Revised: April 8, 2015 NYU Hospitals Center (Tisch Hospital, NYU Hospital for Joint Diseases, Rusk Institute of Rehabilitation Medicine and all Article 28 ambulatory sites) Contract Payor List - as of April 2015 Carrier Name Contracted Plans Aetna Health Inc. Affinity Health Plan Age Well Alpha Care *American Medical & Life Amerigroup/Health Plus *Cambridge Network Canadian Medical Network Global Inc (CMN) Cigna *Community Care Network *Consumer Health Network *Corvel *Devon HMO/POS, PPO, EPO, Medicare, Indemnity, New York Community Plan , Off Exchange & FIDA Medicaid, Family Health Plus, Child Health Plus, Medicare, Health Care Exchange, FIDA FIDA Medicare, FIDA, MLTC PPO Family Health Plus, Child Health Plus, & Health Care Plus (Medicaid), Medicare PPO PPO HMO, POS, PPO, EPO, Indemnity, Open Access PPO, Workers Compensation PPO Elderplan All products HMO, Indemnity, EPO, PPO, NYS/NYC Employees, Medicare+Choice, Hotel Trades Council, Child Health Plus, Exchange Empire BC/BS Workers Compensation PPO Fidelis Medicaid Managed Care, Medicare Advantage, Family Health Plus, Child Health Plus and Exchange First Health *Galaxy Health Network PPO & Workers’ Compensation GHI EmblemHealth Health Republic Hebrew Hospital Home Choices Health Plan HIP PPO Flex Select, PPO Hospital Benefits, Medicare+Choice, HMO Comprehensive Benefits Plan (CBP), FIDA, Emblem Health Dual Assurance Plan -‐ Medicare Essential, ArchCare Commmunity Advantage Plan -‐ VIP Prime, GuildNet Gold Plus -‐ VIP Prime Health Care Exchange Medicare, FIDA Child Health Plus, Medicaid including Family Health Plus, & Medicare Advantage, FIDA, Emblem Health Dual Assurance Plan -‐ Medicare Essential, ArchCare Community Advantage Plan -‐ VIP Prime, GuildNet Gold Plus -‐ VIP Prime Humana International Health Insurance of Danmark Island Group Administration Magna Care Maksin Group Med Save Medicaid Medicare Metra Comp Metro Plus Multi Plan/PHCS National Healthcare Solutions Inc. Olympic Airlines Oscar Oxford Health Plans Partners Health Plan Pomco Senior Whole Health Three Rivers Provider Network Tricare Touchstone PPO, Medicare United Healthcare HMO, POS-‐P, POS, EPO, PPO, Indemnity & NPP, Compass (individual Exchange product) Charter, Core United Healthcare Community Plan Unity Care Universal Health Care VillageCare Medicaid, Child Health Plus, Family Health Plus, Medicare (NY Only), FIDA PPO Medicare FIDA VNS Choice Medicare Advantage, FIDA, Medicare Advantage Special Needs Plan, MLTC, Medicare/Medicaid Advantage Vytra Health Plans HMO, POS & PPO Well Care Child Health Plus, Medicare, Medicaid, Family Health Plus, Health Care Exchange products, FIDA World Trade Center/Health Smart 1199 National Benefit Fund All All Product Plans PPO PPO PPO, FIDA PPO -‐ NYU Students Only PPO straight A & B Workers’ Compensation Medicaid, Family Health Plus, & Child Health Plus, Medicare & Exchange, FIDA (dual eligible) PPO International PPO Health Care Exchange Freedom (HMO & PPO), Liberty, & Medicare (Secure Horizons), SHOP, Mosiac, Exchange Medicare/Medicaid; Dual Eligible PPO Medicare PPO, Workers Compensation Military Medicare Notes: 1. Plans with an * indicate only NYU Hospital for Joint Diseases participates with this managed care plan. 2. NYU Diagnostic Lab does not participate with Empire BCBS HMO plans including Child Health Plus and all BCBS Exchange plans. 3. NYU Diagnostic Lab participates with Medicare Part B only. 4. Hotel Trades Council plan members are required to secure a referral from Hotel Trades Council for all services. 5. Please contact your carrier to understand if you will require a referral or authorization for your service. 6. NYU Hospital may participate with other products offered by the managed care plan. Please contact the managed care plan to confirm hospital’s participation in other products not listed above.
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