue Expat
  • GeoBlue Traveler

Health Net

  • AZ AHCCCS Medicaid HMO
  • AZ Amber (HMO SNP) Medicare
  • AZ Green (HMO) Medicare
  • AZ Health Net EG (HMO) Medicare
  • AZ HMO
  • AZ HMO CommunityCare Network Individual & Family Plan
  • AZ HMO CommunityCare Network Small Business
  • AZ HMO ExcelCare Network
  • AZ Jade (HMO SNP) Medicare
  • AZ Jade Cardiovascular (HMO SNP) Medicare
  • AZ POS
  • AZ PPO/HSA
  • AZ Ruby Plan 1 (HMO) Medicare
  • AZ Ruby Plan 4 (HMO) Medicare
  • AZ Ruby Select (HMO) – Pima
  • AZ Ruby Select (HMO) – Pinal & Maricopa Medicare
  • Blue & Gold HMO
  • CA Elect
  • CA Elect – Medicare COB
  • CA Elect Open Access
  • CA Elect Open Access – ExcelCare/Silver Network
  • CA Elect Open Access – Medicare COB
  • CA Gold Select (HMO)
  • CA Healthy Heart (HMO)
  • CA Healthy Heart (HMO) – San Diego
  • CA Healthy Heart Plan (HMO) – LA & orange
  • CA Healthy Heart Plan 2 (HMO)
  • CA HMO – CommunityCare Network
  • CA HMO – Employer Group Plans
  • CA HMO – ExcelCare/Silver Network
  • CA HMO – ExcelCare/Silver Network Medicare COB
  • CA HMO – ExcelCare/Silver Network Medicare COB (with walk-in clinics)
  • CA HMO – SmartCare Network
  • CA HMO – SmartCare Network (Southern CA)
  • CA HMO – SmartCare Network (with walk-in clinics)
  • CA HMO – SmartCare Network Medicare COB
  • CA HMO – WholeCare Network
  • CA Jade (HMO SNP)
  • CA PPO – Individual & Family
  • CA PremierCare HMO
  • CA PremierCare HMO Medicare COB
  • CA PureCare HSP Individual & Family Plans
  • CA PureCare HSP Small Business
  • CA PureCare One EPO Individual & Family Plan
  • CA Ruby Select (HMO) – San Francisco
  • CA Ruby Select (HMO) – Santa Clara
  • CA Ruby Select (HMO) – Santa Cruz
  • CA Ruby Select (HMO) – Yolo
  • CA Salud EPO
  • CA Salud HMO y mas (CaIPERS members only)
  • CA Salud HMO y mas (with walk-In clinics)
  • CA Salud PPO Plus
  • CA Select POS
  • CA Select POS Medicare COB
  • CA Select POS Medicare COB
  • CA Seniority Plus (CaIPERS Retiree HMO)
  • CA Seniority Plus (Employer HMO)
  • CA Seniority Plus Amber I (HMO SNP)
  • CA Seniority Plus Amber II (HMO SNP)
  • CA Seniority Plus Green (HMO)
  • CA Seniority Plus Green (HMO) – San Diego
  • CA Seniority Plus Ruby (HMO)
  • CA Seniority Plus Ruby (HMO) – San Diego
  • CA SHP Healthy Kids HMO
  • CA SHP Medi-Cal
  • CA Stanford Student Dependent PPO
  • CA Stanford Student EPO
  • Cal MediConnect – Los Angeles
  • Cal MediConnect – San Diego
  • California Select POS
  • Healthy Heart Plan 1 (HMO)
  • HMO – Medicare COB
  • National PPO – First Health
  • Options Plus – Violet (PPO)
  • OR CommunityCare POS 2T (Individual & Family)
  • OR HMO
  • OR Jade (HMO SNP)
  • OR Ruby (HMO)
  • OR Violet Option 3 (Medicare PPO)
  • OR/WA Aqua (PPO)
  • OR/WA CommunityCare 1T
  • OR/WA CommunityCare Choice Plus 3T
  • OR/WA EPO
  • OR/WA POS
  • OR/WA PPO
  • OR/WA Violet Option 2 (Medicare PPO)
  • OR/WAViolet Option 1 (Medicare PPO)
  • POS Medicare COB
  • PPO & PPO Plus
  • Premier Network
  • Primary EPO
  • Salud EPO/PPO
  • Salud HMO Plus
  • Salud HMO y mas
  • Standard Medical Plan
  • Stanford PPO

