Insurance Coverage by AHN Facility

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.

Accepted health insurance plans by AHN Facility

AHN Hospitals

AHN Neighborhood Hospitals (all locations)

Other facilities


Allegheny General Hospital

Aetna

  • Commercial
  • Medicare

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

American Health Plan

  • Medicare Advantage (I-SNP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plans (D-SNP)

Carelon Behavioral Health - FKA Beacon

  • Carelon HealthOptions (MCD)

 Community Care Behavioral Health Organization (CCBHO)

  •  CCBHO

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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)

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark Blue Cross / Blue Shield

  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Humana

  • Commercial
  • Medicare PPO
  • Medicare HMO

Humana Military

  • Tricare

Life Pittsburgh

  • Life Pittsburgh    

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023

Medical Mutual

  • Commercial (Cigna Network) (Effective 1/1/23)

Multiplan

  • Commercial PPO
  • Limited Benefit Plan

Optum Behavioral Health

  • United Behavioral Health

PA Health & Wellness

  • Medicaid Community HealthChoices (CHC)

Private Healthcare Systems (PHCS)

  • Commercial PPO
  • Limited Benefit Plan

The Health Plan (Upper OH Valley)

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

UnitedHealthcare of OH

  • Dual Complete (HMO-POS DSNP)
  • Dual Complete Choice (PPO DSNP)
  • Dual Complete LB (HMO-POS DSNP)
  • Dual Complete Select (HMO-POS DSNP)

UnitedHealthcare of PA

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

United Healthcare of WV

  • Dual Complete (WV DSNP)

VA CCN

  • Veterans Affairs Community Care Network

Allegheny Valley Hospital

Aetna

  • Commercial
  • Medicare

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

American Health Plan

  • Medicare Advantage (I-SNP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plans (D-SNP)

Carelon Behavioral Health - FKA Beacon

  • Carelon HealthOptions (MCD)

Community Care Behavioral Health Organization (CCBHO)

  • CCBHO

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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)

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark Blue Cross / Blue Shield

  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Humana

  • Commercial
  • Medicare PPO

Humana Military

  • Tricare

Life Pittsburgh

  • Life Pittsburgh    

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

Multiplan

  • Commercial PPO
  • Limited Benefit Plan

PA Health & Wellness

  • Medicaid Community HealthChoices (CHC)

PHCS

  • Commercial PPO
  • Limited Benefit Plan

The Health Plan (Upper OH Valley)

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

UnitedHealthcare of OH

  • Community Care Medicaid (Ohio)
  • Dual Complete (HMO-POS DSNP)
  • Dual Complete Choice (PPO DSNP)
  • Dual Complete LB (HMO-POS DSNP)
  • Dual Complete Select (HMO-POS DSNP)

UnitedHealthcare of PA

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

United Healthcare of WV

  • Dual Complete (WV DSNP)

VA CCN

  • Veterans Affairs Community Care Network

Canonsburg Hospital

Aetna

  • Commercial
  • Medicare

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

American Health Plan

  • Medicare Advantage (I-SNP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plans (D-SNP)

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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)

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark Blue Cross / Blue Shield

  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Humana

  • Commercial
  • Medicare PPO

Humana Military

  • Tricare

Life Pittsburgh

  • Life Pittsburgh    

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

Multiplan

  • Commercial PPO
  • Limited Benefit Plan

PA Health & Wellness

  • Medicaid Community HealthChoices (CHC)

PHCS

  • Commercial PPO
  • Limited Benefit Plan

The Health Plan (Upper OH Valley)

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

UnitedHealthcare of OH

  • 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)

UnitedHealthcare of PA

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

United Healthcare of WV

  • Dual Complete (WV DSNP)

VA CCN

  • Veterans Affairs Community Care Network

Forbes Regional Hospital

Aetna

  • Commercial
  • Medicare

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

American Health Plan

  • Medicare Advantage (I-SNP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plans (D-SNP)

Carelon Behavioral Health - FKA Beacon

  • Carelon HealthOptions (MCD)

Community Care Behavioral Health Organization (CCBHO)

  • CCBHO

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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)

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark Blue Cross / Blue Shield

 
  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Humana

  • Commercial
  • Medicare PPO

Humana Military

  • Tricare

Life Pittsburgh

  • Life Pittsburgh    

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023)

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

Multiplan

  • Commercial PPO
  • Limited Benefit Plan

PA Health & Wellness

  • Medicaid Community HealthChoices (CHC)

PHCS

  • Commercial PPO
  • Limited Benefit Plan

The Health Plan (Upper OH Valley)

