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Accepted Insurances

Lehigh Valley Hospital (LVH) and Lehigh Valley Hospital-Muhlenberg (LVH-M) have contracts with the following Plans to provide hospital service to members who have the following Plan Products (Medical and Mental Service Plans only). Dental Service Plans are not shown. If you have questions about the list below, call Joe Felix, LVHN, Payer Contracting Department at 484-884-0934.

Aetna, Inc. (via the Valley Preferred Network)*

Aetna Standard Plans *

Aetna Advantage 5750 PD HMO
Aetna Advantage 5750 PD OAMC PPO
Aetna Advantage 6350 HMO
Aetna Advantage 6350 OAMC PPO
Aetna AdvantagePlus 5500 PD HMO
Aetna AdvantagePlus 5500 PD OAMC PPO
Aetna Basic HMO
Aetna Basic OAMC PPO
Aetna Classic 5000 HMO
Aetna Classic 5000 OAMC PPO
Aetna Premier 2000 PD HMO
Aetna Premier 2000 PD OAMC PPO

Aetna Affordable health Choices®limited benefits insurance plan (SRC only)
Aetna SelectSM
Elect Choice® plan
Managed Choice®POS
Open Choice® PPO plan
Quality Point-of-Service® (QPOS®)

Aetna Open Access® Plans *
Aetna Choice® POS(Open Access®)
Aetna Choice® POS II (Open Access®)
Aetna Select SM (Open Access®)
Elect Choice® EPO (Open Access®)
HMO (Open Access®)
Managed Choice®POS (Open Access®)

Aetna Health Fund® Plans *
Aetna Choice® POS(Aetna HealthFund®)
Aetna Choice® POS II (Aetna HealthFund®)
Aetna Health Network OptionSM (Aetna Health Fund®)
Aetna Health Network Only SM (Aetna Health Fund®)
Aetna Open Access® Elect Choice® EPO (Aetna Health Fund®)
Aetna Open Access® Managed Choice®POS (Aetna Health Fund®)
Aetna Open Access® Aetna SelectSM (Aetna Health Fund®)
Open Choice® PPO (Aetna Health Fund®)

Aetna Aexcel® Plans *
Aexcel® Choice® POSII
Aexcel® Choice® POSII (Aetna Health Fund®)
Aexcel® Managed Choice® POS
Aexcel® Managed Choice® POS(Open Access)

Aetna, Inc. (via the Valley Preferred Network) *
Aexcel® PPO
Aexcel® PPO(Aetna Health Fund®)
Aexcel® Open Access Managed Choice POS® (Aetna Health Fund®)

Aexcel® Plus *
Aexcel® Plus Choice® POSII
Aexcel® Plus Choice® POSII (Aetna Health Fund®)
Aexcel® Plus Managed Choice® POS
Aexcel® Plus Managed Choice® POS (Open Access)
Aexcel® Plus Open Access® Managed Choice® POS (Aetna Health Fund®)
Aexcel® Plus PPO
Aexcel® Plus PPO(Aetna Health Fund®)

Aetna Medicare Plans *
Aetna Medicare SM Plan® (PPO)
Aetna Medicare SM Plan® (HMO/Open Access® HMO)

National Advantage Program (NAP) *
National Advantage™ Program

Aetna Health Network *
Aetna Health Network OptionSM
Aetna Health Network OptionSM (Aetna Health Fund®)
Aetna Health Network Only SM
Aetna Health Network Only SM (Aetna Health Fund®)

American National Insurance Company (ANICO) (via the Valley Preferred Network)

AmeriHealth Administrators (via the Valley Preferred Network)

AmeriHealth New Jersey

AmeriHealth Mercy HealthPlan
Medicaid HMO

AmeriHealthMercy Northeast
Medicaid HMO

Assurant Health (via the Valley Preferred Network)
John Alden Life Insurance Company
Time Insurance Health

