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  3. Accepted Insurance Plans of the Hospital

Managed Care Contracts

August 18, 2023

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 effective 1-1-2023)
    • 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)
    • 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.