Finance/Managed Care
Contracted Plans as of January 2017
NYC Health + Hospitals / Bellevue
Plan Name Product Type
Product Names
1199 SEIU Commercial: PPO
1199SEIU Benefit and Pension Funds for Health and Human Service Employees
1199SEIU Greater New York Benefit Fund
1199SEIU National Benefit Fund for Home Care Employees
Commercial: HMO, Indemnity, POS, PPO
Members to confirm participation status for their plan with Aetna
Medicare Advantage
Members to confirm participation status for their plan with Aetna
Aetna Better Health Fully Integrated Duals Advantage
Aetna Better Health FIDA Plan
Fully Integrated Duals Advantage
AlphaCare Signature FIDA Plan
Medicare Advantage
AlphaCare Renew HMO
AmidaCare
(Specialty Care ONLY)
HIV SNP Medicaid Managed Care
Amida Care Live Life Plus
(Specialty Care ONLY)
Beacon
(Behavioral Health for MetroPlus ONLY)
Commercial
Child Health Plus
Fully Integrated Duals Advantage
Medicaid Managed Care
Medicare Advantage
NYS Exchange
MetroPlus members to confirm participation status for their plan with Beacon
CareConnect Commercial: EPO
Members to confirm participation status for their plan with CareConnect
Fully Integrated Duals Advantage
FIDA Care Complete
Medicare Advantage
Medicare Advantage Care
DentaQuest
(Dental ONLY)
Fidelis and Healthfirst Members ONLY
Members to confirm participation status for their plan with DentaQuest
Fully Integrated Duals Advantage
Elderplan FIDA Total Care
Medicaid Advantage Plus
Elderplan Plus Long-Term Care (HMO-SNP)
Commercial: EPO/PPO
Network: CPB, National & Tristate Networks; Network Access Networks
Members to confirm participation status for their plan with Emblem-GHI
GHI Medicare+ Choice PPO
Network: Medicare Choice PPO Network
Members to confirm participation status for their plan with Emblem-GHI
Commercial: HMO/Indemnity/POS
Network: NY Metro Network; Prime Network;
Premium Network aka Vytra Premium Network
Members to confirm participation status for their plan with Emblem-HIP
Essential Plan 1 & 2
Network: Enhanced Care Prime Members to confirm participation status for their plan with Emblem-HIP
Essential Plan 3 & 4
Network: Enhanced Care Prime Members to confirm participation status for their plan with Emblem-HIP
Fully Integrated Duals Advantage
Network: EmblemHealth Dual Assurance Network
Members to confirm participation status for their plan with Emblem-HIP
Health and Recovery Plans (HARP)
Network: Enhanced Care Prime Network Members to confirm participation status for their plan with Emblem-HIP
Fully Integrated Duals Advantage
Network: EmblemHealth Dual Assurance Network
Members to confirm participation status for their plan with Emblem-HIP
Medicaid Managed Care
Network: Enhanced Care Prime Network
Members to confirm participation status for their plan with Emblem-HIP
Medicare Advantage
Network: Medicare Essential Network; VIP Prime Network
Members to confirm participation status for their plan with Emblem-HIP
Commercial: EPO, HMO, Indemnity, POS, PPO
Members to confirm participation status for their plan with Empire BCBS
Medicare Advantage
Members to confirm participation status for their plan with Empire BCBS
PLAN INFORMATION
AlphaCare
Emblem - GHI
Emblem - HIP
Empire BCBS
Aetna
Elderplan
Centers Plan for
Healthy Living
1
Finance/Managed Care
Contracted Plans as of January 2017
NYC Health + Hospitals / Bellevue
