All patients are encouraged to verify their benefits with their plan administrator by referring to their insurance membership card for contact information. 

If you have a question about your insurance, or if your plan is not listed below, please call our expert staff.

HMO PLANS

AETNA AMERIHEALTH CIGNA COMED  EMPIRE HEALTH HEALTHNET HMO BLUE   MEDICHOICE OXFORD QUALCARE UNITED HEALTHCARE

Definition

Health Maintenance Organization (HMO): HMOs offer prepaid, comprehensive health coverage for both hospital and physician services. An HMO contracts with health care providers, e.g., physicians, hospitals, and other health professionals, and members are required to use participating providers for all health services. Members are enrolled for a specified period of time. Model types include staff, group practice, network and IPA.

PPO PLANS

AETNA AMERIHEALTH HEALTHNET CIGNA CHA CHN HORIZON BCBS LOCAL 825 MAGNA CARE MEDICHOICE ONE HEALTH PLAN OXFORD PHCS QUALCARE TRISTAR  UNITED HEALTH

Definition

Preferred Provider Organization (PPO): Some combination of hospitals and physicians that agrees to render particular services to a group of people, perhaps under contract with a private insurer. The services may be furnished at discounted rates and the insured population may incur out-of-pocket expenses for covered services received outside the PPO if the outside charge exceeds the PPO payment rate.