MANAGED CARE CONTRACTS

January 1, 2020

Jamaica Hospital Medical Center participates with the following plans:

• 1199 National Benefit Fund
• Aetna
• Affinity Health Plan (uses Beacon Health to manage behavioral health services)
• Agewell New York LLC
• Amida Care (uses Beacon Health to manage behavioral health services)
• Beacon Health Options (Formerly known as Value Options) manages Emblem’s, The NYS Empire Plan and VNS Choice behavioral health services)
• Beacon Health Strategies (manages Affinity, Amida Care, ElderServe, Senior Whole Health and Metroplus behavioral health services)
• Beech Street/Viant
• CenterLight Healthcare (fka Comprehensive Care Management)
• Centers Plan for Healthy Living
• CitiPace of New York, Inc.
• CIGNA HealthCare (JHMC is not contracted for Psych Services. CIGNA uses CIGNA Behavioral Health)
• Create Flex, Create NYC & Create Long Island
• Elderplan (FIDA (Dual Eligible Program) and MLTC products only)
• Elderserv Health, Inc. (uses Beacon Health to manage behavioral health services)
• Emblem Health (GHI – HIP) (uses Value Options to manage behavioral health services)
• Empire BlueCross BlueShield
• Empire Blue Access Network
• Empire BlueCross BlueShield HealthPlus
• Fidelis Care
• First Health (aka Coventry)
• Galaxy Health Network
• Group Health Inc. (GHI) (uses Value Options to manage behavioral health services)
• Health Plan of NY (HIP) (uses Value Options to manage behavioral health services)
• HealthFirst
• Hotel Trades Council (Dental OR, IP Detox & OP Mental Health)
• Humana Health Plan
• Magna Care
• Managed Health Network (MHN) (for HealthNet Federal line of business only)
• MetroPlus Health Plan, Inc. (uses Beacon Health to manage behavioral health services)
• MultiPlan /PHCS
• Oscar (uses Optum to manage behavioral health services)
• Optum Health/ United Behavioral Health (manages all United Healthcare lines of business and Oscar behavioral health services)
• SOMOS Emblem & Empire Healthplus (Effective 4/1/2020)
• TriCare (via Health Net Federal Services only) (uses MHN to manage behavioral health services)
• United Healthcare/Oxford Health Plans (uses Optum/UBH to manage behavioral health services)
• Village Care Max
• VNS Choice (Participating with Medicare Advantage Products) (uses Value Options to manage behavioral health services)
• WellCare

  Note: Reimbursement for some outpatient services (ie: Clinic) may require physician participation in plan. Hospital participation does not guarantee physician participation. Unless specifically noted otherwise, assume that Hospital participates in all Plans’ lines of business.