Insurance Information

Managed Care Information – Participating Plans

If you have a question regarding whether Penn State Hershey accepts a particular insurance, managed care plan or if you need to make arrangements to pay your bill,  please call or email Patient Financial Services, Patient Inquiry Department at 717-531-5069 or 800-254-2619.

For an overview and definition of managed care terms, please view the glossary.

To view a list of the products offered within a particular plan, please view the table below:

UHC Student Resources

Carrier Plan Types Excluded Products and Services
Adult Community Autism Program (ACAP) For Autism diagnosis related visits only Excludes all non-Autism services
Advantra (administered by HealthAmerica/Coventry Network
Medicare Advantage HMO
Medicare Advantage PPO
 
Aetna

HMO
PPO
EPO
Traditional
Elect Choice
POS
Indemnity
Managed Choice
SCR - Limited Benefits

Note - SCR has very limited benefits
Aetna Better Health Medicaid HMO  
Aetna Better Health Kids Chip  
Aetna Medicare Medicare Advantage HMO
Medicare Advantae PPO
 
AmeriHealth Administrators PPO  
AmeriHealth Caritas Medicaid HMO Participating Effective October 1, 2012 - Primary Care Physician services are excluded.

Excludes Amerihealth 65 - Medicare Advantage

AmeriHealth Northeast Medicaid HMO October 1, 2012 - Primary Care Physician services are excluded.
APS Healthcare (EAP) Mental Health/Substance Abuse  
Auto    
Berkshire Health Plan PPO  
Blue Cross/Blue Shield from Other Areas/States Participating with Blue Card Members only. Obtain out of network authorizations as required. Excludes - All Non-Blue Card members
Blue Cross/Blue Shield Northeast HMO - Participating with Blue Card Members only.
Obtain Out of Network Authorization as required.
Excludes - All Non-Blue Card members
Blue Cross/Blue Shield Northeast - First Priority PPO
EPO
Traditional Comprehensive Classic Direct Blue Special Care
Participating for services rendered by by Hershey Medical Center Neurosurgery and Pediatric Specialists in the Blue Cross Northeast 13 county region.  Other locations/specialties need out of network authorizations.
Excludes services rendered by Hershey Medical Center physicians (other than Neurosurgery and Pediatric Specialists) and services outside the Blue Cross Northeast 13 county region unless proper authorization is secured.
Blue Ridge Health Network PPO Excludes - Medicare Advantage products
Capital Blue Cross
HMO
PPO
POS
Traditional
Comprehensive
CHIP
 
Capital Blue Cross - Medicare Advantage Senior Blue
Senior Blue PPO
 
Capital Blue Cross - Supplements to Medicare Medigap
Security
Senior
 
CBHNP Medical Assistance Behavioral Health Plan  
Central Susquehanna HealthCare Providers PPO  
ChoiceCare (administered by Humana)
PPO  
CIGNA HMO
PPO
EPO
Indemnity
Behavioral Health
Cigna Life Source - Transplants

Note - Starbridge and Fundamental have very limited benefits

Excludes -  Medicare Advantage products

Clear Care Corporation
PPO Excludes -  Medicare Advantage products
Core Source TPA  
EHP Significa Network PPO  
EHP Significa Network - Susquehanna Health PPO  
Everence Financial PPO Excludes - Medicare Advantage products
First Health Direct (administered by HealthAmerica/Coventry Network)
PPO  
Gateway Medicaid HMO Excludes - Effective October 1, 2010 - Primary Care Physician services will be excluded.
Gateway Assured Medicare Advantage HMO  
Great West Life PPO
HMO
EPO
POS
 
Health America HMO  
Health Assurance
PPO
CCPPO
 
Highmark/Pennsylvania Blue Shield PPO
EPO
Traditional
Comprehensive
Classic
Direct Blue
Special Care
CHIP
None
Highmark Freedom - Medicare Advantage Freedom Blue PPO  
Highmark - Supplements to Medicare Medigap
Signature65
 
Highmark Vision Vision for HMC employees, Penn State College of Medicine employees, Commonwealth of PA employees Excludes - all other employer groups and individual plans
Keystone Health Plan Central Healthplan Central
Healthplan Central Direct Access
CHIP (Capital Cares for Kids)
Excludes - All Keystone Healthy Benefits Value Products
Keystone Health Plan Central - Medicare Advantage Senior Blue
Senior Blue Direct Access
 
Magellan Mental Health/Substance Abuse  
Mailhandlers (administered by HealthAmerica/Coventry) PPO  
MedCare International Inc. PPO Excludes - Medicare Advantage products
Medical Assistance of Pennsylvania    
Medicare    
MHNet
Mental Health/Substance Abuse  
National Vision Administrators for HERCO and Milton Hershey School Employees only Vision Excludes all groups except HERCO and Milton Hershey School Employees
OneNet PPO None
PacifiCare Behavioral Health (administered by United Behavioral Health)
Mental Health/Substance Abuse  
PHCS (Private Health Care Systems) PPO Excludes other Multi-plan companies
PCIP - Pre-existing Condition Insurance Plan Government  
Penn Highlands Health Plan PPO  
Perform Care Medical Assistance Behavioral Health Plan for members from Adams, Berks and York Counties Excludes members from other counties
PSU Student Health Plan (administered by Aetna) PPO  
Preferred Health Care System, Inc. (Altoona) PPO  
Preferred Healthcare (Lancaster) PPO  
Prime Source    
Quest Behavioral Health (only applicable to physicians at Pennsylvania Psychiatric Institute
Mental Health/Substance Abuse Excludes - services rendered outside of Pennsylvania Psychiatric Institute
South Central Preferred PPO  
Three Rivers Provider Network PPO  
TriCare Extra
Prime
Standard
Prime Remote
Reserve Select
Excludes - US Health Family Health Plan
TriCare - supplement to Medicare Tricare for Life  
UHC Student Resources Elizabethtown College Students only Excludes all other UHC Student Resources policies
United Behavioral Health Mental Health/Substance Abuse  
United Healthcare and Affiliates (Effective 1/1/2010) (United Healthcare will appear on the member's card)

Choice
Choice Plus
Definity PPO
Definity Choice Plus
Indemnity
Nursing Home Plan
OneNet PPO products
Options PPO
Select EPO
Select Plus POS
Student Health

Excludes - Auto Insurances
MD Individual Practice Assoc. (MDIPA)
Medicaid products
Medicare Advantage products - except the Nursing Home Plan
Medicare Select
Oxford Medicare Advantage products
Optimum Choice Inc.
Workers Comp Insurances
United Healthcare Community Plan for Families (As of 3/1/14 – includes former Americhoice & Unison members) MA HMO UnitedHealthcare Community Plan for Families (former Americhoice members are excluded from the contract)
United Healthcare Community Plan for Kids (Formerly Unison Kids - CHIP) Kids CHIP  
UnitedHealthcare Community Plan - Medicare Advantage UnitedHealthcare Medicare Dual Complete (for Dual eligible members – Medicare & MAPA)
UnitedHealthcare Medicare Complete
UnitedHealthcare Medicare Essential
 
UPMC for Kids Kids CHIP  
UPMC for You Medicaid HMO Excludes - all commercial non-Medicare Advantage products
UPMC for Life - Medicare Advantage HMO Medicare Advantage
PPO Medicare Advantage
 
Valley Preferred PPO  
Value Options
(Behavioral Health)
Mental Health/Substance Abuse