Announcements
Listing of Insurance Plans in which St. Joseph's Hospital participates
March 23, 2009
St. Joseph’s Hospital is an in-network provider for many healthcare insurance and government plans. Below is a listing as of March 2009. If your insurance company is not listed below, please contact your insurance company to confirm your in-network options – this information may change from time to time based on the timing of your health plan renewals. It is our goal to be your hospital of choice!Commercial Plans:
4-Most (PPO/TPA)
Acordia National (Wells Fargo)
Aetna Health Management
Alliance PPO (OneNet)
ASC-Flora Health network
Blue Cross Blue Shield
Carelink Commercial HMO, POS, PPO & ASO
CCN
ChoiceCare PPO (Humana product)
CIGNA
Coventry PPO Plans
First Health
GEHA - Government Employees Hospital Assoc.
Healthplan PPO,POS,EPO )
Humana Choice Care
M.D.IPA
Mamsi/Optimum Choice
Medical Mutual of Ohio (dependent upon who administers contract)
MedSelect
Multiplan
OneSource Health Network
Prime Health Services
Private Healthcare Systems (PHCS)
Select Net/Select Net Plus
Unicare PPO
United Healthcare
United Payors United Providers
Wells Fargo
Federal/State Plans:
Acordia Chips
PEIA
Brickstreet (WV Comp)
Carelink Medicaid Plan (special situations*)
Caresource Ohio Medicaid Manage Care
Healthplan Medicaid
Healthplan PEIA
Ohio Workers Compensation (BWC)
Molina Ohio Medicaid Manage Care
Prime Health Services Workers Comp
Tricare (Pending)
Unicare Medicaid HMO
Unison Ohio Medicaid Manage Care
United Mine Workers of America
WV Workers Compensation (Acordia Self Funded)
*SJH may see Carelink Medicaid patients for facility and physician reimbursement if they meet the following criteria: Services are not available at another local acute care hospital or where a Medicaid Beneficiary with Carelink Medicaid is admitted through SJH Emergency
Department and Health Plan agrees admission meets medical necessity criteria.
Medicare Advantage Plans & Fee for Service**:
Aetna Medicare Manage Care
Advantra Freedom
American Progressive
BC Freedom 65 Medicare Advantage Plan
Health Plan Medicare Manage Care (Secure Care)
Carelink Advantra Medicare Advantage
Humana Choice PPO Medicare Advantage Plan
Humana Gold Choice Medicare Advantage Plan
Humana Gold Choice Medicare Advantage Plan
Medicare Secure Care Manage Care
Molina Ohio Medicaid Manage Care
Prime health Services Workers Compensation
Secure Care (The Healthplan)
Unison Medicare Advantage Plan
**Medicare Advantage Plans are being updated routinely and/or plan does not require facility to be a contracted payer. Please check with facility if you have questions.
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