Insurance Information

Managed Care Information – Participating Plans

If you have a question regarding whether Penn State Hershey accepts a particular insurance, managed care plan or if you need to make arrangements to pay your bill, please call or email Patient Financial Services, Patient Inquiry Department at 717-531-5069 or 800-254-2619.

For an overview and definition of managed care terms, please view the glossary.

To view a list of the products offered within a particular plan, please view the table below.

Carrier	Plan Types	Excluded Products and Services
Adult Community Autism Program (ACAP)	For Autism diagnosis related visits only	Excludes all non-Autism services
Advantra (administered by HealthAmerica/Coventry Network	Medicare Advantage HMO Medicare Advantage PPO Medicare Advantage Freedom
Aetna	HMO PPO EPO Traditional Elect Choice POS Indemnity Managed Choice SCR - Limited Benefits Aetna Golden (HMO) Aetna Golden Choice (PPO) Medicare Open (FFS)	Note - SCR has very limited benefits
Aetna Better Health	Medicaid HMO
AmeriHealth Administrators	PPO
AmeriHealth Mercy Health Plan	Medicaid HMO for services April 7, 2010 and prior dates	Non-participating for all services April 8 and after and AmeriHealth 65 products
APS Healthcare	Mental Health/Subtance Abuse
Auto
Berkshire Health Plan	PPO
Blue Cross/Blue Shield from Other Areas/States	Participating with Blue Card Members only.	Excludes - All Non-Blue Card members
Blue Cross/Blue Shield Northeast - First Priority	HMO PPO EPO Traditional Comprehensive Classic Direct Blue Special Care Participating for services rendered by Hershey Medical Center Neurosurgery and Pediatric Specialists in the Wilkes Barre and Kingston offices.	Excludes - Services rendered by Hershey Medical Center physicians outside the Wilkes Barre and Kingston offices unless proper authorization is secured.
Blue Ridge Health Network	PPO	Excludes - Medicare Advantage products
Bollinger Insurance	Elizabethtown College Students only	Excludes all other Bollinger policies
Capital Blue Cross	HMO PPO POS Traditional Comprehensive Senior Blue Senior Blue PPO CHIP	Specialist, PCP and Hospital
CBNHP	Medical Assistance Behavioral Health Plan
Central Susquehanna HealthCare Providers	PPO
ChoiceCare (administered by Humana)	PPO
CIGNA	HMO PPO EPO Indemnity	Note - Starbridge and Fundamental have very limited benefits Excludes - Medicare Advantage products
Clear Care Corporation	PPO	Excludes - Medicare Advantage products
Core Source	TPA
EHP Significa Network (administered by Significa and Erin Group Administrators)	PPO
EHP Significa Network - Susquehanna Health (administered by Significa and Erin Group Administrators)	PPO
First Health Direct (administered by HealthAmerica/Coventry Network)	PPO
Gateway	Medicaid HMO
Gateway Assured	Medicare Advantage HMO
Great West Life	PPO HMO EPO POS
Health America	HMO	Excludes First Health National Network
Health Assurance	PPO CCPPO	Excludes First Health National Network
Highmark/Pennsylvania Blue Shield	PPO EPO Traditional Comprehensive Classic Direct Blue Speical Care CHIP Adult Basic Freedom Blue PPO Freedom Blue PFFS Medigap Signature65	None
Highmark Vision	Vision for HMC employees, Penn State College of Medicine employees, Commonwealth of PA employees	Excludes - all other employer groups and individual plans
Keystone Health Plan Central	Healthplan Central Healthplan Central Direct Access Senior Blue Senior Blue Direct Access	None
Magellan	Mental Health/Substance Abuse
Mailhandlers (administered by HealthAmerica/Coventry)	PPO
MedCare International Inc.	PPO	Excludes - Medicare Advantage products
Medical Assistance of Pennsylvania
Medicare
Mennonite Mutual Aid Association	PPO	Excludes - Medicare Advantage products
MHNet	Mental Health/Substance Abuse
PacifiCare Behavioral Health (administered by United Behavioral Health)	Mental Health/Substance Abuse
Penn Highlands Health Plan	PPO
PSU Student Health Plan (administered by United Healthcare)	PPO
Preferred Health Care System, Inc. (Altoona)	PPO
Preferred Healthcare (Lancaster)	PPO
Prime Source
Quest Behavioral Health (only applicable to physicians at Pennsylvania Psychiatric Institute	Mental Health/Substance Abuse	Excludes - services rendered outside of Pennsylvania Psychiatric Institute
South Central Preferred	PPO
Three Rivers Provider Network	PPO
TriCare	Extra Prime Standard Prime Remote Reserve Select Tricare of Life	Excludes - US Health Family Health Plan
Unison Healthplan	Medicaid HMO	Excludes - Unison Advantage (all products)
Unison Healthplan	Adult Basic CHIP	Excludes - Unison Advantage (all products)
United Behavioral Health	Mental Health/Substance Abuse
United Healthcare and Affiliates (Effective 1/1/2010) (United Healthcare will appear on the member's card)	Choice Choice Plus Definity PPO Definity Choice Plus Indemnity Options PPO Select EPO Select Plus POS Student Health	Excludes - Auto Insurances MD Individual Practice Assoc. Medicaid products Medicare Advantage products Medicare Select Oxford Medicare Advantage products OneNet PPO products Optimum Choice Inc. Workers Comp Insurances
UPMC for You	Medicaid HMO	Excludes - all commercial products sold by UPMC
Valley Preferred	PPO
Value Options (Behavioral Health)	Mental Health/Substance Abuse

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Insurance Information