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

UnitedHealthcare of OH

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

UnitedHealthcare of PA

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

UPMC Health Plan

  • Commercial (Only In-Network for OP Oncology)
  • Commercial Select HMO (Only In-Network for OP Oncology)
  • Commercial MyCare Advantage (Only In-Network for OP Oncology)
  • Commercial Premier (Only In-Network for OP Oncology)
  • UMPC for Life – Specialty Plan Dual Eligible Special Needs Plans (D-SNP)
  • UPMC for You – Medicaid HealthChoices (HC)
  • UMPC for You- Medicaid Community HealthChoices (CHC)

United Healthcare of WV

  • Dual Complete (WV DSNP)

VA CCN

  • Veterans Affairs Community Care Network

Grove City Hospital

Aetna

  • Commercial
  • Medicare

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

American Health Plan

  • Medicare Advantage (I-SNP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid (CHC)
  • Dual Eligible Special Needs Plans (D-SNP)

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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)

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark Blue Cross / Blue Shield

 
  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Humana

  • Commercial
  • Medicare HMO
  • Medicare PPO

Humana Military

  • Tricare

Life Pittsburgh

  • Life Pittsburgh    

Life Pittsburgh

  • Life Pittsburgh    

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023)

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

Multiplan

  • Commercial PPO
  • Limited Benefit Plan

PA Health & Wellness

  • Medicare (AllWell)
  • Medicaid Community HealthChoices (CHC)

PHCS

  • Commercial PPO
  • Limited Benefit Plan

UnitedHealthcare of OH

  • Dual Complete (HMO-POS DSNP)
  • Dual Complete Choice (PPO DSNP)
  • Dual Complete LP (HMO-POS DSNP)
  • Dual Complete Select (HMO-POS DSNP)

UnitedHealthcare of PA

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

UPMC Health Plan

  • Commercial
  • Commercial MyCare Advantage
  • Commercial Premier
  • Commercial Select HMO
  • UPMC for Life – Medicare PPO
  • UPMC for Life- Medicare HMO
  • UPMC for Life – Select 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)
  • UPMC for Kids

United Healthcare of WV

  • Dual Complete (WV DSNP)

VA CCN

  • Veterans Affairs Community Care Network

Jefferson Hospital

Aetna

  • Commercial
  • Medicare

American Health Plan

  • Medicare Advantage (I-SNP)

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community  HealthChoices (CHC)
  • Dual Eligible Special Needs Plan (D-SNP)

Carelon Behavioral Health - FKA Beacon

  • Carelon HealthOptions (MCD)

Community Care Behavioral Health Organization (CCBHO)

  • CCBHO

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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)

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark

  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Humana

  • Commercial
  • Medicare PPO

Humana Military

  • Tricare

Life Pittsburgh

  • Life Pittsburgh    

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023)

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

Multiplan

  • Commercial PPO
  • Limited Benefit Plan

PA Health and Wellness

  • Medicaid Community HealthChoices (CHC)

PHCS

  • Commercial PPO
  • Limited Benefit Plan

UnitedHealthcare of OH

  • Community Care Medicaid
  • Dual Complete (HMO-POS DSNP)
  • Dual Complete Choice (PPO DSNP)
  • Dual Complete LB (HMO-POS DSNP)
  • Dual Complete Select (HMO-POS DSNP)

UnitedHealthcare of PA

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

UPMC Health Plan

  • Commercial
  • Commercial MyCare Advantage
  • Commercial Premier
  • UPMC for Life Medicare
  • UPMC for Life – Medicare PPO
  • 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)
  • UPMC for Kids

United Healthcare of WV

  • Dual Complete (WV DSNP)

VA CCN

  • Veterans Affairs Community Care Network

Saint Vincent Hospital

Aetna

  • Commercial
  • Medicare

American Health Plan

  • Medicare Advantage (I-SNP)

AmeriGroup/Wellpoint

  • Essential Plans 1-4

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plan (D-SNP)

BCBS Western NY

  • Commercial
  • Medicare

Carelon Behavioral Health - FKA Beacon

  • Carelon HealthOptions (MCD) 

Community Care Behavioral Health Organization (CCBHO)

  • CCBHO

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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

  • Medicaid
  • Medicare
  • HARP
  • Health Benefit Exchange
  • Essential Plans - ALIESSA
  • Essential Plans - QHP
  • Child Health Plus

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark Blue Cross / Blue Shield

  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoice (HC)

Humana

  • Commercial
  • Medicare PPO

Humana Military

  • Tricare

Independent Health

  • Commercial
  • Medicare
  • State Products

Life Pittsburgh

  • Life Pittsburgh    

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023)

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

Multiplan

  • Commercial PPO
  • Limited Benefit Plan

Optum Behavioral Health

  • United Behavioral Health

PA Health & Wellness

  • Medicaid Community HealthChoices (CHC)

PHCS

  • Commercial PPO
  • Limited Benefit Plan

The Health Plan (Upper OH Valley)

