AETNA MEDICARE NOTICE

Aetna mistakenly mailed letters to its Medicare beneficiaries stating that Montefiore Health System (“Montefiore”) and its affiliated hospitals and providers will no longer participate in the Aetna Medicare network as of August 1, 2018. These letters went out in error and your care with White Plains Hospital is still considered in-network. You will receive a correction from Aetna in the mail shortly.

PARTICIPATING INSURANCES:

  • AARP MedicareComplete
    • PPO Only (as of 3/21/18)
    • Excluding all HMO Plans and Mosaic Plans
  • AETNA
    • PPO & HMO (referrals required for specialists)
    • MEDICARE ADVANTAGE PPO / HMO (Elite, Premier, Value Plans)
    • LOCAL 1199
  • BCBS / EMPIRE
    • PPO and EPO (Including Bronze, Silver, Gold and Platinum)
    • HMO (Referrals required)
    • GEOBLUE
    • EXCHANGE PROGRAMS ACCEPTED FOR BCBS ONLY – EXCLUDING ANY HEALTH PLUS/CHILD HP
      • Excluding Prefix IDs with YLR, YLV or VOF and any Medicaid Advantage Plan
      • Mediblue PPO and HMO accepted if patient has out-of-network benefits
  • *CIGNA
    • GREAT WEST / ONE HEALTH (PPO Plan only)
    • RADIOLOGY RESTRICTIONS (see list of approved procedures)
  • CONNECTICARE
  • *EMBLEM HEALTH (GHI/HIP/HIP HMO)
    • *NO RADIOLOGY FOR HIP*
    • HIP HMO (referrals required for specialist)
    • EXCLUDING ENHANCED CARE PRIME, INBALANCE EPO, HIP EMBLEMHEALTH COMPREHEALTH, VIP PREMIER (HMO) GROUP PLANS & ESSENTIAL PLANS
    • EXCLUDING MEDICAID AND EXCHANGE PROGRAMS (MA=MEDICARE ADVANTAGE)
    • EXCLUDING MEDICARE AND SELECT CARE NETWORKS
  • FIRST HEALTH/COVENTRY
  • MEDICARE
    • Railroad Medicare
    • TRADITIONAL (Part B Only)
  • MEDICHOICE/BEECH STREET
  • *MVP HEALTH CARE
    • EXCLUDING OB/GYN and PEDIATRICS
    • PPO and EPO
    • Liberty
    • Exchange Plans Accepted for MVP - Premier and Premier Plus Plans.
    • EXCLUDING THE FOLLOWING PLAN TYPES: MVPM (MEDICAID), MVPC (CHILD HEALTH PLUS), MVPMS PLANS (MEDICAID SSI), MVPH (HARMONIOUS HEALTH), MVP ESSENTIAL PLANS or Select Care Plans
    • CATSCANS ACCEPTED, BUT MUST RECEIVE PRIOR AUTHORIZATION FROM EVICORE
  • OXFORD FREEDOM, LIBERTY PLANS AND METRO PLAN EXCHANGE
    • PPO and HMO* (*referral required for specialist)
    • COMPASS PLAN
    • COMMUNITY PLAN: No NEW patients accepted with Community Plan (must contact billing department)
    • Charter, Charter Balanced, Charter Plus, Choice/Core (EPO, HMO, POS), Navigate (EPO, HMO, POS), Select (EPO, HMO, POS), Options (PPO)
  • POMCO
  • PRIVATE HEALTHCARE SERVICES (PHCS)/MULTIPLAN
  • SELECTPRO
  • TRICARE (Army ID)
  • UNITED HEALTHCARE
    • EXCLUDING EXCHANGE PLANS
  • UNITED HEALTHCARE MEDICARE SOLUTIONS (PPO Only)
  • UNITED HEALTHCARE EMPIRE STATE EMPLOYEE PLAN (NYSHIP)

NON-PARTICIPATING INSURANCES:

  • AARP MedicareComplete HMO Plans and MOSAIC
  • AFFINTY PLAN
  • CARECONNECT
  • EMBLEM HEALTH ENHANCED CARE OR ESSENTIAL PLANS
    • CAN BE IDENTIFIED BY POLICY ID STARTING WITH ANY LETTERS OR HEALTH REPUBLIC PLANS
  • EMPIRE BCBS *HEALTHPLUS* = MEDICAID PLAN
  • FIDELIS
  • HIP EMBLEMHEALTH COMPREHEALTH
  • HEALTHYCT
  • HEALTHSOURCE
  • HUDSON HEALTH (MVP/MEDICAID)
  • HUMANA
  • MAGNACARE
  • MVP Medicaid (MVPM), Medicaid SSI (MVPMS), Child Health Plus (MVPC), Harmonious Health (MPVH), Essential and Select Care Plains
  • MEDICARE ADVANTAGE PLANS
    • AETNA, AARP MedicareComplete (excluding HMO/Mosaic Plan) and MVP Premier/Premier Plus are ok
  • MEDICAID – ONLY ACCEPTED AS SECONDARY TO MEDICARE
  • OSCAR INSURANCE
  • UnitedHealthcare MedicareComplete Choice (Eastern) Regional PPO (RPPO) plans

*NO FAULT POLICY* (SMG IS NOT CONTRACTED WITH ANY NO FAULT INSURANCE COMPANY)

*WORKERS COMP*

  • Scarsdale/Harrison Employees Only (Form must be completed)