|
Plan
|
In Network
|
Out of Network
|
|
Aetna Open Access HMO
|
X
|
|
|
Aetna QPOS
|
X
|
|
|
Aetna Choice POS
|
X
|
|
|
Aetna USAccess
|
X
|
|
|
Aetna Open Access, Elect Choice
|
X
|
|
|
Aetna Open Access, Managed Choice
|
X
|
|
|
Aetna Managed Choice
|
X
|
|
|
Aetna Open Choice PPO (including JeffPLUS PPO -
MLH Employees)
|
X
|
|
|
Aetna Traditional Choice
|
X
|
|
|
Aetna Golden Choice Plan
|
X
|
|
|
Aetna HMO (including JeffPLUS HMO - MLH Employee
HMO)
|
STAT services only
|
X
|
|
Aetna HMO - Elect Choice
|
STAT services only
|
X
|
|
Aetna HMO - Golden Medicare HMO
|
STAT services only
|
X
|
|
AmeriChoice Medicaid HMO (HMA)
|
X
|
|
|
AmeriHealth Administrators
|
X
|
|
|
AmeriHealth Traditional
|
X
|
|
|
AmeriHealth Personal Choice PPO
|
X
|
|
|
AmeriHealth 65
|
X
|
|
|
AtlantiCare – Intergroup PPO
|
X
|
|
|
Blair Mill Administrators
|
X
|
|
|
Blue Chip/Caring Foundation
|
STAT services only
|
X
|
|
Blue Cross Blue Shield Federal Insurance
|
X
|
|
|
Blue Cross/Traditional
|
X
|
|
|
Blue Cross Out-of-Area
|
X
|
|
|
Blue Shield, Traditional
|
X
|
|
|
Blue Shield, Out-of-area
|
X
|
|
|
Capp Care – see Intergroup PPO
|
X
|
|
|
CCN (Community Care Network) PPO
|
X
|
|
|
Champus
|
X
|
|
|
Choice Care (Humana) PPO
|
X
|
|
|
CIGNA HMO Main Line Hospitals – Laboratory
Services
|
Cannot Provide Lab Services
|
|
CIGNA Indemnity
|
X
|
|
|
CIGNA PPO
|
X
|
|
|
Clear Care Corporation PPO
|
X
|
|
|
Commercial Indemnity Insurances
|
X
|
|
|
Community Care Network PPO
|
X
|
|
|
Devon Health Services
|
X
|
|
|
Employers Health
|
X
|
|
|
EverCare (Medicare)
|
X
|
|
|
Evolutions Health Care (Formerly Guardian
Resources)
|
X
|
|
|
First Health PPO
|
X
|
|
|
Formost
|
X
|
|
|
Great West
|
X
|
|
|
Health Partners
|
Cannot Provide Lab Services
|
|
Health Payors Organization
|
X
|
|
|
HealthSource (MultiPlan)
|
X
|
|
|
Humana PPO
|
X
|
|
|
Independent Health
|
X
|
|
|
Intercounty (Amerihealth Admin.)
|
X
|
|
|
Intergroup PPO
|
X
|
|
|
Keystone HMO - Keystone 5, 10, 15
|
STAT services only
|
X
|
|
Keystone HMO - Keystone Select I & II
|
STAT services only
|
X
|
|
Keystone HMO - Keystone Preferred
|
STAT services only
|
X
|
|
Keystone HMO - Keystone Commonwealth
|
STAT services only
|
X
|
|
Keystone HMO - Keystone POS
|
STAT services only
|
X
|
|
Keystone HMO - Keystone 65 HMO
|
STAT services only
|
X
|
|
Keystone HMO - Keystone 65 Choic
|
STAT services only
|
X
|
|
Keystone Mercy Health Plan Main Line Hospitals –
Laboratory Services
|
Cannot Provide Lab Services
|
|
Managed Care Inc. (Galaxy Health Network) PPO
|
X
|
|
|
MasterCare (see PPO Next)
|
X
|
|
|
Medicaid, Out of State Main Line Hospitals –
Laboratory Services
|
Cannot Provide Lab Services
|
|
Medicaid, PA
|
X
|
|
|
Medical Resources Inc.
|
X
|
|
|
Medicare, Traditional
|
X
|
|
|
MultiPlaN
|
X
|
|
|
Mutual Of Omaha
|
X
|
|
|
National Preferred Network
|
X
|
|
|
New England Insurance
|
X
|
|
|
Nova Healthcare Administrators
|
X
|
|
|
Oxford Freedom
|
X
|
|
|
Personal Choice PPO
|
X
|
|
|
Personal Choice 65
|
X
|
|
|
Personal Choice/Blue Choice POS
|
X
|
|
|
Personal Choice Blue Card out-of-area PPO
|
X
|
|
|
Personal Choice Federal Federal Employees
Program (FEP)
|
X
|
|
|
Personal Choice - Security 65
|
X
|
|
|
Personal Choice - 65 Special
|
X
|
|
|
PPO Next (formerly Preferred Health Care Network
– Maxnet)
|
X
|
|
|
Preferred Care
|
X
|
|
|
Private Health Care Systems (PHCS)
|
X
|
|
|
Rail Road Medicare
|
X
|
|
|
Student Insurance
|
X
|
|
|
United Health Care
|
X
|
|
|
Well Care
|
X
|
|