Insurance Information
Managed Care Information – Participating Plans
If you have a question regarding whether Penn State Hershey accepts a particular insurance, managed care plan or if you need to make arrangements to pay your bill, please call or email Patient Financial Services, Patient Inquiry Department at 717-531-5069 or 800-254-2619.
For an overview and definition of managed care terms, please view the glossary.
To view a list of the products offered within a particular plan, please view the table below:
| Carrier | Plan Types | Excluded Products and Services |
| Adult Community Autism Program (ACAP) | For Autism diagnosis related visits only | Excludes all non-Autism services |
| Advantra (administered by HealthAmerica/Coventry Network | Medicare Advantage HMO Medicare Advantage PPO Medicare Advantage Freedom | |
| Aetna | HMO | Note - SCR has very limited benefits |
| Aetna Better Health | Medicaid HMO | |
| AmeriHealth Administrators | PPO | |
| AmeriHealth Mercy Health Plan Effective October 1, 2012 Includes AmeriHealth Mercy (Northeast) | Medicaid HMO | Non-participating for services from April 8, 2010 until September 30, 2012. |
| APS Healthcare | Mental Health/Substance Abuse | |
| Aetna Better Health Kids | Kids Chip | |
| Auto | ||
| Berkshire Health Plan | PPO | |
| Blue Cross/Blue Shield from Other Areas/States | Participating with Blue Card Members only. | Excludes - All Non-Blue Card members |
| Blue Cross/Blue Shield Northeast - First Priority | HMO Participating for services rendered by Hershey Medical Center Neurosurgery and Pediatric Specialists in the Wilkes Barre and Kingston offices. | Excludes - Services rendered by Hershey Medical Center physicians outside the Wilkes Barre and Kingston offices unless proper authorization is secured. |
| Blue Ridge Health Network | PPO | Excludes - Medicare Advantage products |
| Capital Blue Cross | HMO PPO POS Traditional Comprehensive Senior Blue Senior Blue PPO CHIP | |
| CBHNP | Medical Assistance Behavioral Health Plan | |
| CCBHO | Medical Assistance Behavioral Health Plan | |
| Central Susquehanna HealthCare Providers | PPO | |
| ChoiceCare (administered by Humana) | PPO | |
| CIGNA | HMO PPO EPO Indemnity | Note - Starbridge and Fundamental have very limited benefits Excludes - Medicare Advantage products |
| Clear Care Corporation | PPO | Excludes - Medicare Advantage products |
| Companion Life Insurance | Elizabethtown College Students only | Excludes all other Companion Life Insurance policies |
| Core Source | TPA | |
| EHP Significa Network (administered by Significa and Erin Group Administrators) | PPO | |
| EHP Significa Network - Susquehanna Health (administered by Significa and Erin Group Administrators) | PPO | |
| Everence Financial | PPO | Excludes - Medicare Advantage products |
| First Health Direct (administered by HealthAmerica/Coventry Network) | PPO | |
| Gateway | Medicaid HMO | Excludes - Effective October 1, 2010 - Primary Care Physician services will be excluded. |
| Gateway Assured | Medicare Advantage HMO | |
| Great West Life | PPO HMO EPO POS | |
| Health America | HMO | Excludes First Health National Network |
| Health Assurance | PPO CCPPO | Excludes First Health National Network |
| Highmark/Pennsylvania Blue Shield | PPO EPO Traditional Comprehensive Classic Direct Blue Speical Care CHIP Adult Basic Freedom Blue PPO Freedom Blue PFFS Medigap Signature65 | None |
| Highmark Vision | Vision for HMC employees, Penn State College of Medicine employees, Commonwealth of PA employees | Excludes - all other employer groups and individual plans |
| Keystone Health Plan Central | Healthplan Central Healthplan Central Direct Access Senior Blue Senior Blue Direct Access | None |
| Magellan | Mental Health/Substance Abuse | |
| Mailhandlers (administered by HealthAmerica/Coventry) | PPO | |
| MedCare International Inc. | PPO | Excludes - Medicare Advantage products |
| Medical Assistance of Pennsylvania | ||
| Medicare | ||
| MHNet | Mental Health/Substance Abuse | |
| National Vision Administrators for HERCO and Milton Hershey School Employees only | Vision | Excludes all groups except HERCO and Milton Hershey School Employees |
| OneNet | PPO | None |
| PacifiCare Behavioral Health (administered by United Behavioral Health) | Mental Health/Substance Abuse | |
| Penn Highlands Health Plan | PPO | |
| PSU Student Health Plan (administered by Aetna) | PPO | |
| Preferred Health Care System, Inc. (Altoona) | PPO | |
| Preferred Healthcare (Lancaster) | PPO | |
| Prime Source | ||
| Quest Behavioral Health (only applicable to physicians at Pennsylvania Psychiatric Institute | Mental Health/Substance Abuse | Excludes - services rendered outside of Pennsylvania Psychiatric Institute |
| South Central Preferred | PPO | |
| Three Rivers Provider Network | PPO | |
| TriCare | Extra Prime Standard Prime Remote Reserve Select Tricare of Life | Excludes - US Health Family Health Plan |
| United Behavioral Health | Mental Health/Substance Abuse | |
| United Healthcare and Affiliates (Effective 1/1/2010) (United Healthcare will appear on the member's card) | Choice | Excludes - Auto Insurances MD Individual Practice Assoc. Medicaid products Medicare Advantage products - except the Nursing Home Plan Medicare Select Oxford Medicare Advantage products Optimum Choice Inc. Workers Comp Insurances |
| United Healthcare Community Plan for Families ("U" on the back of the card) (Formerly Unison Medical Assistance HMO) | MA HMO | UnitedHealthcare Community Plan for Families (former Americhoice members are excluded from the contract) |
| United Healthcare Community Plan for Kids (Formerly Unison Kids - CHIP) | Kids CHIP | |
| United Healthcare Community Plan aB (Formerly Unison Adult Basic) | Adult Basic | |
| UnitedHealthcare Community Plan - Medicare (Formerly Unison Advantage) | UnitedHealthcare Medicare Dual Complete (for Dual eligible members – Medicare & MAPA) UnitedHealthcare Medicare Complete UnitedHealthcare Medicare Essential | |
| UPMC for You | Medicaid HMO | Excludes - all commercial products sold by UPMC |
| UPMC Kids | Kids CHIP | |
| Valley Preferred | PPO | |
| Value Options (Behavioral Health) | Mental Health/Substance Abuse | |