Blue Cross of Northeastern Pennsylvania
Blue Care HMO (First Priority Health)
Blue Care HMO Individual Conversion (First Priority Health)
Blue Care POS (First Priority Health)
Blue Chip (First Priority Health)
BlueCare EPO (First Priority Life Insurance Company)
Group Product Prefix QFI,QFQ)
Special Care Benefit Plan

Capital Blue Cross
Federal Employee Program (FEP)
Healthy Benefits PPO 1000.0
Healthy Benefits PPO 6000.0
Keystone HealthPlan Central (HMO)
PPO 1-2-3
PPO Plus
Senior Blue/Senior Blue PPO
Short term Major Medical
Special Care

Cedar Crest College Student Health Plan – National Union Fire Insurance Company (via the Valley Preferred Network)

Choice Plus

CIGNA Healthcare (via the Valley Preferred Network)
Central Reserve Life (a Cigna company)
Choice Fund Open Access Plus
HMO and Network
HMO Open Access/Network Open Access
International (PPO)
Open Access Plus
POS Open Access
Provident (a Cigna company)
Great-West Healthcare (as of 9/1/2009)

Everence (via the Valley Preferred Network)

Federated Insurance (via the Valley Preferred Network)

Gateway Health Plan
Medical Assistance HMO
Medicare Assured®
Medicare Assured® 3
Medicare Assured® Select
Medicare Assured® Select Plus


Marketplace Direct 1 PPO
Marketplace Direct 3 PPO
Marketplace Direct 4 PPO
Marketplace Direct 5 PPO
Marketplace Direct 6 PPO
Marketplace Direct 8 PPO
Marketplace Direct 9 PPO
Marketplace Direct 10 PPO
Marketplace Direct 11 PPO
Marketplace Direct 12 POS
Marketplace Direct 13 PPO
Marketplace Solutions 1 POS
Marketplace Solutions 3 POS
Marketplace Solutions 4 POS
Marketplace Solutions 5 POS
Marketplace Solutions 6 POS
Marketplace Solutions 8 POS
Marketplace Solutions 9 POS
Marketplace Solutions 10 POS
Marketplace Solutions 11 POS
Marketplace Solutions 12 POS
Marketplace Solutions 13 POS
Marketplace Value POS
Marketplace Value PPO

Geisinger Health Plan (via the Valley Preferred Network)
Children’s Health Insurance Program
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
Geisinger Health Plan Solutions 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
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)

Health America, Health Assurance and Coventry Healthcare Plans (via the Valley Preferred Network)
Advantra Medicare Plus Choice (HMO/PPO)
Health America HMO
Health America One Individual Plan
Health Assurance Coordinated Care PPO (POS)
Health Assurance Flexchoice
Health Assurance PPO
HealthPass/Health Assurance PPO
Lehigh Select PPO – Employer Group Through Health America
Cabela’s Employee’s Plan – Employer Group Through Health America
Teamster – Employer Group Through Health America
Coventry Health Care National Network
Mail Handlers Benefit Plan

Highmark Blue Shield
BlueWorldWide Expat
Blue Shield Shared Cost 1500, a Multi-State Plan
Blue Shield Shared Cost 3200, a Multi-State Plan
ClassicBlue Comprehensive
Comprehensive Care Blue PPO 500
Comprehensive Care Blue PPO 1500
Flex Blue PPO 1000, a Community Blue Plan
Flex Blue PPO 2100, a Community Blue Plan
Flex Blue PPO 4000 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 1300
Health Savings Blue PPO 2500
Health Savings Blue PPO 3400
Major Events Blue PPO 6350
Shared Cost Blue PPO 1500
Shared Cost Blue PPO 3200
Shared Cost Blue PPO 5500
Special Care