  • HMO
  • Medicaid (WV)
  • CHIP (WV)
  • Medicare

UnitedHealthcare of NY

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

UnitedHealthcare of OH

  • 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)

UnitedHealthcare of PA

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

United Healthcare of WV

  • Dual Complete (WV DSNP)

Univera

  • Commercial
  • Medicare

UPMC Health Plan

  • Commercial
  • Commercial MyCare Advantage
  • Commercial Premier
  • UPMC for Life  Medicare
  • UPMC for Life – Medicare PPO
  • 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)
  • UPMC for Kids

VA CCN

  • Veterans Affairs Community Care Network

Westfield Memorial Hospital

Aetna

  • Commercial (MagnaCare)
  • Medicare

American Health Plan

  • Medicare Advantage (I-SNP)

Amerigroup

  • Medicaid
  • Essential Plans 1-4

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plan (D-SNP)
  • Medicare (NY)

Blue Cross / Blue Shield Western NY

  • Commercial
  • Medicare
  • Medicaid
  • Child Health Plus

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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

  • Medicaid
  • Medicare
  • HARP
  • Health Benefit Exchange
  • Essential Plans - ALIESSA
  • Essential Plans - QHP
  • Child Health Plus

First Health

  • PPO

Geisinger

  • Medicaid
  • GHP Kids Children's Health Insurance Program (CHIP)

Highmark Blue Cross / Blue Shield

  • Commercial
  • Security Blue Medicare

Humana

  • Commercialo
  • Medicare HMO
  • Medicare PPO

Humana Military

  • Tricare

Independent Health

  • Commercial
  • Medicare
  • State Products

Life Pittsburgh

  • Life Pittsburgh    

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023)

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

Molina

  • Medicaid (NY)
  • Molina (OH)

Multiplan

  • Commercial PPO
  • Limited Benefit Plan

PA Health & Wellness

  • Medicaid (CHC)

PHCS

  • Commercial PPO
  • Limited Benefit Plan

The Health Plan (Upper OH Valley)

  • HMO
  • Medicaid (WV)
  • CHIP (WV)
  • Medicare

UPMC Health Plan

  • Commercial
  • Commercial MyCare Advantage
  • Commercial Premier
  • UPMC for Life  Medicare
  • UPMC for Life – Medicare PPO
  • 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)
  • UPMC for Kids

UnitedHealthcare of NY

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

UnitedHealthcare of PA

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

Univera

  • Commercial
  • Medicare
  • Healthy New York
  • Essential Plan

VA CCN

  • Veterans Affairs Community Care Network

West Penn Hospital

Aetna

  • Commercial
  • Medicare

American Health Plan

  • Medicare Advantage (I-SNP)

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plan (D-SNP)

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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)

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark Blue Cross / Blue Shield

  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Humana

  • Commercial
  • Medicare PPO

Humana Military

  • Tricare

Life Pittsburgh

  • Life Pittsburgh    

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023)

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

Multiplan

  • Commercial PPO
  • Limited Benefit Plan

PA Health & Wellness

  • Medicaid Community HealthChoices (CHC)

PHCS

  • Commercial PPO
  • Limited Benefit Plan

The Health Plan (Upper OH Valley)

  • HMO
  • Medicaid
  • Medicare
  • CHIP (West Virginia)

UnitedHealthcare of OH

  • Community Care Medicaid (Ohio)
  • Dual Complete (HMO-POS DSNP)
  • Dual Complete Choice (PPO DSNP)
  • Dual Complete LB (HMO-POS DSNP)
  • Dual Complete Select (HMO-POS DSNP)

UnitedHealthcare of PA

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

UPMC Health Plan

  • Commercial (In-Network for IP Burns & OP Oncology)
  • Commercial MyCare Advantage (In-Network for IP Burns & OP Oncology)
  • Commercial Premier (In-Network for IP Burns & OP Oncology)
  • Commercial Select/Partners (In-Network for IP Burns & OP Oncology)
  • UPMC for Life- Specialty Plan D-SNP
  • UPMC for You Medicaid Health Choices (HC)
  • UPMC for You Medicaid Community Health Choices (CHC)

United Healthcare of WV

  • Dual Complete (WV DSNP)

VA CCN

  • Veterans Affairs Community Care Network

Wexford Hospital

Aetna

  • Commercial
  • Medicare

American Health Plan

  • Medicare Advantage (I-SNP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plan (D-SNP)

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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)

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark

  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Humana

  • Commercial
  • Medicare HMO
  • Medicare PPO
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Life Pittsburgh

  • Life Pittsburgh    

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023)

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

Multiplan

  • Commercial PPO
  • Limited Benefit Plan

PA Health and Wellness

  • Medicaid Community HealthChoices (CHC)

