Managed Care Contracts
September 1, 2022
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)
- Beacon Health Options (Formerly known as ValueOptions) manages Emblem’s, SOMOS Emblem, The NYS Empire Plan, Hamaspik Choice and VNS Choice behavioral health services)
- Beacon Health Strategies (manages Amida Care behavioral health services)
- Beech Street/Viant
- CenterLight Healthcare (fka Comprehensive Care Management)
- Centers Plan for Healthy Living
- Centivo
- CIGNA HealthCare (JHMC is not contracted for Psych Services. CIGNA uses CIGNA Behavioral Health)
- Create Flex, Create NYC & Create Long Island
- Elderplan
- Elderserv Health, Inc.
- Emblem Health (GHI – HIP) (uses BeaconHealthOptions 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 BeaconHealthOptions to manage behavioral health services)
- Hamaspik Choice (uses BeaconHealthOptions to manage behavioral health services)
- Health Plan of NY (HIP) (uses BeaconHealthOptions 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 Humana Military line of business only)
- MetroPlus Health Plan, Inc.
- MultiPlan /PHCS
- Oscar (uses Optum/UBH to manage behavioral health services)
- SOMOS Emblem (uses BeaconHealthOptions 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
- VNS Choice (uses BeaconHealthOptions to manage behavioral health services)
- WellCare of NY Choice Health Plan
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.