HighMark Blue Cross Blue Shield

  • BCBS PPO
  • FreedomBlue PPO
  • PPOBlue

Highmark Blue Cross Blue Shield of Delaware

  • BCBS EPO
  • BCBS PPO
  • PPO
  • PPO Blue Total Health

HighMark Blue Shield

  • FreedomBlue PPO
  • PPOBlue

Horizon Blue Cross Blue Shield of New Jersey

  • Federal Employee Plan – Basic Option
  • Federal Employee Plan – Standard Option
  • Horizon Advantage EPO (with BlueCard PPO)
  • Horizon PPO

Independence Blue Cross

  • National BlueCard PPO
  • Personal Choice 65 PPO
  • Personal Choice PPO

MagnaCare

  • EESISP/Local 3 ONLY
  • MagnaCare Plus
  • MagnaCare PPO
  • MagnaCare Vision
  • MagnaCare Worker’s Comp

Medicare

  • Medicare

Memorial Hermann

  • MultiPlan
  • PHCS

Moda Health

  • PHCS

Multiplan PHCS

  • Arizona Medical Network (Arizona & Hawaii)
  • Beech Street (Alaska, Nevada and/or Utah)
  • First Choice Health PPO Network – WA, ID, MT
  • HealthEOS Plus+
  • HealthEOS PPO
  • Multiplan
  • MultiPlan Complementary
  • MultiPlan Preventative Services Only
  • MultiPlan Specific Services
  • PHCS
  • PHCS Healthy Directions or Extended PPO
  • PHCS Limited Benefit Plan
  • PHCS Practioner Only
  • PHCS Preventative Service Only
  • PHCS Savility
  • ValuePoint by MultiPlan

Oxford (UnitedHealthcare)

  • Alternative Medicine
  • Basic Indemnity
  • Freedom Plan (POS)
  • Freedom Plan Access
  • Freedom Plan Direct
  • Freedom Plan Laurel (POS)
  • Freedom Plan Laurel Select
  • Freedom Plan Metro (POS)
  • Freedom Plan Select
  • Freedom Plan Value Option
  • HMO Laurel
  • HMO Laurel Select
  • Liberty Plan (POS)
  • Liberty Plan Access
  • Liberty Plan Classic (POS)
  • Liberty Plan Direct
  • Liberty Plan Select
  • Medicare (Oxford Medicare Network)
  • Oxford Exclusive Plan (EPO)
  • Oxford Exclusive Plan Metro (EPO)
  • POS Flex (Liberty Network – Non-Gated)
  • Standard Indemnity

POMCO

  • POMCO
  • POMCO-PHCS/Multiplan

Premera Blue Cross

  • AK Global with BlueCard PPO/Traditional
  • AK HeritagePlus with BlueCard PPO/Traditional
  • AK HeritageSelect with BlueCard PPO/Traditional
  • Foundation & Foundation Plus 1 with BlueCard PPO/Traditional
  • Global with BlueCard PPO/Traditional
  • Heritage & Heritage Plus 1 with BlueCard PPO/Traditional
  • Heritage Prime with BlueCard PPO/Traditional
  • Heritage Signature with BlueCard PPO/Traditional
  • Premera BlueCard PPO/Traditional Network

Regence Blue Cross Blue Shield

  • Oregon Select OHSU
  • Preferred (PPO)
  • RealValue
  • Regence MedAdvantage (PPO)

Triple-S Salud: Blue Cross Blue Shield of Puerto Rico

  • Commercial (PPO)
  • Federal
  • Federal BCBS
  • Medicare Advantage (PPO)

