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:

UHC Student Resources

Carrier Plan Types Exclusions/Special Notes
Adult Community Autism Program (ACAP) For Autism diagnosis related visits only Excludes all non-Autism services
Plan only covers Autism related services
Advantra
Medicare Advantage Administered by Health America/Coventry Network
Aetna

Elect Choice
EPO
Healthy PA
HMO
Indemnity
Managed Choice
PPO
SCR - Limited Benefits
Signature

SCR has very limited benefits
Aetna Better Health Medicaid HMO  
Aetna Better Health Kids Chip (Children's Insurance Group)  
Aetna Healthy PA Healthy PA  
Aetna Medicare Medicare Advantage Penn State Hershey is an out of network provider for Aetna Medicare Pinnacle Health Prime Plan. Out of network authorization is required.
AIG Transplant  
AmeriHealth Administrators PPO  
AmeriHealth Caritas Medicaid HMO Excludes: Primary Care Physician services

Excludes: Amerihealth 65 - Medicare Advantage

AmeriHealth Caritas Northeast Medicaid HMO State College area Primary Care physicians are participating
Excludes: Primary Care physician services unless seen by State College area providers
APS Healthcare (EAP) Mental Health/Substance Abuse  
Auto Insurance    
Berkshire Health Plan PPO  
Blue Cross/Blue Shield from Other Areas/States Blue Card Members only Out of network authorizations must be obtained as required
Excludes: All Non-Blue Card members
Blue Cross/Blue Shield Northeast PA HMO
Blue Card Members only
Out of network authorizations must be obtained as required
Excludes: All Non-Blue Card members
Blue Cross/Blue Shield Northeast PA - First Priority PPO
EPO
Traditional Comprehensive Classic Direct Blue Special Care
Participating for services rendered by by Hershey Medical Center Neurosurgery and Pediatric Specialists in the Blue Cross Northeast 13 county region. Other locations/specialties need out of network authorizations.
Excludes services rendered by Hershey Medical Center physicians (other than Neurosurgery and Pediatric Specialists) and services provided outside the Blue Cross Northeast 13 county region unless proper authorization is secured.
Blue Ridge Health Network PPO Excludes - Medicare Advantage products
Capital Blue Cross
CHIP
Comprehensive
HMO
POS
PPO
Traditional
 
Capital Blue Cross Senior Blue Senior Blue HMO
Senior Blue PPO
 
Capital Blue Cross Secure Blue Medicare Supplement
Security
 
CCBHO Medical Assistance Behavioral Health Plan  
Central Susquehanna HealthCare Providers PPO  
ChoiceCare
PPO Administered by Humana
CIGNA Behavioral Health
EPO
HMO
Indemnity
PPO

Starbridge and Fundamental have very limited benefits
Excludes: Medicare Advantage products

Cigna Life Source Transplant  
Clear Care Corporation
PPO Excludes:  Medicare Advantage products
Core Source PPO  
EHP Significa Network PPO  
EHP Significa Network - Susquehanna Health PPO  
Everence Financial PPO Excludes: Medicare Advantage products
First Health Direct
PPO Administered by HealthAmerica/Coventry Network
Gateway Health Plan Medicaid HMO Excludes: Primary Care physician services
Gateway Assured Medicare Advantage  
Great West Life EPO
HMO
POS
PPO
 
Health America HMO
PPO
 
Health Assurance
CCPPO
HMO
PPO
 
Highmark/Pennsylvania Blue Shield PPO
EPO
Traditional
Comprehensive
Classic
Direct Blue
Special Care
CHIP
None
Highmark Freedom Blue PPO - Medicare Advantage  
Highmark - Supplements to Medicare    
Highmark Vision Vision Vision for employees of Penn State Hershey, Penn State College of Medicine, Commonwealth of PA
Excludes: all other employer groups and individual plans
Keystone Health Plan Central CHIP (Capital Cares for Kids)
Direct Access
Healthy PA
HMO
Excludes: all Keystone Healthy Benefits Value Products
Keystone Health Plan Central Senior Blue HMO
Medicare Advantage
 
Magellan Mental Health/Substance Abuse  
Mailhandlers PPO Administered by Aetna
MedCare International Inc. PPO Excludes: Medicare Advantage products
Medical Assistance of Pennsylvania Medicaid  
Medicare    
MHNet
Mental Health/Substance Abuse  
National Vision Administrators Vision For employees of HERCO and Milton Hershey School
Excludes: all groups except HERCO and Milton Hershey School employees
OneNet PPO  
Optum Health Plan Transplant  
PacifiCare Behavioral Health
Mental Health/Substance Abuse Administered by United Behavioral Heath
PHCS (Private Health Care Systems) PPO Excludes other Multi-plan companies
Penn Highlands Health Plan PPO  
Perform Care Medical Assistance Behavioral Health Plan For members from Adams, Bedford, Berks, Blair, Clinton, Cumberland, Dauphin, Franklin, Fulton, Lancaster, Lebanon, Lycoming, Perry, Somerset and York counties.
Excludes: members from other counties
PSU Student Health Plan (administered by Aetna) PPO  
Preferred Health Care System, Inc. (PHS) (Altoona) PPO  
Preferred Healthcare (PHS) (Lancaster) PPO  
Prime Source    
Private Health Care Systems (PHCS)   Multiplan
Quest Behavioral Health
Mental Health/Substance Abuse Only applicable to physicians providing services at Pennsylvania Psychiatric Institute
Excludes: services rendered outside of Pennsylvania Psychiatric Institute
South Central Preferred PPO  
Three Rivers Provider Network PPO  
TriCare Extra
Prime
Prime Remote
Reserve Select
Standard
Excludes: US Health Family Health Plan
TriCare for Life Medicare Supplement  
UHC Student Resources   Elizabethtown College students only
Excludes: all other UHC Student Resources policies
United Behavioral Health Mental Health/Substance Abuse  
United Healthcare and Affiliates

Choice
Choice Plus
Definity PPO
Definity Choice Plus
Indemnity
Nursing Home Plan
OneNet PPO products
Options PPO
Select EPO
Select Plus POS
Student Health

Affiliates: United Healthcare will display on member card
Excludes: Auto Insurances
MD Individual Practice Assoc. (MDIPA)
Medicaid products
Medicare Advantage products (all except the Nursing Home Plan)
Medicare Select
Oxford Medicare Advantage
UHC AARP Medicare
UHC Medicare Solutions
UHC Medicare Solutions Oxford
UHC NPPO Medicare 
Optimum Choice Inc.
Workers Comp Insurances
United Healthcare Community Plan for Families MA HMO
Healthy PA
 
United Healthcare Community Plan for Kids CHIP  
UPMC for Kids Kids CHIP  
UPMC for You Medicaid HMO  
UPMC for Life Medicare Advantage Excludes: all commercial UMPC Health Plan non-Medicare Advantage products.
Valley Preferred PPO  
Value Options Mental Health/Substance Abuse