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 Special Notes Exclusions
Adult Community Autism Program (ACAP) For Autism diagnosis related visits only   All non-Autism services
Plan only covers Autism related services
Advantra Medicare Advantage Administered by Health America/Coventry Network  
Aetna

Elect Choice
EPO
Healthy PA
HMO
Indemnity
Managed Choice
PPO
SCR - Limited Benefits
Signature

SCR has very limited benefits  
Aetna Better Health Medicaid HMO    
Aetna Better Health Kids Chip (Children's Insurance Group)    
Aetna Healthy PA Healthy PA    
Aetna Medicare Medicare Advantage Penn State Hershey is an out of network provider for Aetna Medicare Pinnacle Health Prime Plan. Out of network authorization is required  
AIG Transplant    
AmeriHealth Administrators PPO Employees of St. Luke's Hospital in Bethlehem, PA do not have out of network benefits. AmeriHealth of New Jersey is excluded.
 
AmeriHealth Caritas Medicaid HMO   Primary Care Physician services

Amerihealth 65 - Medicare Advantage

AmeriHealth Caritas Northeast Medicaid HMO State College area Primary Care physicians are participating Primary Care physician services unless seen by State College area providers
APS Healthcare (EAP) Mental Health/Substance Abuse    
Auto Insurance      
Berkshire Health Plan PPO    
Blue Cross/Blue Shield from Other Areas/States Blue Card Members only Out of network authorizations must be obtained as required All Non-Blue Card members
Blue Cross/Blue Shield Northeast PA HMO
Blue Card Members only
Out of network authorizations must be obtained as required All Non-Blue Card members
Blue Cross/Blue Shield Northeast PA - 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. Services rendered by Hershey Medical Center physicians (other than Neurosurgery and Pediatric Specialists) and services provided outside the Blue Cross Northeast 13 county region unless proper authorization is secured.
Blue Ridge Health Network PPO   Medicare Advantage products
Capital Blue Cross CHIP
Comprehensive
HMO
POS
PPO
Traditional
   
Capital Blue Cross Senior Blue Senior Blue HMO
Senior Blue PPO
   
Capital Blue Cross Secure Blue Medicare Supplement
Security
   
CCBHO Medical Assistance Behavioral Health Plan    
Central Susquehanna HealthCare Providers PPO    
ChoiceCare PPO Administered by Humana  
CIGNA EPO
HMO
Indemnity
PPO
Starbridge and Fundamental have very limited benefits

Medicare Advantage products, Behavioral Health products

Cigna Life Source Transplant    
Clear Care Corporation PPO   Medicare Advantage products
Core Source PPO    
EHP Significa Network PPO    
EHP Significa Network - Susquehanna Health PPO    
Everence Financial PPO   Medicare Advantage products
First Health Direct PPO Administered by HealthAmerica/Coventry Network  
Gateway Health Plan Medicaid HMO   Primary Care physician services prior to November 1, 2015.  Effective November 1, 2015, Gateway members can be seen by Hershey Medical Center Primary Care Physicians.
Gateway Assured Medicare Advantage    
Great West Life EPO
HMO
POS
PPO
   
Health America HMO
PPO
   
Health Assurance CCPPO
HMO
PPO
   
Highmark/Pennsylvania Blue Shield PPO
EPO
Traditional
Comprehensive
Classic
Direct Blue
Special Care
CHIP
Penn State Hershey is an out of network provider for Pinnacle Health Employee Plans. Out of network authorization is required  
Highmark Freedom Blue PPO - Medicare Advantage    
Highmark - Supplements to Medicare      
Highmark Vision Vision Vision for employees of Penn State Hershey, Penn State College of Medicine, Commonwealth of PA All other employer groups and individual plans
Keystone Health Plan Central CHIP (Capital Cares for Kids)
Direct Access
Healthy PA
HMO
  All Keystone Healthy Benefits Value Products
Keystone Health Plan Central Senior Blue HMO
Medicare Advantage
   
Magellan Mental Health/Substance Abuse    
Mailhandlers PPO Administered by Aetna  
MedCare International Inc. PPO   Medicare Advantage products
Medical Assistance of Pennsylvania Medicaid    
Medicare      
MHNet Mental Health/Substance Abuse    
National Vision Administrators Vision For employees of HERCO and Milton Hershey School

All groups except HERCO and Milton Hershey School employees

OneNet PPO    
Optum Health Plan Transplant    
PacifiCare Behavioral Health Mental Health/Substance Abuse Administered by United Behavioral Heath  
PHCS (Private Health Care Systems) PPO   Other Multi-plan companies
Penn Highlands Health Plan PPO    
Perform Care Medical Assistance Behavioral Health Plan For members from Adams, Bedford, Berks, Blair, Clinton, Cumberland, Dauphin, Franklin, Fulton, Lancaster, Lebanon, Lycoming, Perry, Somerset and York counties. Members from other counties
PSU Student Health Plan (administered by Aetna) PPO    
Preferred Health Care System, Inc. (PHS) (Altoona) PPO    
Preferred Healthcare (PHS) (Lancaster) PPO    
Prime Source      
Private Health Care Systems (PHCS)   Multiplan  
Quest Behavioral Health Mental Health/Substance Abuse Only applicable to physicians providing services at Pennsylvania Psychiatric Institute Services rendered outside of Pennsylvania Psychiatric Institute
South Central Preferred PPO    
Three Rivers Provider Network PPO    
TriCare Extra
Prime
Prime Remote
Reserve Select
Standard
  US Health Family Health Plan
TriCare for Life Medicare Supplement    
UHC Student Resources   Elizabethtown College students only All other UHC Student Resources policies
United Behavioral Health Mental Health/Substance Abuse    
United Healthcare and Affiliates

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

Affiliates: United Healthcare will display on member card Auto Insurances
MD Individual Practice Assoc. (MDIPA)
Medicaid products
Medicare Advantage products (all except the Nursing Home Plan)
Medicare Select
Oxford Medicare Advantage
UHC AARP Medicare
UHC Medicare Solutions
UHC Medicare Solutions Oxford
UHC NPPO Medicare 
Optimum Choice Inc.
Workers Comp Insurances
United Healthcare Community Plan for Families MA HMO
Healthy PA
   
United Healthcare Community Plan for Kids CHIP    
UPMC for Kids Kids CHIP    
UPMC for You Medicaid HMO    
UPMC for Life Medicare Advantage   All commercial UMPC Health Plan non-Medicare Advantage products.
Valley Preferred PPO