Penn State Hershey

Insurance Information

Managed Care Information – Participating Plans

Types of Insurance accepted by Penn State Hershey Milton S. Hershey Medical Centerinclude: Blue Cross/Blue Shield, all Auto Insurance, most major Indemnity plans, Medicare and Medicaid.

If you have a question regarding whether Penn State Hershey accepts a particular insurance or managed care plan, please call 717-531-6290.

If you need to make arrangements to pay your bill, please call 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.

Insurance	Product Name	Type	Status	Excluded Services	Other Important Information
Advantra - HealthAmerica HMO
Advantra - HealthAssurance PPO
Aetna US Healthcare	Aetna HMO Aetna Golden Medicare Elect Choice Managed Choice Open Choice Quality Point of Service Traditional Choice US Access	HMO Senior HMO EPO MC PPO POS Indemnity HMO	All products participating	None
AmeriHealth Administrators		TPA	Participating
AmeriHealth Mercy Health Plan *Not AmeriHealth-65	AmeriHealth Mercy Health Plan	HealthChoices/Medicaid HMO	Participating	AmeriHealth-65
APS Healthcare (Behavioral Health)	APS Healthcare	Psych Hershey Foods	Participating
Berkshire Health Plan	Berkshire	PPO	Participating	None
Blue Ridge Health Network	Blue Ridge Health Network Northeast PA Regional Health Care Coalition	All PPO	All Products Participating	None
Capital Blue Cross (CBC)/Pennsylvania Blue Shield (PBS)	Blue Cross Traditional Blue Cross PPO/Blue Card PPO Health ONE	Indemnity PPO POS	All Products Participating	None
BC/BS First Priority	First Priority 65 First Priority HMO First Priority POS	Medicare HMO HMO POS	List of participating Neurosurgery Specialists and Pediatric Services	Specialist, PCP and Hospital	Member cannot be seen without PLAN's Medical Director approval.
Capital Advantage Insurance Company (CAIC)	Indemnity PPO POS	Indemnity PPO POS	All Products Participating	None	Physician - CAIC Hospital - CBC
CBNHP - Behavioral Health	CBNHP	Healthchoices/ Medicaid HMO Behavorial Health	Participating	None
Central Susquehanna HealthCare Providers		PPO	Tertiary	PCP	Member cannot be seen without PLAN's Medical Director approval.
ChoiceCare Network		PPO	Participating
Choice Plus Health Care Option	Choice Plus Health Care	PPO	Participating
CIGNA	CIGNA Health Care CIGNA Choice Fund	HMO &HMO Open Access Network & Network Open Access POS, POS Open Access & Open Access Plus PPO EPO	Participating Participating	Transplants Behavioral Health
Clarity Vision			All products participating	None
Clear Care		PPO	Participating	PCP
Core Source		PPO	Participating	PCP	List of employers eligible for the Core Source discount.
Coventry Health Care National Network
EHP Sifnifica Network - Susquehanna Health
Family Health Council of Central PA		PPO & HMO	Participating
First Health Direct			Participating	CCN Workers Compensation	List of Employers participating with First Health Direct
Gateway Health Plans		Medicaid HMO	Participating	Behavioral Health
Great West Life	Great West Life Open Access Consumer Advantage	PPO/POS	All products participating
Health America/Health Assurance	Advantra Health America Health Assurance Health Assurance/Health Pass Hershey Health Styles	HMO Medicare HMO POS MC	All products participating	None
Health Assurance - POS/PPO
Health Guard		HMO	Participating	None
Highmark/Pennsylvania Blue Shield	Highmark PBS	Indemnity PPO POS	All products participating	None
Keystone Health Plan Central	Keystone Health Plan Central HMO Senior Blue (HMC)	HMO HMO Medicare HMO	All Products Participating	None
Lebanon Valley Medical Center		HMO PPO	Participating	For: General Surgery, Anesthesia, Ophthalmology, Radiology urological, Orthopaedics, Cardiology, Dermatology, and Endoscopies ONLY
Mail Handlers Benefit Plan
Magellan
MedCare International Inc.
MEGA (PSU Student Health Plan)		PPO	Participating
Mennonite Mutual Aid Association	Mennonite Mutual Aid	PPO	Participating	PCP
PacifiCare Behavioral Health	PacifiCare	Psych	Participating	None
Penn Highlands Health Plan (PHHP)	Penn Highlands	PPO	Participating	None
Preferred Healthcare (Lancaster)	Preferred Healthcare	PPO	Participating	PCP
Preferred Health Care System, Inc. (Altoona)		PPO	Participating	None
Prime Source		PPO	Participating	None
South Central Preferred		PPO	Participating	None
Special Risk International	Special Risk Int.	Transplants	Participating
TriCare	Extra Prime Standard	PPO HMO POS	All Products Participating	Behavioral Health
Unison Healthplan *Not Unison Advantage	Unison	Healthchoices Adult Basic Unison Kids Not Unison Advantage	Participating	Behavioral Health Unison Advantage
United (Behavioral Health)	APS Healthcare	Psych Hershey Foods	Participating
Valley Preferred	Valley Hospital Agreement Valley Preferred Oxford Health Plan	HMO PPO	Participating Participating Participating with the following product: Freedom Plan Valley Freedom Plan Direct Oxford MyPlan Valley Any Other Osford PPO Product	None None
Value Options (Behavioral Health)		Psych	Participating