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Accepted Insurances

Lehigh Valley Hospital—Cedar Crest, Muhlenberg, 17th St. and Tilghman

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. See accepted insurances at our other hospital campuses.

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

 

Aetna Leap Everyday Lehigh Valley Health Network – PARTICIPATING – MUST STATE Individual HMO LVHN Aetna Whole Health – WILL NOT BE OFFERED IN 2018

 

DelHarze Custom Network

IOQ Networks

Meritain

National Advantage Program (NAP)

QHP HMO SEPA

QHP OAMC Lehigh Valley

Wellnet

 

Savings Plus – OUT OF NETWORK

 

Aetna Medicare Plans - through the Valley Preferred Network

Aetna Medicare Plans (PPO)

Aetna Medicare Plans (HMO/Open Access HMO)

 

AETNA BETTER HEALTH – HEALTHCHOICES MEDICAID PLAN

Aetna Better Health HMO – Medicaid – NON-PARTICIPATING

Aetna Better Health for Kids – CHIP – NON-PARTICIPATING

 

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 PENNSYLVANIA

Medicaid HMO

VIP – Medicare / Medicaid Dual Eligible Special Needs Plan

 

BLUE CROSS OF NORTHEASTERN PENNSYLVANIA - HIGHMARK TRANSITIONED PRODUCTS

Blue Care HMO

Blue Care HMO Plus

CHIP

MyBlueCare

MyBlue Access

MyBlue Access LP

MyBlue Access Catastrophic

BlueCare Custom PPO

BlueCare QHD Custom PPO

AffordaBlue

 

MyLehigh Valley FlexBlue – Marketplace Product

MyPriority Flex Blue – Marketplace Product (Monroe County)

MyDirectBlue Lehigh Valley EPO – Marketplace Product

 

CAPITAL BLUE CROSS

CHIP

Comprehensive

Federal Employee Program (FEP)

Keystone Health Plan Central (HMO)

Traditional/Indemnity

Point of Service (POS)

Preferred Provider Organization (PPO)

BlueJourney PPO / BlueJourney HMO

Short term Major Medical

Care Connect POS

Security Senior

Valley Advantage EPO – NON PARTICIPATING

Gold Plan EPO – NON PARTICIPATING

 

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

Geisinger Marketplace HMO – NON-PARTICPATING

Geisinger Marketplace POS – NON-PARTICPATING

Geisinger Marketplace PPO

Geisinger Provider Choice - *Tier 3 – carries greater patient responsibility

Children’s Health Insurance Plan (CHIP)

Geisinger Health Plan

Geisinger Gold

 

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

Teamster – Employer Group through HealthAmerica

Coventry Health Care National Network

Mail Handlers Benefit Plan

First Health Network – NON-PARTICIPATING (LVHN does participate ONLY with First Health International product)

 

HIGHMARK BLUE SHIELD

AdultBasic

myAlliance Flex Blue** - STANDARD TIER – SEE BELOW

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

Lehigh Valley Flex Blue (Marketplace Product)

Major Events Blue PPO

Medigap Blue

My Direct Blue Lehigh Valley EPO (Marketplace Product)

My Lehigh Valley Flex Blue HMO (Marketplace Product)

MyPriority Flex Blue HMO (Marketplace Product – Monroe County)

PPO-PPO Blue

Shared Cost Blue PPO

Special Care

** Standard Tier -  carries greater financial responsibility when accessing LVHN Network

 

HUMANA

Humana Gold Plus – Medicare Advantage HMO

Humana Choice – Medicare Advantage PPO

Humana Gold Choice – Medicare Advantage PFFS

 

INDEPENDENCE BLUE CROSS

IBC HMO Commercial Tier 3 Standard**

AmeriHealth HMO

Independence CHIP

IBC HMO Medicare Advantage Basic / Select

IBC HMO Commercial

IBC HMO Medicare Advantage

IBC PPO Commercial

IBC PPO Medicare Advantage

AmeriHealth PPO Commercial

AmeriHealth Comprehensive Major Medical

AmeriHealth HMO Medicare Advantage

 

