Main Line Health accepts most health insurance plans, including those listed below. This is not a comprehensive listing. If you have questions, please call 484.580.4360.
Commercial insurance plans
- Aetna – Commercial HMO, POS, PPO, Indemnity, Workers Comp – (includes Aetna Signature Administrators, Meritain, PA Employees Benefits Trust Fund, Aetna Savings Plus Plans of PA-Tier 2)
- Cigna – Commercial HMO, PPO, Open Access Products
- Coventry – Health Plan HMO/PPO & Health America/Health Assurance HMO/PPO & First Health PPO & CCN PPO (part of Coventry/Health America) and Workers Comp
- CorVel Workers Comp
- Devon Health Services – PPO and Workers Comp
- Employers Health Network
- Evolutions Healthcare (formerly Guardian Resources, Inc.) – Commercial and Workers Comp
- Geisinger Health Plan – Commercial (Exchange and CHIP included)
- Humana – Commercial ChoiceCare PPO
- Independence Blue Cross (IBC) – Commercial Products including Keystone HMO, Personal Choice PPO, Indemnity and Exchange Proactive (Tier 3). AmeriHealth Plans in PA, AmeriHealth NJ Regional Preferred Network
- Intergroup PPO (includes Clear Care Corp)
- MultiPlan PPO (acquired Private Health Care, BeechStreet, PPONext & Integrated Health Plan)
- Prime Health Services – Commercial and Workers Comp
- QualCare – Commercial and Workers Comp (a Cigna plan)
- United Healthcare – Commercial Products including Oxford, Golden Rule, UMR, Student Insurance, OneNet PPO, formerly Alliance PPO and Workers Comp
- UPMC Health Plan – Commercial HMO & PPO (Traditional, Conversion, Gatekeeper) POS & Enhanced Access, EPO
Medicare Advantage plans
- Aetna – Medicare Advantage HMO, POS, PPO and Aetna Main Line Prime Products
- Cigna HealthSpring (formerly Bravo & Elderhealth) – Medicare Advantage and Dual Eligibles
- Geisinger Health Plan – Medicare Advantage
- Health Partners Plans – Medicare Advantage
- Humana – Medicare Advantage
- Independence Blue Cross – Medicare Advantage Products includes Keystone 65, Keystone 65 Select, Keystone 65 Focus and Personal Choice 65
- Keystone-First (formerly Keystone-Mercy) – Keystone First VIP Choice (Dual Eligibles covered by Medicare Advantage Special Needs Plan)
- Mercy LIFE – Delaware County only (Dual Eligible/Medicaid Product)
- PA Health and Wellness Plan – Medicare Advantage Product and Dual Eligible covered by Medicare Advantage Special Needs Plan
- Provider Partners Health Plan – Medicare Advantage
- Spartan Plan PA (doing business as Sunrise Advantage)
- United Healthcare – Medicare Advantage Group Retiree PPO; Erickson, (does not include individual policies such as AARP)
- UPMC Health Plan – Medicare Advantage (“UPMC for Life HMO/PPO”), Medicare and Medical Assistance Dual Eligible (“UPMC for Life Duals”), Medicare Institutional Special Needs Plan (UPMC for Life Options)
Managed Medicaid – PA HealthChoices and Community HealthChoices Plans
- Health Partners – Medicaid and CHIP
- Keystone-First – includes AmeriHealth Caritas of PA
- PA Health and Wellness – Medicaid
- UPMC Health Plan – Medicaid (“UPMC for You”) and Community HealthChoices (“Medical Assistance CHC HMO”)
Veterans administration and Tricare
- Tricare Prime (administered by Humana Military) – Bryn Mawr Rehab only
- Health Net – VA Choice
- VA Direct – Main Line Health HomeCare & Hospice only; all other Main Line Health entities may provide services if authorized
Riddle Transitional Care Center (TCC) / Skilled nursing facility (SNF)
Participating with all of the above Managed Care Payors for TCC/SNF EXCEPT Cigna HealthSpring (non-participating). Note: TCC/SNF units do not have Medicaid provider numbers.
Behavioral health plans
- Aetna Behavioral Health
- Beacon Health Options (formerly Value Options)
- Cigna Behavioral Health
- Community Care Behavioral Health (CCBH) – non-participating for Bryn Mawr Inpatient Psych
- ComPsych – Mirmont only
- Highmark (BC/BS of DE) – Mirmont only
- Magellan – Commercial, Medicare, and Medicaid (Bucks, Delaware and Montgomery counties)
- Mental Health Associates (MH Net/Coventry)
- Mental Health Consultants
- Penn Behavioral Health
- Quest Behavioral Health – Mirmont only
- United Behavioral Health/Optum - Commercial, Medicare Advantage – Mirmont entities non-participating for Medicare
Coverage subject to patient’s eligibility and benefits
A special note to new and expecting parents
Most insurance companies require that a new child be added to the parent’s policy within 30 days of birth. Failure to do so could result in non-payment for the child’s hospital services by the insurance company. If this occurs, the parent/responsible party will be billed for the services. Please check with your insurance company to determine when they require a new child to be added to the policy.