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PARTIAL INSURANCE PROVIDER LIST
Berks 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 Administrators

AmeriHealth Health Plans

AmeriHealth HMO and HMO 65
  (PCP must select HNL)

AmeriHealth Mercy Health Plan

AmeriHealth Personal Choice

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

Blue Choice

Blue Cross of Northeastern PA Idemnity Plans
  • Blue Cross of NEPA BlueCare Direct Select
  • Blue Cross of NEPA BlueCare Direct Essentials
  • Blue Cross of NEPA BlueCare EPO
Bravo Health
  • Bravo Liberty
  • Bravo Liberty Bell
  • Bravo Liberty Silver

Capital Advantage Insurance Co. (CAIC)

Capital Blue Cross (CBC)
  • Traditional
  • POS, PPO, PPO Plus
  • Keystone Health Plan Central (contact your primary care physician)
  • SeniorBlue HMO (contact your primary care physician)
  • SeniorBlue PPO
  • Comprehensive

Champus (see Tricare)

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
  • Indemnity
  • Gold
  • Health Options
  • Selectus Coordinated Care PPO
  • Selectus Direct Access PPO
  • Classic
  • Open PFFS
  • Preferred
  • Reserve PFFS
  • Secure
 

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
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 Administrators

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 65 (PCP must select HNL)

Keystone Health Plan Central
    (contact your primary care physician)

Keystone Health Plan East (PCP must select HNL)

Keystone Point of Service (PCP must select HNL)

Magellan Behavioral Health Plan

Medicare

MultiPlan

National Preferred Provider Network-NPPN (PlanVista)

New Jersey Medical Assistance

Oxford Health Plans (non-HMO plans in Lehigh & Northampton counties only)

Pennsylvania Medical Assistance

Personal Choice

Personal Choice 65

PlanVista (National Preferred Provider Network-NPPN)

Premier Blue

Aetna 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})

Select Advantage

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 Adult Basic (Lehigh/Northampton County only)

Unison Children's Health Insurance Program (CHIP) - (Lehigh/Northampton County only)

United Healthcare (Lehigh & Northampton county EMPLOYERS only)
United Healthcare Secure Horizons MedicareDirect PFFS

United Valley Series

WellCare Medicare Advantage PFFS Plans
   WellCare Concert Plans
   WellCare Melody Plans
   WellCare Prelude Plans
   WellCare Quartet Plans
   WellCare Seranade Plans
   WellCare Sonata Plans

United Healthcare Indemnity

United Healthcare-Railroad Medicare

Valley Preferred

 
   
 

 

  Thursday, September 9, 2010 04:49 AM   © 2008 Health Network Laboratories. All rights reserved.
Unauthorized use prohibited.

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