IPA MANAGED CARE CONTRACTS
January 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) (Affinity no longer offering Medicare Advantage Effective 1/1/19)
- 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, Centers Plan for Healthy Living, ElderServe and Metroplus behavioral health services)
- Beech Street
- Centers Plan for Healthy Living (FIDA & Medicare Advantage) (uses Beacon Health to manage behavioral health services)
- CitiPace of New York, Inc. (New plan effective 1/1/20)
- Cigna HealthCare (PPO) (uses Cigna Behavioral Health to manage behavioral health services, IPA is not contracted with CBH)
- 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)
- Empire BlueCross BlueShield HealthPlus (Essential Plans 1-4, Medicaid & CHP)
- Fidelis Care (Essential Plans 1-4, Exchange, Medicaid, Medicare, CHP & HARP)
- First Health/Coventry
- 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)
- Pomco Health Insurance for New York
- 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) (VillageCare Max no longer offering FIDA Effective 1/1/19)
- VNS Choice (Medicare & FIDA) (uses Value Options to manage behavioral health services)
- Wellcare (Essential Plans 1-4, Medicaid, CHP & Medicare)
Unless specifically noted otherwise, assume that Physicians participates in all Plans’ lines of business.