Plan Name Product Type
Product Names
PLAN INFORMATION
Child Health Plus
Fidelis Care Child Health Plus
Essential Plan 1 & 2
Fidelis Care Essential Plan 1
Fidelis Care Essential Plan 2
Essential Plan 3 & 4
Fidelis Care Essential Plan 3
Fidelis Care Essential Plan 4
Fully Integrated Duals Advantage
Fidelis Care FIDA
Health and Recovery Plans (HARP) HealthierLife-Fidelis HARP
Medicaid Managed Care
Fidelis Care Medicaid Managed Care
Medicare Dual Advantage
Fidelis Dual Advantage Flex (HMO SNP)
Fidelis Dual Advantage (HMO SNP)
Medicaid Advantage Plus (HMO SNP)
Fidelis Long Term Care Advantage (HMO SNP)
Medicare Advantage
Fidelis Medicare Advantage Flex (HMO POS)
Fidelis Medicare Advantage without Rx (HMO POS)
Fidelis Medicare Advantage $0 Premium (HMO)
NYS Exchange
Fidelis Care Marketplace
GuildNet
Fully Integrated Duals Advantage
Network: Associated Dual Assurance Network GuildNet Gold Plus FIDA Plan
Commercial
Healthfirst Total EPO
Child Health Plus
Healthfirst Child Health Plus
Essential Plan 1 & 2
Healthfirst Essential Plan 1
Healthfirst Essential Plan 2
Essential Plan 3 & 4
Healthfirst Essential Plan 3
Healthfirst Essential Plan 4
Fully Integrated Duals Advantage
Healthfirst AbsoluteCare FIDA Plan
Health and Recovery Plans (HARP) Healthfirst Personal Wellness Plan
Medicaid Managed Care
Healthfirst Medicaid Managed Care
Medicare Advantage Plans
Healthfirst Life Improvement Plan (HMO SNP)
Healthfirst CompleteCare (HMO SNP)
Healthfirst Mount Sinai Select (HMO)
Healthfirst Increased Benefits Plan (HMO)
Healthfirst 65 Plus Plan (HMO)
Healthfirst Coordinated Benefits Plan (HMO)
NYS Exchange
Healthfirst Platinum Leaf Premier
Healthfirst Gold Leaf Premier
Healthfirst Silver Leaf Premier
Healthfirst Bronze Leaf Premier
Healthfirst Platinum Leaf
Healthfirst Gold Leaf
Healthfirst Silver Leaf
Healthfirst Bronze Leaf
HealthPlex
(Dental ONLY)
Commercial: PPO
Fully Integrated Duals Advantage
Medicaid Managed Care
Medicare Advantage
NYS Exchange
Members to confirm participation status for their plan with HealthPlex
Independence Care System NY (ICS NY)
Fully Integrated Duals Advantage
ICS Community Care Plus FIDA-MMP
Magellan
(Behavioral Health ONLY)
Various
Members to confirm participation status for their plan with Magellan
Commercial: POS
Direct Plus
Commercial: PPO
Commercial PPO
Healthfirst
MagnaCare
Fidelis
(excludes Primary Care)
2
Finance/Managed Care
Contracted Plans as of January 2017
NYC Health + Hospitals / Bellevue
Plan Name Product Type
Product Names
PLAN INFORMATION
Child Health Plus
MetroPlus Child Health Plus
Commercial: HMO
MetroPlus Gold
MetroPlus Gold Care 1
MetroPlus Gold Care 2
Essential Plan 1 & 2
MetroPlus Essential Plan 1
MetroPlus Essential Plan 2
Essential Plan 3 & 4
MetroPlus Essential Plan 3
MetroPlus Essential Plan 4
Fully Integrated Duals Advantage
MetroPlus FIDA Plan
Health and Recovery Plans (HARP) MetroPlus Enhanced
Medicaid HIV-SNP
MetroPlus Partnership in Care
Medicaid Managed Care
MetroPlus Medicaid Care
Medicare Advantage
MetroPlus Advantage Plus (HMO SNP)
MetroPlus Select Plan (HMO SNP)
MetroPlus Medicare Partnership In Care Plan
MetroPlus Platinum Plan (HMO)
NYS Exchange
MedPlus, BronzePlus, SilverPlus, GoldPlus, PlatinumPlus
Multiplan Commercial: PPO
Members to confirm participation status for their plan with health plan.
