IPA

MANAGED CARE CONTRACTS

August 18, 2023

IPA Physicians participates with the following plans:

    • 1199 National Benefit Fund
    • Aetna
    • Affinity by Molina Healthcare
    • Agewell New York LLC
    • Amida Care (uses BeaconHealthOptions to manage behavioral health services)
    • Beech Street
    •  Carelon Behavioral Health effective 3/1/23 (formerly known as Beacon Health Options) (manages Centers Plan for Healthy Living MAP, Emblem’s, Emblem SOMOS, The NYS Empire Plan, Hamaspik Choice, Village Care Max MAP/DSNP and VNS Choice behavioral health services)
      Beacon Health Strategies (manages Amida Care behavioral health services)
    •  Centers Plan for Healthy Living (uses Carelon Behavioral Health to manage behavioral health services for MAP LOB
    • Centivo
    •  Cigna HealthCare (IPA 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
    • ElderServe Health, Inc.
    • Emblem Health (GHI-HIP) (uses Carelon Behavioral Health to manage behavioral health services)
    • Empire Blue Cross Blue Shield
    • Empire BlueCross BlueShield HealthPlus
    • Empire BCBS Blue Access
    • Empire BCBS Blue View Vision
    • Fidelis Care
    • First Health/Coventry
    • Group Health Inc. (GHI (uses Carelon Behavioral Health to manage behavioral health services)
    • Hamaspik Choice (uses Carelon Behavioral Health to manage behavioral health services)
    • Health Plan of NY (HIP) (uses Carelon Behavioral Health to manage behavioral health services)
    • Healthfirst PHSP & MHI
    • Hotel Trades Council
    • Humana Health Plan, Inc.
    • Magna Care
    • Magnacare IPA, LLC
    • MetroPlus Health Plan, Inc.
    • Multiplan/PHCS
    • Optum/UBH (manages all United Healthcare lines of business and Oscar behavioral health services)
    • Oscar Health Insurance for New York (uses Optum/UBH to manage behavioral health services)
    • Pomco Health Insurance for New York
    • SOMOS Emblem (uses Carelon Behavioral Health to manage behavioral health services)
    • SOMOS Empire Healthplus
    • The NYS Empire Plan (uses Carelon Behavioral Health to manage behavioral health services)
    • Tricare (Health Net Federal Services) uses MHN to manage behavioral health services)
    • United Healthcare/Oxford Health Plans (uses Optum/UBH to manage behavioral health services)
    • VillageCareMax (uses Carelon Behavioral Health to manage behavioral health services for Village Care Max MAP & DSNP LOB
    • Vision Care Service (Superior Vision)
    • VNS Choice (uses Carelon Behavioral Health to manage behavioral health services)
    • Wellcare of NY Health Plan

Unless specifically noted otherwise, assume that Physicians participates in all Plans’ lines of business.