IPA

MANAGED CARE CONTRACTS

January 1st, 2024

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)
  • Centerlight Healthcare (Effective 12/1/2023)
  • 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
  • Senior Whole Health by Molina Healthcare (Effective 1/1/2024)
  • 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.