Our Employed Physicians and the Insurance Plans They Participate in
IPA MANAGED CARE CONTRACTS
September 01, 2020
IPA Physicians participates with the following plans:
1199 National Benefit Fund
Aetna (Medicare & Commercial Products)
Affinity Health Plan (Medicaid & CHP) (uses Beacon Health to manage behavioral health services) (IPA is not contracted with Affinity’s Essential Plans 1-4)
Agewell New York LLC (FIDA Only)
Amida Care (Medicaid)
Beacon Health Options (Formerly known as Value Options) (manages Emblem’s, The NYS Empire Plan and VNS Choice behavioral health services)
Beacon Health Strategies (manages Affinity, Amida Care, ElderServe and Metroplus behavioral health services)
Beech Street
Centers Plan for Healthy Living (FIDA & Medicare Advantage)
CitiPace of New York, Inc.
Cigna HealthCare (PPO) (uses Cigna Behavioral Health to manage behavioral health services, IPA is not contracted with CBH)
Create Flex, Create NYC & Create Long Island
Elderplan (FIDA and MLTC products only)
ElderServe Health, Inc. (FIDA/MMP Plan) (uses Beacon Health to manage behavioral health services)
Emblem Health (GHI-HIP) (Essential Plans 1-4 & Exchange) (uses Value Options to manage behavioral health services)
Empire Blue Cross Blue Shield (Exchange, Medicare HMO & PPO & Commercial HMO, PPO, POS, EPO & CDHP)
Group Health Inc. (GHI) (HMO Commercial, Medicare Advantage PPO, Network Access, CBP, EPO & PPO) (uses Value Options to manage behavioral health services)
Health Plan of NY (HIP) (Medicare, Medicaid, CHP, Commercial PPO, EPO, HMO & POS)(uses Value Options to manage behavioral health services)
Healthfirst PHSP & MHI (Total EPO, PRO EPO, PRO Plus, Essential Plans 1-4, Exchange, Commercial, Medicare PPO, Life Improvement, FIDA, HARP, Medicaid & CHP)
Hotel Trades Council
Humana Health Plan, Inc. (Medicare HMO & POS, Medicare PPO & Network PFFS)
Magna Care
MetroPlus Health Plan, Inc. (Medicaid, Medicare Advantage, SNP, FIDA, CHP, GOLD, MLTC, HARP, Exchange & Essential Plans 1-4) (uses Beacon Health to manage behavioral health services)
Multiplan/PHCS
Optum (manages all United Healthcare lines of business and Oscar behavioral health services)
Oscar Health Insurance for New York (uses Optum to manage behavioral health services)
The NYS Empire Plan (uses Value Options to manage behavioral health services)
Tricare (Health Net Federal Services) uses MHN to manage behavioral health services)
United Healthcare/Oxford Health Plans (Exchange, Medicaid, CHP, Dual Advantage, Essential Plans 1-4, Medicare,Commercial, Liberty & Freedom) (uses Optum to manage behavioral health services)
VillageCareMax ( Medicare Advantage)
Vision Care Service (Superior Vision)
VNS Choice (Medicare & FIDA) (uses Value Options to manage behavioral health services)
Wellcare (Medicare & Commercial)
Unless specifically noted otherwise, assume that Physicians participates in all Plans’ lines of business.