Keystone health plan east behavioral health providers

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Participating insurances for the Hospital of the University of Pennsylvania, Penn Presbyterian Medical Center, Pennsylvania Hospital, Chester County Hospital, New Jersey facilities and PA & NJ physician groups (excluding Princeton Health). Some NJ physicians may have individual contract agreements with additional plans (including NJ Managed Medicaid plans), please call 800-789-7366 (PENN) to verify. The list below is for reference only and is subject to change.

You can access plan listings for other Penn Medicine hospitals at the following:

• Lancaster General Health
• Princeton Health

Please contact the member services department of your insurance company for specific details before receiving services, as our hospitals may participate in some, but not all, products offered by a health plan. Coverage limitations are dependent on individual group contracts. Your policy may have stipulations regarding authorization or laboratory location requirements. Call 800-789-7366 (PENN) with questions or to schedule an appointment.

• Aetna
• Aetna Behavioral Health
• Amerihealth of NJ
• Amerihealth Administrators
• Blue Cross & Blue Shield Association
• Blue Cross & Blue Shield National Transplant Network*
• Centivo
• Cigna Health Plan
• Cigna Behavioral Health
• Cigna LifeSource*
• Claim Watcher
• Clover Health
• Community Behavioral Health
• Devon Health
• First Health, First Health Global
• Geisinger Plan
  (excludes Chester County Hospital)
• HealthSmart (World Trade Center Program)
• Horizon Blue Cross Blue Shield of NJ
  (Chester County Hospital participates in the PPO/POS Blue Card program)
• Humana (Choicecare Network)
  (excludes Chester County Hospital)
• Humana Military (Tricare)
• Imagine Health
• Independence Blue Cross
• Intergroup
• Interlink*
• Kaiser Permanente*
• Keystone Autism Services
• Keystone Health Plan East
  (includes CHIP)
• Lehigh Valley Health Network/Populytics Health*
• Magellan
  (Penn Presbyterian Medical Center Only)
• Multiplan
• Oxford Health Plan
• Optum*
  (Cancer, In Vitro Fertilization)
• Oscar Health Plan
• Preferred HealthCare
• Premier Network
  (Devon employee group)
• Provider Partners Health Plan
• Qualcare
  (excludes Chester County Hospital)
• United Behavioral Health
• UnitedHealthcare
• US Family Health Plan
  (excludes Chester County Hospital)
• Veteran's Insurance/VA Community Care Network (Optum)/Champ VA
• Vibra*

NOTE: Contracts marked with an asterisk (*) are for Transplant services in our Philadelphia locations. Please call 800-789-7366 (PENN) for more information.

Medicare Advantage

• AARP MedicareComplete Plans - United Healthcare (PPO, HMO)
• Aetna
  Silver, Premier, Premier Plus, Explorer Elite
  Advantra: Value, Premier (Plus), Cares (SNP) - HMO
  Value, Gold, Advantra Credit Value - PPO
• Blue Cross Blue Shield Association National Medicare Advantage (Blue Card PPO)
  Blue Medicare Advantage (Blue MA), and Blue High Performance Network (HPN)
  
• Cigna Medicare (PA Only)
• Clover Health - Choice, Choice Value (PPO)
• Erickson Advantage Plans
• Erickson Advantage Champion/Guardian Plans
• Geisinger Health Plan - Gold Classic (HMO), Gold Secure (SNP), Gold Preferred (PPO)
• Health Partners - Complete, Prime, Special (SNP) - HMO, POS
• Highmark Wholecare - Assured Diamond, Ruby (HMO-SNP)
• Horizon Blue Cross Blue Shield of NJ
  Blue Access Group, Blue Choice, Blue Select,
  Braven: Group, Access Grouo - HMO
  Blue, Blue Group
  Braven: Choice, Freedom - PPO
  (Chester County Hospital participates in the PPO/POS Blue Card program)
• Independence Blue Cross - Personal Choice 65 (Prime, Saver, Elite), Blue MA
• Keystone First VIP Choice (HMO, SNP) (excludes Chester County Hospital)
• Keystone Health Plan East - Keystone65 Select, Preferred, Basic (HMO)
• Medicare - Traditional (Red, white and blue card)
• Mercy Life (Dual Eligible)
• Provider Partners Health Plan (PPHP)
• Trinity Life
• United Healthcare
  AARP Medicare Advantage, Dual Complete ONE of PA & DE, Nursing Home Plan 2
• UnitedHealthcare (NJ residents will need to activate their Passport option, if available, to see PA providers)
• Wellcare by Allwell (HMO SNP)

NOTE: United Healthcare NJ residents will need to activate their Passport, if available, to see a PA provider. Dual eligible members are individuals who are entitled to Medicare Part A and/or Part B and are eligible for some form of Medicaid benefit.

Pennsylvania Medical Assistance Managed Care (Medicaid)

• Aetna Better Health of PA (Chester County Hospital Only)
  *No longer available effective 9/1/2022
• Geisinger of PA
• Health Partners of PA
  (includes CHIP)
• Highmark Wholecare of PA (formerly Gateway Health Plan)
• Keystone Autism Services of PA
• Keystone First of PA
• Medicaid, Pennsylvania Medicaid (Access card)
• United Healthcare Community Plan of PA
  (includes CHIP)

Community HealthChoices (CHC)

• Keystone First
• PA Health & Wellness

Affordable Care Act (ACA) Exchange

• Amerihealth of NJ - Regional Preferred, Local Value Fully Insured Group
• Cigna Connect
• Geisinger - Marketplace HMO / Extra HMO
  (excludes Chester County Hospital)
• Horizon Blue Cross Blue Shield of NJ - Advantage EPO, OMNIA (NJ Tier 1, PA Tier 2)
  (Chester County Hospital participates in the PPO/POS Blue Card program)
• Independence Blue Cross - Keystone HMO, Personal Choice (PPO), Keystone Proactive (HMO)
• Oscar Health Plan of Pennsylvania (excludes Chester County Hospital)
• PA Health & Wellness - Ambetter

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