AARP
Aetna-Signature Admin Plan GEHA
Affinity/ Molina Healthcare – All Plans- Child Health Plus, Essentials & Medicaid.
Advantra Freedom (Coventry Network)
Aetna ALL Plans/ including banner
Blue Cross Blue Shield/Local (PPO, EPO, HMO, CORE & any out of state plans) PREFIXES NIW, VQA,ZYL,ZVF, CJL, H9N, BKT
Blue Cross Blue Shield Pathway (Exchange)
BCBS Empire Mediblue (HMO) prefix AAN
BCBS Empire Mediblue Plus (HMO) prefix VOF
BCBS Empire Mediblue Services (HMO) prefix VOF
BCBS Empire Mediblue Choice (HMO-POS) prefix VOF
BCBS Empire Mediblue Select (HMO) prefix M8H
BCBS Empire Mediblue Extra Select (HMO) prefix M8H
BCBS Empire Mediblue Services Select (HMO) prefix M8H
BCBS Empire Mediblue Freedom (PPO) prefix XLU
BCBS Empire Mediblue Access (PPO) prefix VOG CFT, KIH, YXE, BAW, XNU
BCBS Empire Mediblue Dual Advantage (HMO D-Snap) prefix JWX,AAN,VOF, M8H, XLU, VOG, E6D
BCBS Empire Mediblue Dual advantage Select (HMO D-Snap) prefix E6D
Blue Cross Blue Shield HealthPlus Gatekeeper
BCBS/Healthplus (JLJ Plan through Superior)
Beech Street (Multiplan/ PHCS)
Brighton Health Plan- now Healthcomp Northwell Direct TIER 1 ( includes IBA, Allied, & Whole Health web TPA )
Centerlight healthcare (Pace Plan)
Center Plan for Healthy Living NYNM ( medicare advantage plans) HMO, HMO SNP’S
Champva
Cigna -ALL PLANS / (Only Daniel H. Cook plan must be 18 years & younger only ) & NO Cigna Vision
ConnectiCare (Emblem)
Coventry / First Health/ Community Care Aetna
Create Health Plan – includes-Flex, Long Island
Elderplan ( NYNM IPA)
Emblem / HIP
Emblem / GHI
Emblem Select Care (Exchange)
Emblem Millenium Network
Empire NYSHIP
Fidelis (NYNM IPA) All Plans
GLOBE LIFE (Formally First United American Health)
Health Care Partners
Healthfirst Child Health Plus
Healthfirst Essential Plan
Healthfirst Medicare
Healthfirst Signature (HMO)
Healthfirst Medicaid
Healthfirst Leaf Plans
Healthfirst EPO Plans
Health Now
Humana PPO & POS ( Through GHI )
Humana, Choice Care (Gold plus HMO) & Medicare PPO -Northwell IPA
Husky Health
Land of Lincoln Health (Multiplan/PHCS)
Local 1199 ( thru Aetna) (NYC locations direct with local 1199)
Magnacare
Medicaid
Medical Indemnity Fund
Medicare
MERITAIN HEALTH (AETNA)
MetroPlus
Multiplan / PHCS/ Medicare advantage plan PPO & HMO
MVP (Westchester county only)
NALC (National Association of Letter Carriers)
No Fault
Northwell-Healthcomp Northwell Direct TIER 1 ( includes IBA, Allied, & Whole Health web TPA ) formerly Brighton Health Plan
Northwell-Empire BC Tier 2 (includes all locals)
One Health Plan (Great West) Cigna
Oscar
Oxford Freedom
Oxford Liberty
Oxford Metro
Partners Health Plan – Northwell
Partners Health Plan -NYNM
POMCO (UHC)
Railroad Medicare
The New York Hotel Trade Concil
Tricare
United Healthcare ( Including Optum Surest )
United Healthcare Compass (Exchange)
United Healthcare Choice Plus, Select Plus HMO & POS
United Healthcare Community
United Healthcare Community Essential Plan
United Healthcare AARP Medicare Complete Essential (HMO)
United Healthcare AARP Medicare Advantage Value Care (HMO- POS)
United Healthcare AARP Advantage Value Care PPO
United Healthcare AARP Medicare Complete Mosaic (HMO & PPO )
United Healthcare Medicare
United Healthcare Dual Complete (HMO SNP)
United Healthcare Group Medicare Advantage (HMO)
United Healthcare Group Medicare Advantage (PPO)
United Healthcare UMR
US Family Health Plan – through Tricare Military
Veterans Health Choice – through Healthnet
VNSNY Choice Medicare
Vytra/ EMBLEM
WebTPA Claims- Whole Foods Market Whole Health Medical Plan- uses the aetna network of Dr’s
Wellcare ( NYNM IPA)
Workers Compensation
VISION PLANS
Davis Vision Routine Plan ( including Met Life )
Eye Med Vision (Select and Access Only)
NVA Nation Vision Plan Routine
SUPERIOR VISION ROUTINE