Managed Care Contracts

January 01, 2024

 
Jamaica Hospital Medical Center participates with the following plans:

  • 1199 National Benefit Fund
  • Aetna
  • Affinity by Molina Healthcare
  • Agewell New York LLC
  • Amida Care (uses Beacon Health to manage behavioral health services)
  • Beech Street/Viant
  • Carelon Behavioral Health Effective 3/1/2023 (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 Blue Access Network
  • 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.)
  • MetroPlus Health Plan, Inc.
  • MultiPlan /PHCS
  • Oscar (uses Optum/UBH to manage behavioral health services)
  • Senior Whole Health by Molina Healthcare (Effective 1-1-2024)
  • 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.