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Accepted Insurances

Lehigh Valley Health Network (LVH-Cedar Crest, LVH-17th Street, LVH-Muhlenberg and LVH-Tilghman) has contracts with the following Plans to provide hospital service to members who have the following Plan Products (Medical and Mental Service Plans).  (Dental Service Plans are not shown.)  If you have questions about the list below, call Marilyn Minder, LVHN, Payer Contracting Department at 484-862-3482.

AETNA, INC.  - through the Valley Preferred Network

Aetna Traditional Choice
Aetna Open Choice PPO
Aetna Managed Choice POS
Aetna Managed Choice POS (Open Access)
Aetna Open Access Managed Choice
Aetna Open Access Managed Choice POS
Aetna Access Managed Choice POS
Aetna Open Access Elect Choice EPO
Aetna Choice POS
Aetna Choice POS II
Aetna Elect Choice
Aetna Select
Aetna Open Access Aetna Select
Aetna HMO
Aetna PPO
Aetna QPOS
Aetna Health Network Option
Aetna Health Network Only
Aetna Valley Preferred ACO (OAMC, PPO, HMO) – Whole Health
AWH Valley Preferred QHP HMO
DelHarze Custom Network
IOQ Networks
Meritain
National Advantage Program (NAP)
QHP HMO SEPA
QHP OAMC Lehigh Valley
Wellnet

Savings Plus – Tier 2**

Aetna Leap – Tier 2**

** Tier 2 carries greater financial responsibility when accessing LVHN Network

 

Aetna Medicare Plans - through the Valley Preferred Network

Aetna Medicare Plan (PPO)
Aetna Medicare Plan (HMO/Open Access HMO)

AETNA BETTER HEALTH – HEALTHCHOICES MEDICAID PLAN

Aetna Better Health HMO - Medicaid
Aetna Better Health for Kids - CHIP

AMERICAN NATIONAL INSURANCE COMPANY (ANICO) - through the Valley Preferred Network

AMERIHEALTH ADMINISTRATORS - through the Valley Preferred Network

AMERIHEALTH NEW JERSEY

*See Independence Blue Cross

AMERIHEALTH CARITAS OF PENNSYLVANIA

Medicaid HMO
VIP – Medicare / Medicaid Dual Eligible Special Needs Plan

BLUE CROSS OF NORTHEASTERN PENNSYLVANIA – FIRST PRIORITY HEALTH - through the Valley Preferred Network

Blue Care HMO
Blue Care HMO Plus (POS)
CHIP

BLUE CROSS OF NORTHEASTERN PENNSYLVANIA – FIRST PRIORITY LIFE INSURANCE COMPANY (FPLIC)

EPO / CUSTOM PPO PRODUCTS – GROUP PRODUCT PREFIX QFI, QFQ - through the Valley Preferred Network

Custom PPO
MyBlue Care
MyBlue Access
MyBlue Access LP (QHDHP)
MyBlue Access Catastrophic
BlueCare Custom PPO (formerly BlueCare EPO members who work or reside in-area)
BlueCare EPO (members who work or reside out of area)
BlueCare QHD Custom PPO (formerly BlueCare QHD EPO)
AffordaBlue (EPO 3-Tier) 

CAPITAL BLUE CROSS

CHIP
Comprehensive
Federal Employee Program (FEP)
Healthy Benefits PPO
Indemnity
Keystone Health Plan Central (HMO) – NON-PAR WITH HEALTH BENEFITS  VALUE plans
POS
PPO
PPO 1-2-3
PPO Plus Senior Security
Senior Blue/Senior Blue PPO
Short term Major Medical
Traditional
Care Connect POS

CHEROKEE INSURANCE COMPANY - through the Valley Preferred Network

CHOICE PLUS PPO (LVHN Employee Health Plan)

CIGNA HEALTH CARE - through the Valley Preferred Network

Cigna Choice Fund
Cigna Medicare RX
Cigna Medicare Surround
HMO and Network
Indemnity
LocalPlus
Open Access Plus
Payer Solutions
Point of Service (POS)
Preferred Provider Organization (PPO)
Shared Administration
Viant/Beech Street Client Listing
Provident (a Cigna Company)
Great West Healthcare (a Cigna Company)