Keystone 65

Keystone 65 Focus Rx – NON-PARTICIPATING

Keystone 65 Select

Keystone Direct

Keystone Health Plan East (HMO) – Tier 3 **

Keystone Preferred

Keystone HealthPlan East Flex

 

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

 

KEYSTONE FIRST

Medicaid HMO

 

LVHN Employee Health Plan – (formerly known as Choice Plus)

 

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

(ForCommercial products, please visit www.unitedhealthcareonline.com; for Medicare Solutions, please visit www.uhcmedicaresolutions.com/?nonCachedCQRequest=true for exhaustive listing)

UnitedHealthcare Charter

UnitedHealthcare Charter Balanced

UnitedHealthcare Charter Plus

 

UnitedHealthcare Choice EPO

UnitedHealthcare Choice HMO / Choice Plus HMO

UnitedHealthcare Choice POS

UnitedHealthcare Choice / Core

 

UnitedHealthcare Compass / Compass Balanced – NOT OFFERED IN 2017

UnitedHealthcare Compass Exclusion – NON-PARTICIPATING

 

UnitedHealthcare Core EssentialEPO

UnitedHealthcare Core POS

 

UnitedHealthcare Indemnity

 

UnitedHealthcare Mid-Atlantic Gated HMO - NON-PARTICIPATING

 

UnitedHealthcare Navigate EPO NON-PARTICIPATING AS OF 7/1/18

UnitedHealthcare Navigate HMO / Navigate Balanced HMO / Navigate Plus HMO

UnitedHealthcare Navigate POS

 

UnitedHealthcare NexusACO NR EPO

UnitedHealthcare NexuxACO NR HMO

UnitedHealthcare NexusACO NR POS

UnitedHealthcare NexusACO OA EPO

UnitedHealthcare NexusACO OA HMO

UnitedHealthcare NexusACO OA POS

UnitedHealthcare NexusACO R EPO

UnitedHealthcare NexusACO R HMO

UnitedHealthcare NexusACO R POS

 

UnitedHealthcare NY Empire PPO (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)

 

UnitedHealthcare Options PPO

 

UnitedHealthcare Select EPO

UnitedHealthcare Select HMO

UnitedHealthcare Select POS

 

Optimum Choice

Optimum Choice Preferred

 

America Medical Security (AMS – a UHC Company)

Definity Health Plan

Definity PPO

Definity Choice Plus

Empire Plan 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

CIP DUAL Advantage – NON PARTICIPATING

Cip Medicare - NON PARTICIPATING

Secure Horizons, a UnitedHealthcare Company

Secure Horizons MedicareComplete Choice

Evercare, a United Healthcare Company

Medicare Advantage HMO

Medicare Advantage Local PPO

TBD - - NON PARTICIPATING

 

UPMC

UPMC for You (Medical Assistance HMO)

UPMC for Kids (Chip HMO)

UPMC Health Network Medicare Advantage PPO (UPMC for Life PPO)

UPMC Health Plan Medicare Advantage HMO (UPMC for Life HMO)

UPMC for Life Dual (Medicare Institutional Special Needs Plan)

UPMC for Life Options (Medicare Institutional Special Needs Plan)

 

UPMC for You Advantage (Medicare/Medical Assistance Dual Eligible Plan)

 

VIBRA – Medicare Advantage

Essential Coverage PPO

Enhanced Coverage PPO

 

VETERANS’ BENEFITS

 

TRICARE

Standard

Extra

Prime

 

VA REFERRAL

Choice

Direct

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)

LifeSync

Magellan Behavioral Health – Commercial

Magellan Behavioral Health – HealthChoices *specific to Lehigh and Northampton Counties

United Behavioral Health / Optum Health

Beacon Health Options, Inc. (formerly Value Options)

 

Need Help Scheduling?

Call 888-402-LVHN (5846) Monday-Friday, 7 a.m. - 8 p.m.
Saturday, 9 a.m. - 5 p.m.

Make an Appointment Chat Online

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If you have a minor illness, you can walk into an ExpressCare or schedule a video visit. For allergies, ear infections, cold and flu symptoms, rash and sprains.

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