UnitedHealthcare

  • AARP Medicare Advantage HMO
  • AARP Medicare Advantage POS
  • AARP Medicare Advantage PPO
  • AARP Medicare Complete Choice (PPO)
  • AARP MedicareComplete Essential (HMO)
  • AARP MedicareComplete Mosaic (HMO)
  • AARP MedicareComplete Plan 1 (HMO)
  • AARP MedicareComplete Plan 2 (HMO)
  • AARP MedicareComplete SecureHorizons Essential (HMO)
  • AARP MedicareComplete SecureHorizons Plan1 (HMO)
  • AARP MedicareComplete SecureHorizons Plan2 (HMO)
  • AARP MedicareComplete SecureHorizons Plan3 (HMO)
  • AARP Personal Health Insurance Plan
  • Additional Network Benefit Plan/W500 Directory
  • CalPERS UnitedHealthcare SignatureValue Alliance
  • Compass Rose Health Plan FEHP FFS (PPO)
  • CS VEBA Performance HMO – Network 1
  • CS VEBA Performance HMO – Network 2
  • CS VEBA Performance HMO – Network 3
  • Health Insurance Marketplace or State Exchanges
  • Heritage Choice
  • Heritage Choice Standard
  • Heritage Plus- Louisiana
  • Heritage Plus/Heritage EPO- Iowa, Illinois and Tennessee
  • Heritage Premier
  • Heritage Select
  • M.D. IPA
  • M.D. IPA Preferred
  • Medica Choice with UnitedHealthcare Choice Plus
  • Neighborhood Health Partnership (NHP) – Commercial
  • Neighborhood Health Partnership (NHP) – Mercy Select
  • Northwell Health Employee Plan
  • Optimum Choice HMO
  • Optimum Choice Preferred POS
  • Oxford Medicare Network
  • PacifiCare Signature POS
  • Pacificare SignatureElite Plus (TX/OK Employers Only)
  • River Valley Choice Plus
  • United Behavioral Health
  • UnitedHealthcare Charter HMO/ Charter Balanced HMO/ Charter Plus HMO
  • UnitedHealthcare Charter Plus
  • UnitedHealthcare Charter/Charter Balanced
  • UnitedHealthcare Choice
  • UnitedHealthcare Choice HMO/Choice Plus HMO
  • UnitedHealthcare Choice Plus
  • UnitedHealthcare Choice Plus with Harvard Pilgrim
  • UnitedHealthcare Choice with Harvard Pilgrim
  • UnitedHealthcare Compass HMO/ Compass Balanced HMO/Compass Plus HMO
  • UnitedHealthcare Compass Plus
  • UnitedHealthcare Compass/ Compass Balanced
  • UnitedHealthcare Core
  • UnitedHealthcare Core Essential
  • UnitedHealthcare Core HMO/Core Essential
  • UnitedHealthcare Dual Advantage
  • UnitedHealthcare Dual Complete (HMO SNP)
  • UnitedHealthcare Dual Complete Preferred (HMO SNP)
  • UnitedHealthcare MedicareComplete Choice
  • UnitedHealthcare MedicareComplete Choice (Regional PPO)
  • UnitedHealthcare MedicareComplete Choice Essential (Regional PPO)
  • UnitedHealthcare MedicareComplete Focus (HMO)
  • UnitedHealthcare MedicareDirect Essential (PFFS)
  • UnitedHealthcare Navigate
  • UnitedHealthcare Navigate Plus
  • UnitedHealthcare Navigate/Navigate Balanced
  • UnitedHealthcare Options Non-Differential PPO
  • UnitedHealthcare Options PPO
  • UnitedHealthcare Options PPO with Harvard Pilgrim
  • UnitedHealthcare Passport Connect Choice
  • UnitedHealthcare Passport Connect Choice Plus
  • UnitedHealthcare Passport Connect Options PPO
  • UnitedHealthcare Select EPO
  • UnitedHealthcare Select HMO
  • UnitedHealthcare Select Plus HMO
  • UnitedHealthcare Select Plus POS
  • UnitedHealthcare SignatureValue (HealthCare Partners Network)
  • UnitedHealthcare SignatureValue (HMO)
  • UnitedHealthcare SignatureValue (Managed Care Plan)
  • UnitedHealthcare SignatureValue Advantage (HMO Value Network)
  • UnitedHealthcare SignatureValue Alliance
  • UnitedHealthcare SignatureValue Flex – Network 1 (HMO)
  • UnitedHealthcare SignatureValue Flex – Network 2 (HMO)
  • UnitedHealthcare SignatureValue Flex – Network 3 (HMO)
  • UnitedHealthcare The Villages MedicareComplete (HMO)
  • UnitedHealthOne
  • Vision