PHCS

  • Commercial PPO
  • Limited Benefit Plan

UnitedHealthcare of PA

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

VA CCN

  • Veterans Affairs Community Care Network

Allegheny Clinic Physicians (all locations)

Aetna

  • Commercial
  • Medicare

American Health Plan

  • Medicare Advantage (I-SNP)

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

Amerigroup – Varies by Physician/Facility

AmeriHealth Caritas

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

Carelon Behavioral Health - FKA Beacon

  • HealthOptions (MCD)- Varies by physician/facility

Blue Cross / Blue Shield Western NY – (all plans vary by physician/facility)

  • Commercial
  • Medicare
  • Medicaid
  • Child Health Plus

Community Care Behavioral Health Organization (CCBHO)

  • CCBHO

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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
  • HARP
  • Health Benefit Exchange
  • Essential Plans - ALIESSA
  • Essential Plans - QHP
  • Child Health Plus

First Health

  • PPO

Geisinger 

  • Commercial (varies by physician/facility)
  • Medicare (varies by physician/facility)
  • Medicaid HealthChoices (HC)
  • GHP Kids Children's Health Insurance Program (CHIP)

Health Plan Partners/Jefferson Health Plan

  • Medicaid HealthChoices (HC)
  • Medicare (varies by physician/facility)
  • KidzPartners (CHIP)

Highmark

  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Health Partners Plan/Jefferson Health Plan

  • Medicaid Health Choices (HC)
  • Medicare (varies by physician/facility)
  • KidzPartners (CHIP)

Humana

  • Commercial
  • 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) (Effective 01/01/2023)

Molina

  • Medicaid (NY)- Varies by Physician/Facility
  • Molina (OH)- Medicare Advantage & Medicare Advantage Special Needs Plan

Multiplan

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

Optum Behavioral Health

  • United Behavioral Health

PA Health & Wellness

  • Medicaid Community HealthChoices (CHC)

PHCS

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

The Health Plan (Upper OH Valley)

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

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

UnitedHealthcare of PA

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

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)

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

  • Dual Complete (DSNP)

Univera (all plans vary by physician/facility)

  • Commercial
  • Medicare
  • Healthy New York
  • Medicaid

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

  • Commercial
  • Commercial – Select HMO
  • UPMC for Life -- Medicre
  • UPMC for Life – Select Medicare HMO
  • UPMC for Life – Specialty Plan Dual Eligible Special Needs Plan (D-SNP)
 
  • UPMC for You Medicaid Health Choices (HC)
  • UPMC for You Medicaid Community Health Choices (CHC)
  • UPMC for Kids (Medicaid)

VA CCN

  • Veterans Affairs Community Care Network

AHN Neighborhood Hospitals

Aetna

  • Commercial
  • Medicare

American Health Plan

  • Medicare Advantage (I-SNP)

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plan (D-SNP)

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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)

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark Blue Cross / Blue Shield

  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Humana 

  • Commercial
  • Medicare HMO
  • Medicare PPO

Humana Military

  • Tricare

Life Pittsburgh

  • Life Pittsburgh

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023)

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

UnitedHealthcare of OH

  • Community Care Medicaid

UnitedHealthcare of PA

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

VA CCN

  • Veterans Affairs Community Care Network

Ambulatory Surgery Centers

Aetna

  • Commercial
  • Medicare

American Health Plan

  • Medicare Advantage (I-SNP)

Aetna Better Health of PA

  • Children's Health Insurance Program (CHIP)

AmeriHealth Caritas

  • Medicaid HealthChoices (HC)
  • Medicaid Community HealthChoices (CHC)
  • Dual Eligible Special Needs Plans (D-SNP)

Cigna

  • POS/PPO
  • Medicare (Effective 10/1/2023)

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)

First Health

  • PPO

Geisinger

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

Health Plan Partners/Jefferson Health Plan

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

Highmark Blue Cross / Blue Shield

  • Commercial
  • Security Blue Medicare
  • Wholecare Medicare Assured
  • Wholecare Medicaid HealthChoices (HC)

Humana Military

  • Tricare

Life Pittsburgh

  • Life Pittsburgh

Martin’s Point Health Care

  • Tricare Product (Effective 01/01/2023)

Medical Mutual

  • Commercial (Cigna Network) (Effective 01/01/2023)

Molina

  • Molina (OH) Medicare Advantage and Medicare Advantage Special Needs Plan

Multiplan

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

PA Health & Wellness

  • Medicaid Community HealthChoices (CHC)

PHCS

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

UnitedHealthcare of PA

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

VA CCN

  • Veterans Affairs Community Care Network

Need a new health care plan?

Highmark Blue Cross Blue Shield (BCBS) offers a variety of affordable, high-quality health care plans to fit your needs.