Humana Inc.
Humana Gold Choice
Humana Group PFFS

Independence Blue Cross
Independence Administrators
Amerihealth HMO
Amerihealth HMO Flex
Amerihealth POS
Amerihealth PPO Flex
Amerihealth PPO 65
Keystone 65 Select
Keystone Direct
Keystone Health Plan East (HMO)
Keystone POS
Keystone HealthPlan East Flex
Medicare Advantage
Personal Choice 65
Personal Choice PPO
Personal Choice Flex
Special Care

Inter County Health Plan (via the Valley Preferred Network)

MagnaCare (via the Valley Preferred Network)

Medical Assistance

Access Plus – Medicaid HMO
Traditional Medicaid

Traditional Medicare

Northampton Community College Student Health Plan (via the Valley Preferred Network /Administrative Concepts, Inc.

Oxford Health Plans, a United Healthcare Company (via the Valley Preferred Network)
Oxford HMO plans
Oxford Indemnity Plans
Oxford My Plan
Oxford USA
Oxford Freedom Plans
Oxford Liberty Plans
Oxford Valley Plans

Standard Life & Accident Insurance Company (via the Valley Preferred Network)

Sterling Life Insurance Company
Sterling Medicare Select

United Healthcare Community Plan (formerly known as Unison Health Plan, MedPlus+ and 3 Rivers Health Plan)
United HealthcareAdvantage
United Healthcare Kids
United Healthcare MedPlus

United Healthcare (via the Valley Preferred Network)
America Medical Security (AMS), a United Healthcare Company
United Healthcare Choice
United Healthcare Choice Plus
United Healthcare Choice HMO/Choice Plus HMO
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 United Healthcare Company
United Healthcare Services Company of the River Valley (formerly John Deere HealthCare Inc.
Mid Atlantic Medcial Services, LLC (MAMSI), a UnitedHealthcare Company
M.D. IPA Preferred
Midwest Security Insurance Companies, a UnitedHealthcare Company
Navigate Balanced®
Navigate Plus®
Neighborhood Health Partnership, a United Healthcare Company
United Healthcare Options PPO
PacifiCare, a United Healthcare Company
Valley Series
United Healthcare Select Plus POS
United Healthcare Select EPO
United Healthcare iPlan PPO
United Healthcare iPlan Choice Plus
United Healthcare Core
United Healthcare Options PPO
United Medical Resources (UMR), a United Healthcare Company
Optimum Choice
Optimum Choice Preferred
Harvard Pilgrim Options PPO
Harvard Pilgrim Choice
Harvard Pilgrim Choice Plus
Medica Choice with UnitedHealthcare Choice Plus
United Healthcare Medicare Products
AARP MedicareComplete Choice
Secure Horizons, a UnitedHealthcare Company
Secure Horizons MedicareComplete Choice
Evercare, a United Healthcare Company

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 other questions, call  Joseph Felix, Payer Contracting (610) 969-0180.

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 contacts with the following  Medical and Mental Health Insurance Plans to provide hospital service.  If you have other questions, call Janice Santee in Behavioral Health, at 484-884-5752.

Aetna, Inc.
CIGNA Behavioral Health
Community Behavioral HealthCare Network of Pennsylvania (CBHNP) / Perform Care Behavioral Health Solutions
Gateway Assured
Integrated Behavioral health
Lehigh County (specific to mental health outpatient clinics)
Magellan Behavioral Health-Commercial
Magellan Behavioral Health-Health Choices
Mental Health Net
United Behavioral Health / OptumHealth
Value Options

Mental Health Programs and services are available at these locations:
Adolescent Inpatient LVH-M
Adult Inpatient LVH-M
Alternatives, Adult Partial Hospitalization  LVH-M
Electro-Convulsive Therapy (ECT) Inpatient and Outpatient LVH-M
Mental Health Outpatient Clinics LVH; LVH-M
Psychiatric Evaluation Services via Emergency Department  LVH; LVH-M  
Residential Services (Community based in Allentown) 
Transitions, Adolescent Partial Hospitalization Program LVH
Transitions, Adult Partial Hospitalization Program LVH          

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