UnitedHealthcare Community Plan

  • AL: UnitedHealthcare Dual Complete (HMO SNP)
  • AR: Care Improvement Plus Dual Advantage (Local PPO SNP)
  • AR: Care Improvement Plus Dual Advantage (Regional PPO SNP)
  • AZ: AHCCCS/Medicaid
  • AZ: Children’s Rehabilitative Services (CRS) Program
  • AZ: Developmentally Disabled Program
  • AZ: Long Term Care
  • AZ: UnitedHealthcare Dual Complete (HMO SNP)
  • AZ: UnitedHealthcare Dual Complete ONE (HMO SNP)
  • CO:UnitedHealthcare Dual Complete (HMO SNP)
  • DC:UnitedHealthcare Dual Complete (HMO SNP)
  • DE: UnitedHealthcare Community Plan
  • DE: UnitedHealthcare Community Plan – Long Term Care
  • FL: Medica HealthCare Plans MedicareMax Plus (POS SNP)
  • FL: Preferred Medicare Assist (HMO-POS SNP)
  • FL: UnitedHealthcare Community Plan M*Plus
  • FL: UnitedHealthcare Health & Home Connection
  • FL:UnitedHealthcare Dual Complete LP (HMO SNP)
  • FL:UnitedHealthcare Dual Complete RP (Regional PPO SNP)
  • Florida Healthy Kids
  • GA:Care Improvement Plus Dual Advantage (Regional PPO SNP)
  • GA:UnitedHealthcare Dual Complete (PPO SNP)
  • HI: UnitedHealthcare Community Plan – QUEST Program
  • HI:UnitedHealthcare Dual Complete (Local PPO SNP)
  • HI:UnitedHealthcare Dual Complete (Regional PPO SNP)
  • IA: UnitedHealthcare hawk-i
  • IN: Care Improvement Plus Dual Advantage (Local PPO SNP)
  • KS: UnitedHealthcare Community Plan (KanCare)
  • LA: UnitedHealthcare Community Plan (Bayou Health)
  • MA:UnitedHealthcare® Senior Care Options (HMO SNP) Plan
  • MD: Health Choice
  • MI: Healthy Michigan Plan
  • MI: Healthy Michigan Plan
  • MI: MIChild
  • MI: UnitedHealthcare Community Plan
  • MO:Care Improvement Plus Dual Advantage (Local PPO SNP)
  • MS CHIP
  • MS: MississippiCAN
  • NC:UnitedHealthcare Dual Complete (HMO SNP)
  • NE: UnitedHealthcare Community Plan
  • NJ Family Care
  • NJ: UnitedHealthcare Dual Complete ONE (HMO SNP)
  • NM: Care Improvement Plus Dual Advantage (Local PPO SNP)
  • NM: Centennial Care- UnitedHealthcare Community Plan
  • NM: UnitedHealthcare Dual Complete (PPO SNP)
  • NV: Health Plan of Nevada
  • NV: Health Plan of Nevada (HPN) SmartChoice/NorthernChoice
  • NY Community Plan MLTSS
  • NY: UnitedHealthcare Community Plan
  • NY: UnitedHealthcare Community Plan Child Health Plus
  • NY: UnitedHealthcare Community Plan for Families
  • NY: UnitedHealthcare Community Plan Personal Assist
  • NY: UnitedHealthcare Dual Advantage
  • NY: UnitedHealthcare Dual Complete™ (HMO SNP)
  • OH: UnitedHealthcare Community Plan
  • OH: UnitedHealthcare Dual Complete (HMO SNP)
  • PA: Healthy PA Private Coverage Option
  • PA: Healthy PA Private Coverage Option
  • PA: UnitedHealthcare Community Plan for Families
  • PA: UnitedHealthcare Community Plan for Kids
  • RI: Children with Special Health Care Needs
  • RI: UnitedHealthcare Rhody Health Partners
  • RI: UnitedHealthcare Rhody Health Partners ACA Adult Expansion
  • RI: UnitedHealthcare RIte Care
  • Texas CHIP
  • Texas STAR
  • Texas STAR+PLUS
  • TN: UnitedHealthcare Community Plan
  • TN: UnitedHealthcare Dual Complete™ (HMO SNP)
  • TX: Care Improvement Plus Dual Advantage (Local PPO SNP)
  • TX: Care Improvement Plus Dual Advantage (Regional PPO SNP)
  • TX: UnitedHealthcare Dual Complete (HMO SNP)
  • UnitedHealthcare Community Plan for Adults
  • UnitedHealthcare Community Plan for Families
  • UnitedHealthcare Community Plan for Kids
  • WA: UnitedHealthcare Community Plan
  • WA: UnitedHealthcare Dual Complete (HMO SNP)
  • WI: BadgerCare Plus
  • WI: Medicaid SSI
  • WI: UnitedHealthcare Dual Complete LP (HMO SNP)

