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Insurance Coverage for Allegheny Clinic Physicians (all locations)

Last Update: 08/29/2024

Allegheny Health Network accepts a broad range of health insurance plans, including Commercial, Preferred Provider Organizations (PPO), Health Maintenance Organizations (HMO), and Workers’ Compensation policies.

Always check with your insurance plan directly to confirm coverage for services and to understand your benefits. For questions about Medicare or Medicaid coverage, visit the Medicare website or the Medicaid website. Their ‘Frequently Asked Questions’ section can provide answers to basic questions about coverage.

If you have any questions about your hospital bill, please call our Customer Service Department toll-free at (833) 684-0239 or email our secure email at SingleBillingOffice@ahn.org. Representatives are available to assist you with information, payments, and financial assistance options weekdays between 8:30 AM and 4:30 PM.

Aetna

  • Commercial
  • Medicare

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

American Health Plan

  • Medicare Advantage (I-SNP)

Amerigroup

  • Medicaid - Varies by physician/facility
  • Essential Plans 1-4- Varies by physician/facility

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plans (D-SNP)
  • Medicare (NY) – Varies by physician/facility

Cigna Commercial

  • POS/PPO/Open Access/Open Access Plus

HCSC/Cigna Medicare

  • Medicare

Devoted Health

  • Medicare Advantage HMO (PA)
  • Medicare Advantage PPO (PA)
  • Medicare Advantage SNP (PA)
  • Medicare Advantage HMO (OH)
  • Medicare Advantage PPO (OH)
  • Medicare Advantage SNP (OH)
  • Medicare Advantage PPO (NY)
  • Medicare Advantage SNP (NY)

Fidelis – (all plans vary by physician/facility)

  • Medicaid
  • Medicare (Wellcare by Fidelis)
  • HARP
  • Health Benefit Exchange
  • Essential Plans - ALIESSA
  • Essential Plans - QHP
  • Child Health Plus

First Health

  • PPO

Geisinger

  • Commercial
  • Medicare
  • Medicaid HealthChoices (HC)
  • GHP Kids Children's Health Insurance Program (CHIP)

Highmark Blue Cross / Blue Shield

  • Commercial
  • Community Blue Medicare
  • Connect Blue Medicare
  • Freedom Blue Medicare
  • Healthy Kids Children’s Health Insurance Program (CHIP)
  • Security Blue Medicare
  • Together Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Health Plan Partners/Jefferson Health Plan

  • Medicaid HealthChoices (HC)
  • Medicare (Effective 04/01/2024)
  • KidzPartners Children's Health Insurance Program (CHIP)

Humana

  • Medicare HMO
  • Medicare PPO

Humana Military

  • Tricare

Independent Health – (all plans vary by physician/facility)

  • Commercial
  • Medicare
  • State Products

Life Pittsburgh

  • Life Pittsburgh

Martin's Point Health Care

  • Tricare Product (Effective 01/01/2023)

Medical Mutual

  • Commercial (Cigna Network)

Molina

  • Medicare Advantage (OH)
  • Medicare DSNP (OH)

PA Health & Wellness

  • Medicaid Community HealthChoices (CHC)

Perennial

  • Medicare Advantage PPO
  • Medicare Advantage POS
  • Medicare Advantage HMO
  • Medicare Advantage ISNP
  • Medicare Advantage DSNP
  • Medicare Advantage CSNP

The Health Plan (Upper OH Valley)

  • HMO
  • Medicaid (West Virginia)
  • Children's Health Insurance Program (CHIP) (West Virginia)
  • Medicare

Transcarent

  • Transcarent

UnitedHealthcare of PA

  • Commercial (Includes Navigate, Nexus and Surest Plans)
  • Medicare
  • Medicare Advantage (I-SNP)
  • Medicare Advantage (DSNP)
  • CHIP
  • Medicaid (PA)

United Healthcare of OH (all plans vary by physician/facility)

  • Community Care Medicaid
  • Dual Complete (HMO-POS DSNP)
  • Dual Complete Choice (PPO DSNP)
  • Dual Complete LP (HMO-POS DSNP)
  • Dual Complete Select (HMO-POS DSNP)
  • Exchange Plans

United Healthcare of WV (all plans vary by physician/facility)

  • Dual Complete (DSNP)

United Healthcare of NY (all plans vary by physician/facility)

  • Medicaid
  • Child Health Plus
  • Essential Plan
  • Wellness4Me
  • Dual Complete Choice (PPO DSNP)
  • Dual Complete Plan (HMO-POS DSNP)

Univera (all plans vary by physician/facility)

  • Commercial
  • Medicare
  • Healthy New York
  • Essential Plans

UMPC Health Plan (all plans vary by physician/facility)

  • Commercialo Commercial – Select HMO
  • UPMC for Life Medicareo UPMC for Life – Medicare PPO
  • UPMC for Life – Select Medicare HMO
  • UPMC for Life – Medicare HMO
  • UPMC for Life – Specialty Plan Dual Eligible Special Needs Plan (D-SNP)
  • UPMC for You – Medicaid HealthChoices (HC)
  • UPMC for You - Medicaid Community HealthChoices (CHC)
  • UMPC for Kids (Medicaid)

VA CCN (varies by physician/facility)

  • Veterans Affairs Community Care Network

Velocity

  • Commercial
  • Medicare Advantage

Claritev (Previously Multiplan)

  • Commercial PPO
  • Practitioner and Ancillary Only
  • Limited Benefit Plan

PHCS

  • Commercial PPO
  • Practitioner and Ancillary Only
  • Limited Benefit Plan

Carelon Behavioral Health - FKA Beacon

  • HealthOptions (MCD)- Varies by physician/facility

Community Care Behavioral Health Organization (CCBHO)

  • CCBHO

Optum Behavioral Health

  • United Behavioral Health

Progyny

  • Commercial/Specialty Network

WIN Fertility

  • Commercial/Specialty Network