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
BlueJourney SNP – NON PARTICIPATING
Short term Major Medical
Care Connect POS
Care Connect (Pinnacle Health Network in Central PA) – NON PARTICIPATING
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
(For Commercial products, please visit www.unitedhealthcareonline.com; for Medicare Solutions, please visit www.uhcmedicaresolutions.com 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
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)
Premium Network Plans - PPO and EPO Plans
UPMC Business Advantage HMO (No Referral)
Enhanced Access HMO and POS Plans
UPMC Employees Advantage EPO Plans (Level 2)
UPMC Employees Out of Area PPO Plan
Panther Gold Advantage HMO (For Pitt Employees) (Level 2)
Panther Gold HMO (For Pitt Employees)
FEHB Plans
UPMC Inside Advantage (Level 2)
MyCare Advantage PPO/EPO (Level 2)
Tower Health
Inside Advantage for Individuals (Level 1)
UPMC for You Advantage (Medicare/Medical Assistance Dual Eligible Plan)
(Level 2 – greater patient responsibility – deductible / co-pay)
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)