EVERENCE - through the Valley Preferred Network

GATEWAY HEALTH PLAN

Medicaid HMO
Medicare Assured
Medicare Assured Diamond
Medicare Assured Ruby
Medicare Assured Gold
Medicare Assured Platinum

GEISINGER HEALTH PLAN - through the Valley Preferred Network

Marketplace Direct PPO
Marketplace Direct POS
Marketplace Solutions POS
Marketplace Value POS
Marketplace Value PPO
Children’s Health Insurance Plan
Geisinger Health Plan HMO
Geisinger Health Plan HMO with Point of Service (POS) Rider
Geisinger Health Plan Solutions
Geisinger Health Plan HMO Direct No Referral
Choice Coordinated Care PPO
Choice Direct Access PPO
Choice Direct Access PPO with High Deductible Health Plan
Geisinger Health Plan Gold Products (HMO) POS – Medicare Advantage
Geisinger Indemnity Insurance Company

HEALTHNET FEDERAL SERVICES (also known as TRICARE, CHAMPUS)

TriCare Prime
TriCare Prime Remote
TriCare Extra
TriCare Standard
TriCare for Life
TriCare Pharmacy Program
TriCare Reserve Select (Tricare Reserve Components Program)

HEALTHAMERICA, HEALTH ASSURANCE AND COVENTRY HEALTHCARE PLANS - through the Valley Preferred Network

Advantra Medicare Plus Choice (HMO/PPO)
HealthAmerica HMO
HealthAmerica One Individual Plan
HealthAssurance Coordinated Care PPO (POS)
Health Assurance Flexchoice
Health Assurance PPO
HealthPass/HealthAssurance PPO
Lehigh Select PPO – Employer Group through HealthAmerica
Teamster – Employer Group through HealthAmerica
Coventry Health Care National Network
Mail Handlers Benefit Plan

HIGHMARK BLUE SHIELD

AdultBasic
BlueChoice
BlueWorldWide Expat
Blue Shield Shared Cost, a Multi-State Plan
CHIP
ClassicBlue
ClassicBlue Comprehensive
Comprehensive Care Blue PPO
DirectBlue
EPO
Flex Blue PPO, a Community Blue Plan
Freedom Blue
Freedom Plus PPO Plus
Freedom Plus PFFS
Health Savings Blue PPO, a Community Blue Plan
Health Savings Blue PPO
Major Events Blue PPO
Medigap Blue
PPO-PPO Blue
Shared Cost Blue PPO
Special Care

HUMANA

Humana Gold Plus – Medicare Advantage HMO
Humana Choice – Medicare Advantage PPO
Humana Gold Choice – Medicare Advantage PFFS

INDEPENDENCE BLUE CROSS

Independence Administrators
AmeriHealth HMO
AmeriHealth HMO 65
AmeriHealth HMO Flex
AmeriHealth POS
AmeriHealth PPO
AmeriHealth PPO Flex
AmeriHealth PPO 65
Keystone 65
Keystone 65 Select
Keystone Direct
Keystone Health Plan East (HMO) – Tier 3 **
Keystone POS
Keystone HealthPlan East Flex
Medicare Advantage
Personal Choice 65 – Tier 3**
Personal Choice PPO – Tier 3 **
Personal Choice Flex – Tier 3 **

** Tier 3 carries greater financial responsibility when accessing LVHN Network

INTER COUNTY HEALTH PLAN - through the Valley Preferred Network

MAGNACARE - through the Valley Preferred Network

MEDICAL ASSISTANCE

Access Plus – Medicaid HMO
Traditional Medicaid

MEDICARE

Traditional Medicare

STANDARD LIFE & ACCIDENT INSURANCE COMPANY - through the Valley Preferred Network