UnitedHealthcare Oxford

  • Alternative Medicine
  • Basic Indemnity
  • Connecticut Blue Ribbon
  • Freedom Plan Access
  • Freedom Plan Classic
  • Freedom Plan Direct
  • Freedom Plan Laurel
  • Freedom Plan Metro
  • Freedom Plan Metro Access
  • Freedom Plan PPO
  • Freedom Plan Select
  • Freedom Plan Value Option
  • Garden State EPO
  • Garden State Gated EPO
  • Garden State Primary Advantage
  • HMO (Freedom Network)
  • HMO (Liberty Network)
  • HMO Laurel
  • HMO Laurel Select
  • HMO Select (Freedom Network)
  • HMO Select (Liberty Network)
  • Individual Plan
  • Liberty Plan
  • Liberty Plan Access
  • Liberty Plan Direct
  • Liberty Plan Metro
  • Liberty Plan Metro Access
  • Liberty Plan PPO
  • Liberty Plan Select
  • Medicare (Oxford Medicare Network)
  • Oxford Ease (Freedom Network)
  • Oxford Ease (Liberty Network)
  • Oxford Exclusive Plan
  • Oxford Exclusive Plan Metro
  • Oxford Exclusive Plan Metro (Liberty Network) (EPO)
  • Oxford NY Standard Plans (Liberty Network) (Exchange plans)
  • Oxford USA
  • Standard Indemnity

UnitedHealthOne

  • My HPN HMO
  • UnitedHealth Allies
  • UnitedHealthcare Choice Plus Network
  • UnitedHealthcare Navigate Plus
  • UnitedHealthcare Vision

US Family Health Plan

  • Brighton Marine Health Center
  • Christus Health
  • Johns Hopkins Medicine
  • Martin’s Point Health Care
  • Pacific Medical Center
  • St. Vincent Catholic Medical Centers

US Health Group

  • Private Healthcare Systems (PHCS) (PPO)

Wellmark Blue Cross Blue Shield

  • Alliance Select (Iowa)
  • Blue Choice (Iowa and Bordering Counties)
  • Blue Rewards POS
  • Blue Select (South Dakota)