Optum Health
(Behavioral Health ONLY)
Commercial
Fully Integrated Duals Advantage
Medicare Advantage
NYS Exchange
United Community
United Healthcare
United Oxford
Members to confirm participation status for their plan with Optum Health
RiverSpring (ElderServe) Fully Integrated Duals Advantage
RiverSpring FIDA
Senior Whole Health
Fully Integrated Duals Advantage
Medicaid Managed Long Term Care
Medicare Dual Advantage
Members to confirm participation status for their plan with health plan.
MetroPlus
3
Finance/Managed Care
Contracted Plans as of January 2017
NYC Health + Hospitals / Bellevue
Plan Name Product Type
Product Names
PLAN INFORMATION
Child Health Plus
UnitedHealthcare Community Plan-Child Health Plus
Commercial: Exchange, HMO, Indemnity, POS, PPO
United Healthcare Charter/Charter Balanced
UnitedHealthcare Charter HMO/ Charter Balanced HMO/ Charter Plus HMO
UnitedHealthcare Charter Plus
UnitedHealthcare Choice
UnitedHealthcare Chioce HMO/Choice Plus HMO
UnitedHealthcare Choice Plus
UnitedHealthcare Choice Plus with Harvard Pilgrim
UnitedHealthcare Choice with Harvard Pilgrim
UnitedHealthcare Compass/ Compass Balanced
UnitedHealthcare Compass HMO/ Compass Balanced HMO/ Compass Plus HMO
UnitedHealthcare Compass Plus
UnitedHealthcare Core
UnitedHealthcare Core Essential
UnitedHealthcare Core HMO/Core Essential HMO
UnitedHealthcare Navigate HMO/ Navigate Balanced HMO/ Navigate Plus HMO
UnitedHealthcare Navigate/ Navigate Balanced
UnitedHealthcare Navigate Plus
UnitedHealthcare Options PPO
UnitedHealthcare Options PPO with Harvard Pilgrim
UnitedHealthcare Passport Connect Choice
UnitedHealthcare Passport Connect Choice Plus
UnitedHealthcare Passport Connect Options PPO
UnitedHealthcare Select
UnitedHealthcare Select HMO
UnitedHealthcare Select Plus
UnitedHealthcare Select Plus HMO
Essential Plan 1 & 2
UnitedHealthcare Community Plan Essential Plan 1
UnitedHealthcare Community Plan Essential Plan 2
Essential Plan 3 & 4
UnitedHealthcare Community Plan Essential Plan 3
UnitedHealthcare Community Plan Essential Plan 4
Health and Recovery Plans (HARP) UnitedHealthcare Community Plan Wellness4Me
Medicaid Managed Care
UnitedHealthcare Community Plan
Medicare Advantage
AARP MedicareComplete Essential (HMO)
AARP MedicareComplete Plan 1 (HMO)
AARP MedicareComplete Plan 2 (HMO)
UnitedHealthcare Dual Complete (HMO SNP)
Commercial: HMO, Indemnity, POS, PPO
Freedom Plan PPO
Liberty PlanSM Gated EPO
Liberty PlanSM Gated PPO
Liberty PlanSM PPO
LibertySM HMO
Oxford EPO
Oxford EPO HSA
Oxford PPO HAS
Medicare Advantage
Members to confirm participation status for their plan with Oxford.
Value Options
(Behavioral Health ONLY)
Child Health Plus
Commercial
Fully Integrated Duals Advantage
Medicaid Managed Care
Medicare Advantage
NYS Exchange
Emblem Health-HIP/GHI
Guildnet
Oscar
Members to confirm participation status for their plan with Value Options
Village Care Max Fully Integrated Duals Advantage
Full Advantage FIDA Plan
*Listing is subject to changes. Patients should contact their carrier for the most current information on their plan.
United Healthcare
United Healthcare - Oxford
4
