Insurance Providers
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PARTIAL INSURANCE PROVIDER LIST
Lehigh County, Pennsylvania
AARP
Aetna®
  • Aetna Affordable Health ChoicesSM (Indemnity)
  • Aetna Affordable Health ChoicesSM (PPO)
  • Aetna Choice® POS
  • Aetna Choice® POS II
  • Aetna Golden Choice™ PPO
  • Aetna Golden Medicare®
  • Aetna HMO
  • Aetna HealthFund® Health Reimbursement Arrangement (HRA)
  • Aetna HealthFund® Health Savings Account (HSA)
  • Aetna Medicare OpenSM Choice PFFS
  • Aetna Open Access® Elect Choice®
  • Aetna Open Access® HMO
  • Aetna Open Access® Managed Choice®
  • Aetna SelectSM
  • Elect Choice (EPO)®
  • HMO Managed Choice® POS
  • Open Access Aetna SelectSM
  • Open Choice® PPO
  • Quality Point-of-Service® (QPOS)®
  • Traditional Choice®
  • USAccess®
  • Signature AdministratorsSM
All Commercial/Indemnity Carriers
AmeriHealth Mercy Health Plan
    (contact your primary care physician)
American Progressive
          Today’s Options
    • Value
    • Value Plus
    • Premier
    • Premier Plus
  • Medicare Supplement
  • Medi-Care Select
Anthem
  • Medicare Advantage PFFS
  • SmartValue Classic
  • SmartValue Plussm
  • SmartValue Enhancedsm
  • SmartValue Enhanced Plussm
 
Beech Street
Berkshire Health Partners and the Valley Preferred
Open Access Model Plans
(Member ID cards that have both the Valley Preferred and Berkshire Health Partners logo on the card)
 
Blue Cross of Northeastern PA Idemnity Plans
  • Blue Cross of NEPA BlueCare Comprehensive
  • Blue Cross of NEPA BlueCare Direct Select
  • Blue Cross of NEPA BlueCare Direct Essentials
  • Blue Cross of NEPA BlueCare EPO
  • Blue Cross of NEPA BlueCare POS First
  • Blue Cross of NEPA BlueCare PPO
  • Blue Cross of NEPA BlueCare Security
  • Blue Cross of NEPA BlueCare Senior
  • Blue Cross of NEPA BlueCare Traditional
  • Blue Cross of NEPA First Priority Life
  • Blue Cross of NEPA First Priority Life BlueCare Comprehensive
  • Blue Cross of NEPA First Priority Life BlueCare POS
  • Blue Cross of NEPA First Priority Life BlueCare PPO
  • Blue Cross of NEPA First Priority Life BlueCare Security
  • Blue Cross of NEPA First Priority Life BlueCare Senior
  • Blue Cross of NEPA First Priority Life BlueCare Traditional
Bravo Health
  • Bravo Liberty
  • Bravo Liberty Bell
  • Bravo Liberty Silver

 

Builders Benefits

 

Capital Advantage Insurance Co. (CAIC)
Capital Blue Cross (CBC)
  • Blue Chip
  • Traditional
  • POS, PPO, PPO Plus
  • Keystone Health Plan Central (contact your primary care physician)
  • SeniorBlue HMO (contact your primary care physician)
  • SeniorBlue PPO
  • Comprehensive
  • Capital Cares 4 Kids (old CHIP) LVPHO PCP ONLY
  • Capital Cares 4 You (old adult basic) LVPHO PCP ONLY
Central PA Teamsters Health and Welfare
Champus (see Tricare)
PPO Plans NOTE: HNL is a Tier Two provider for Sacred Heart Hospital employees and dependents…as such the member will have more out of pockets expenses with HNL
ChoiceCare Network
  • PPO Plans
  • Medicare Advantage PPO Plans
Choice Plus
Cigna
  • HMO
  • HMO Open Access
  • POS
  • POS Open Access
  • Choice Fund OA Plus
  • EPO
  • Indemnity
  • Medicare AccessSM Plans
  • Medicare Access Plus Plans
  • Network
  • Network Open Access
  • Open Access Plus
  • Open Access Plus In-Network
  • PPO
Cigna Alliance Networks Names & Logo
  • HealthPartners®
  • Tufts Health Plan
  • HAP
  • MVP
Core Source
Coventry Health Care
  • Coventry HealthCare National Network
  • Mail Handlers Benefit Plan
  • First Health Network
  • Alliance Health Network
Devon Health Services
Evercare
EHP, Inc.
EHP Significa
Federal Black Lung
Federal Employees Compensation Act
FreedomBlue PFFS
FreedomBlue PPO
  • Highmark West Virginia d/b/a Mountain State BC/BS
  • HM Health Insurance Co. d/b/a Highmark Health Insurance Co.
Gateway (PCP must select HNL)
Gateway Health Plan HMO
Gateway Health Plan Medicare
Geisinger Health Plan
  • HMO
  • PPO (Select Care)
  • POS
  • Geisinger Choice PPO
    with Referral
  • Geisinger Choice PPO
    with NoReferral
  • Geisinger Choice PPO
    with NoReferral High Deductible
  • GHP KIDS
  • Indemnity
  • Gold
  • Health Options
  • Selectus Coordinated Care PPO
  • Selectus Direct Access PPO
  • Classic
  • Open PFFS
  • Preferred
  • Reserve PFFS
  • Secure
  • LIFE
Medicare Advantage Products
  • Geisinger Gold Classic 1,2 &3 (series)
  • Geisinger Gold Classic PEBTF (HMO)
  • Geisinger Gold Preferred 1 &2 (PPO)
  • Geisinger Gold Reserve (MSA)
  • Geisinger Gold Secure 1&3 (series)
   GHI (Group Health Incorporated)
  • Medicare PFFS Total Freedom
  • Medicare PFFS National Freedom
  • Medicare PFFS National Freedom Plus
Great West Healthcare
HealthAmerica/HealthAssurance
  • Advantra HMO & PPO
  • HealthAmerica HMO
  • HealthAssurance PPO
  • HealthAssurance (CCPPO)
  • Health Pass (PPO)
  • Penn State Indemnity Plan (Plan H)
  • Health Style (POS)
  • HealthAmerica One
  • Hershey Health Styles
 
