Insurance Plans Accepted By Our Employed Physicians

IPA MANAGED CARE CONTRACTS May 04, 2018

IPA Physicians participates with the following plans:

  • 1199 National Benefit Fund
  • Aetna (Medicare & Commercial Products)
  • Affinity Health Plan (Medicare, Medicaid, CHP & Exchange) (uses Beacon Health to manage behavioral health services except for Exchange) (IPA is not contracted for Psych Services on Exchange & IPA is not contracted with Affinity’s Essential Plans 1-4.
  • Agewell New York LLC (FIDA Only)
  • Amida Care (Medicaid)
  • 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 and Metroplus behavioral health services)
  • Beech Street
  • Centers Plan for Healthy Living (FIDA & Medicare Advantage) (uses Beacon Health to manage behavioral health services)
  • Cigna HealthCare (PPO) (uses Cigna Behavioral Health to manage behavioral health services, IPA is not contracted with CBH)
  • Elderplan (FIDA and MLTC products only)
  • ElderServe Health, Inc. (FIDA/MMP Plan) (uses Beacon Health to manage behavioral health services)
  • Emblem Health (GHI-HIP) (Essential Plans 1-4 & Exchange) (uses Value Options to manage behavioral health services)
  • Empire Blue Cross Blue Shield (Exchange, Medicare HMO & PPO & Commercial HMO, PPO, POS, EPO & CDHP)
  • Empire BlueCross BlueShield HealthPlus (Essential Plans 1-4, Medicaid & CHP)
  • Fidelis Care (Essential Plans 1-4, Exchange, Medicaid, Medicare, CHP & HARP)
  • First Health/Coventry
  • Group Health Inc. (GHI) (HMO Commercial, Medicare Advantage PPO, Network Access, CBP, EPO & PPO) (uses Value Options to manage behavioral health services)
  • Health Plan of NY (HIP) (Medicare, Medicaid, CHP, Commercial PPO, EPO, HMO & POS)(uses Value Options to manage behavioral health services)
  • Healthfirst PHSP & MHI (Total EPO, PRO EPO, PRO Plus, Essential Plans 1-4, Exchange, Commercial, Medicare PPO, Life Improvement, FIDA, HARP, Medicaid & CHP)
  • Hotel Trades Council
  • Humana Health Plan, Inc. (Medicare HMO & POS, Medicare PPO & Network PFFS)
  • Magna Care
  • MetroPlus Health Plan, Inc. (Medicaid, Medicare Advantage, SNP, FIDA, CHP, GOLD, MLTC, HARP, Exchange & Essential Plans 1-4) (uses Beacon Health to manage behavioral health services)
  • Multiplan/PHCS
  • Optum (manages all United Healthcare lines of business and Oscar behavioral health services)
  • Oscar Health Insurance for New York (uses Optum to manage behavioral health services)
  • Pomco Health Insurance for New York
  • The NYS Empire Plan (uses Value Options to manage behavioral health services)
  • Tricare (Health Net Federal Services) uses MHN to manage behavioral health services)
  • United Healthcare/Oxford Health Plans (Exchange, Medicaid, CHP, Dual Advantage, Essential Plans 1-4, Medicare,Commercial, Liberty & Freedom) (uses Optum to manage behavioral health services)
  • VillageCareMax (FIDA & Medicare Advantage)
  • VNS Choice (Medicare & FIDA) (uses Value Options to manage behavioral health services)
  • Wellcare (Essential Plans 1-4, Medicaid, CHP & Medicare)

Unless specifically noted otherwise, assume that Physicians participates in all Plans’ lines of business.