STERLING LIFE INSURANCE COMPANY - through the Valley Preferred Network

Sterling Medicare Select

UNITED HEALTHCARE COMMUNITY PLAN

United Community Plan for Families - Medicaid
United Community Plan for Kids – CHIP

UNITED HEALTHCARE - through the Valley Preferred Network

UnitedHealthcare Charter / Charter Balanced
UnitedHealthcare Charter HMO/ Charter Balanced HMO Charter Plus HMO
UnitedHealthcare Charter Plus
UnitedHealthcare Choice
UnitedHealthcare Choice HMO / Choice Plus HMO
UnitedHealthcare Choice Plus
UnitedHealthcare Compass / Compass Balanced
UnitedHealthcare Compass HMO / Compass Balanced HMO / Compass Plus HMO
UnitedHealthcare Compass Plus
UnitedHealthcare Core
UnitedHealthcare Core Essential
UnitedHealthcare Core HMO / Core Essential HMO
UnitedHealthcare Navigate HMO / Navigate Balanced HMO / Navigate Plus HMO
UnitedHealthcare Navigate / Navigate Balanced
UnitedHealthcare Navigate Plus
UnitedHealthcare Options PPO
UnitedHealthcare Passport Connect Choice
UnitedHealthcare Passport Connect Choice Plus
UnitedHealthcare Passport Connect Options PPO
UnitedHealthcare Select
UnitedHealthcare Select HMO
UnitedHealthcare Select Plus
UnitedHealthcare Select Plus HMO
UnitedHealthcare Signature Value Plans

Medica Choice with United Healthcare Choice Plus

Optimum Choice
Optimum Choice Preferred

America Medical Security (AMS – a UHC Company)
Definity Health Plan
Definity PPO
Definity Choice Plus
Empire Plan (please note on Empire Benefit plans – insured by United Healthcare Insurance Company of New York, providing physician and certain ancillary provider benefits for employees of the State of New York and local governments in New York)
Golden Rule (a UHC Company)
United Healthcare Services Company of the River Valley (formerly John Deere HealthCare, Inc.)
Mid Atlantic Medical Services, LLC (MAMSI – a UHC Company)
M.D. IPA
M.D. IPA Preferred
Midwest Security Insurance Companies (a UHC Company)
Navigate
Navigate Balanced
Navigate Plus
Neighborhood Health Partnership (a UHC Company)
PacifiCare (a UHC Company)
United Medical Resources (UMR – a UHC Company)
Harvard Pilgrim Options PPO
Harvard Pilgrim Choice
Harvard Pilgrim Choice Plus
Medica Choice with UnitedHealthcare Choice Plus

UnitedHealthcare Medicare Products

AARP Medicare Complete Choice
Secure Horizons, a UnitedHealthcare Company
Secure Horizons MedicareComplete Choice
Evercare, a United Healthcare Company

UPMC

UPMC for You
UPMC for Kids

VETERANS’ BENEFITS

TRICARE

Standard
Extra
Prime

VA REFERRAL

Choice
Patient Center Community Care

INDEMNITY COMMERCIAL PLANS

Lehigh Valley Hospital (LVH) and Lehigh Valley Hospital – Muhlenberg (LVH-M) accepts all indemnity commercial insurances.  To verify benefits, contact your insurance plan first.  If you have additional questions, call Marilyn Minder, Payer Contracting at 484-862-3482.

MENTAL HEALTH PLANS

To determine a patient’s benefit administrator for Mental Health Services, the referring provider’s office must first contact the Medical Insurance Plan and inquire regarding the mental health benefit Administrator.  LVH and LVH-M have contracts with the following Medical and Mental Health Insurance Plans to provide hospital service.  If you have additional questions, call Janice Santee in Behavioral Health at 484-884-5752.

Carve-out Plans

Aetna, Inc.
CIGNA Behavioral Health
Gateway Medicare Assured
Integrated Behavioral Health
Lehigh County (specific to mental health outpatient clinics)
Magellan Behavioral Health – Commercial
Magellan Behavioral Health – HealthChoices *specific to Lehigh and Northampton Counties
United Behavioral Health / Optum Health
Value Options

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