Workers’ Compensation

  • ACE
  • Aetna
  • American Equity Risk Services
  • Broadspire
  • Broward County Risk Management
  • California Division of Workers’ Compensation
  • CareWorks
  • Cigna
  • ClarisPointe
  • CompSource Oklahoma
  • Coventry
  • DC Workers’ Compensation Commission
  • Division of Coal Mine Workers’ Compensation (DCMWC)
  • Division of Energy Employees Occupational Illness Compensatin (DEEOIC)
  • Division of Federal Employees’ Compensation (DFEC)
  • Employers
  • Erie Insurance Group
  • Farmers Insurance
  • Gallagher Bassett Services, Inc.
  • GENEX Care for Ohio
  • Hanover Insurance
  • Health Management Solutions
  • HealthSmart Workers’ Compensation Network
  • Horizon Casualty Services
  • Illinois Workers’ Compensation Commission
  • Indiana Health Network (IHN)
  • Integrated Claims Management (ICM)
  • Liberty Mutual
  • Maryland Workers’ Compensation
  • Medical Administrators, Inc.
  • Merchants Insurance Group
  • Missouri Employers Mutual Insurance
  • Nationwide
  • NY State Workers’ Compensation Board
  • Ohio Bureau of Workers’ Compensation
  • OneNet PPO
  • Oxford Insurance
  • Penn National Insurance
  • Pinnacle
  • Seabright Insurance Company
  • SISCO
  • Southeast Washington Worker’s Compensation Trust
  • Southwest Washington Workers’ Compensation Trust
  • State Accident Insurance Fund Corporation (SAIF)
  • State Compensation Fund of Arizona
  • State Farm
  • The Hartford
  • Travelers
  • Virginia Workers’ Compensation Commission
  • Washington State Dept of Labor & Industries Workers Comp
  • Zenith
  • Zurich

Video – Understanding Insurance Coverage

We know that the health payment process can be complex and confusing. Here is an excellent video that explains general concepts about insurance coverage.

Health Insurance Terms

Below, you will see a list of terms that pertain to insurance coverage and payment for health services.

  • Co-insurance: in indemnity, the monetary amount to be paid by the patient, usually expressed as a percentage of charges.
  • Co-payment: in managed care, the monetary amount to be paid by the patient, usually expressed in terms of dollars.
  • Consumer Driven Health Care (CDHC): refers to health plans in which employees have personal health accounts such as a health savings account, medical savings accounts or flexible spending arrangement from which they pay medical expenses directly.
  • Deductible: the portion of medical costs to be paid by the patient before insurance benefits begin, usually expressed in dollars.
  • Denial: refusal by insurer to reimburse services that have been rendered; can be for various reasons.
  • Eligibility: the process of determining whether a patient qualifies for benefits, based on factors such as enrollment date, pre-existing conditions, valid referrals, etc.
  • Exclusions: services that are not covered by a plan.
  • Flexible Spending Arrangements (FSAs): an account that allows employees to use pre-tax dollars to pay for qualified medical expenses during the year. FSAs are usually funded through voluntary salary reduction agreements with an employer.
  • Gatekeeper: in managed care, it refers to the provider designated as one who directs an individual patient’s care. In practical terms, it is the one who refers patients to specialists and/or sub-specialists for care.
  • Health Maintenance Organization (HMO): a form of managed care in which you receive your care from participating providers.
  • Health Savings Account (HSA): a savings product that serves as an alternative to traditional health insurance. HSAs enable you to pay for current health expenses and save for future qualified medical and retiree health expenses on a tax-free basis.
  • Managed Care: a method of providing health care, in which the insurer and/or employer (policyholder) maintain some level of control over costs and utilization by various means. Typically refers to HMOs and PPOs.
  • Member: a term used to describe a person who is enrolled in an insurance plan; the term is used most frequently in managed care.
  • Open Enrollment: a set time of year when you can enroll in health insurance or change from one plan to another without benefit of a qualifying evening.
  • Out-of-pocket: money the patient’s pays toward the cost of health care services.
  • Payer: the party who actually makes payment for services under the insurance coverage policy. In the majority of cases, the payer is the same as the insurer. But, as in the case of very large self-insured employers, the payer is a separate entity under contract to handle the administration of the insurance policy.
  • Policyholder: purchaser of an insurance policy; in group health insurance, this is usually the employer who purchases policy coverage for its employees.
  • Preferred Provider Organization (PPO): a form of managed care in which the member has more flexibility in choosing physicians and other providers. The member can see both participating and non-participating providers. There is a greater out-of-pocket expense if member sees non-participating providers.
  • Premium: the cost of an insurance plan shared by employer and employee.
  • Provider: one who delivers health care services within the scope of a professional license.
  • Reimbursement: refers to the payment by the patient (first-party) or insurer (third-party), to the health care provider, for services rendered.
Reference: www.apta.org