Health Fund Name Upper LEFT Corner Logo on ID Card Upper RIGHT Corner Logo on ID Card
Teamsters Health & Welfare Fund Blue Cross Blue Shield on front…. Horizon on the back Teamster Health & Welfare Fund (front of card)
Philadelphia Carpenters Health Fund Independence Blue Cross Blue Shield Carpenters Health & Welfare Fund Philadelphia & Vicinity
Operating Engineers/Local 542 Independence Blue Cross Personal Choice IUOE Local 542 Benefit Plan
Iron Workers Independence Blue Cross Personal Choice Ironworkers Phila. and Vicinity Benefit Plan
 
HealthMarkets Care Assured
     Medicare Private Fee For Service (PFFS) Plans
  • HealthMarkets Care Assured Premier
  • HealthMarkets Care Assured Premier Plus
  • HealthMarkets Care Assured Value
  • HealthMarkets Care Assured Value Plus
Highmark Blue Shield
  • Classic Blue Traditional
  • Classic Blue Comprehensive
  • Freedom Blue
  • Premier Blue
  • PPO Blue
  • Direct Blue
  • Select Blue
  • 1800S
  • EPOBlue 5000S
  • Plan C
Horizon/NJ Blue Shield Indemnity Plans
Human Gold Choice PFFS
Humana Group Medicare PFFS
Independence Blue Cross
  • AmeriHealth Administrators
  • AmeriHealth HMO
  • AmeriHealth Health Plans
  • AmeriHealth Personal Choice
  • AmeriHealth 65 PPO
  • Independence Administrators
  • Inter-County Health Plan
  • Keystone 65
  • Keystone Health Plan East 
  • Keystone POS
  • Personal Choice 65
  • Personal Choice
  • Blue Choice
  • Select Advantage (Medicare PFFS plan)
Integrated Health Plan
  • Integrated Health Plan
  • Health Payes Organization (HPO)
  • UP & P (United Payer & United Providers)
  • ForMost
  • AHP (America’s Health Plan)
  • ProAmerica
InterGroup
Keystone Health Plan Central
    (contact your primary care physician)
Magellan Behavioral Health Plan
Medicare
MultiPlan
National Preferred Provider Network-NPPN (PlanVista)
New Jersey Medical Assistance
New Jersey Plus
Oxford Health Plans (non-HMO plans in Lehigh & Northampton counties only)
Pennsylvania Medical Assistance
PlanVista (National Preferred Provider Network-NPPN)
Preferred Care
  • USA Care
Premier Blue
Prime Health Services
Private Health Care Systems (PHCS)
SeniorBlue HMO
    (contact your primary care physician)
Special Pharmaceutical Benefits Program (SPBP)
Spectrum Administrators
(with the exception of Eastern Pennsylvania Health Network {EPHN})
Sterling
Three Rivers Provider Network (TRPD)
Tricare
  • Health Net Federal Services
  • Tricare Extra
  • Tricare for Life
  • Tricare Plus
  • Tricare Prime - Requires Pre-Authorization
       • Uniformed Services Family Health Plan (USFHP)
  • Tricare Prime Remote - Requires Pre-Authorization
  • Tricare Reserve Select
  • Tricare Standard
UniCare
  • Classic
  • Plus
  • Enhanced
  • Enhanced Plus
Unison (contact your primary care physician)
 
Unison Adult Basic
Unison Children's Health Insurance Program (CHIP)
 
United Healthcare
  • Select
  • Select Plus
  • Choice
  • Choice Plus Options
  • United Healthcare Community Plan for Families
  • United Healthcare Medicare Dual Complete
  • United Healthcare Community Plan for Kids
  • United Healthcare Medicare Complete
  • United Healthcare aB
  • United Healthcare Medicare Essential
UnitedHealthcare Community Plan
United Healthcare Indemnity
United Healthcare-Railroad Medicare
United Valley Series
United Healthcare Secure Horizons MedicareDirect PFFS
Valley Preferred
WellCare Medicare Advantage PFFS Plans
   WellCare Concert Plans
   WellCare Melody Plans
   WellCare Prelude Plans
   WellCare Quartet Plans
   WellCare Seranade Plans
   WellCare Sonata Plans