Managed Care Contracts

January 10, 2025

Jamaica Hospital Medical Center participates with the following plans:

• 1199 National Benefit Fund
• Aetna
• Affinity by Molina Healthcare
• Amida Care (uses Beacon Health to manage behavioral health services)
• Anthem Blue Cross Blue Shield
• Beech Street/Viant
• Carelon Behavioral Health (formerly known as Beacon Health Options) manages Centers Plan for Healthy Living MAP LOB, Emblem’s, SOMOS Emblem, The NYS Empire Plan, Hamaspik Choice, Village Care Max (MAP & DSNP LOB) and VNS Choice behavioral health services)
  Beacon Health Strategies (manages Amida Care behavioral health services)
• CenterLight Healthcare (fka Comprehensive Care Management)
• Centers Plan for Healthy Living (uses Carelon Behavioral Health (formerly known as Beacon Health Options)to manage behavioral health services for MAP LOB only
• Centivo
• CIGNA HealthCare (JHMC is not contracted with Cigna’s Medicare LOB and Psych Services. CIGNA uses Evernorth Behavioral Health / EBH)
• Create Flex, Create NYC & Create Long Island
• Elderplan
• Elderserv Health, Inc.
• Emblem Health (GHI – HIP) (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
• Empire BlueCross BlueShield
• Empire BlueCross BlueShield HealthPlus
• Fidelis Care
• First Health (aka Coventry)
• Galaxy Health Network
• Group Health Inc. (GHI) (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
• Hamaspik Choice (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
• Health Plan of NY (HIP) (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
• HealthFirst
• Hotel Trades Council (Dental OR, IP Detox & OP Mental Health)
• Humana Health Plan
• Magna Care
• Magnacare IPA, LLC
• Managed Health Network (MHN) (for Health Net Federal Services. Hospital is only participating with MHN for Tricare business.
• MetroPlusHealth
• MultiPlan /PHCS
• Oscar (uses Optum/UBH to manage behavioral health services)
• Senior Whole Health by Molina Healthcare
• SOMOS Emblem (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
• SOMOS Empire Healthplus
• TriCare (via Health Net Federal Services only) (uses MHN to manage behavioral health services)
• United Behavioral Health/Optum (manages all United Healthcare lines of business and Oscar behavioral health services)
• United Healthcare/Oxford Health Plans (uses Optum/UBH to manage behavioral health services)
• Village Care Max (Behavioral Health benefits are administered by Carelon Behavioral Health (formerly known as Beacon Health Options) for MAP and DSNP Programs)
• VNS Choice (uses Carelon Behavioral Health (formerly known as Beacon Health Options) to manage behavioral health services)
• WellCare of NY Choice Health Plan
• World Trade Center Program

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.