Accepted Insurance

St. Joseph's Health is a preferred provider of inpatient and outpatient hospital services with a number of insurance plans, including the following:

St. Joseph's Health Hospital and Medical Group Accepted Insurances

• Medicaid (New York State)
• Medicare (Centers for Medicare & Medicaid Services (CMS))
• Aetna - St. Joseph's Health does not participate with Aetna Medicaid or Essential Plans
• BlueCross BlueShield Association Blue Card Program
• Capital District Physicians' Health Plan (CDPHP)
• Choice Care Network (Health Value Management) - commercial plans only
• Cigna
  • Plans thru MVP Health Care and/or MultiPlan, Inc.
  • St. Joseph's Health does not participate with Cigna Behavioral Health
• Coventry Health Care Workers Compensation, Inc. (Workers Compensation & Auto) - only St. Joseph Medical, P.C. physician practices participate
• EmblemHealth Plan, Inc. (see also Group Health Incorporated) - St. Joseph's Health does not participate for behavioral health services managed by Carelon Behavioral Health
• Excellus BlueCross BlueShield
• Fidelis Care
• First Health Network
• Group Health Incorporated (see also EmblemHealth Plan, Inc.)
• Humana (Medicare plans only)
• Humana Military (Humana Government Business, Inc.)
• Indian Health Service
• Lifetime Benefit Solutions (through Excellus BlueCross BlueShield)
• Loretto Independent Living Services (PACE CNY)
• Managed Physical Network (MPN)
• Martin's Point Health Care, Inc. (US Family Health Plan)
• MetraComp, Inc.
• Molina Healthcare of New York
• MultiPlan, Inc. (see also PHCS)
• MVP Health Care
• MyCompass (TriADD New York, LLC) - St. Joseph's Health only participates with dual eligible plans
• New York State Empire Plan - St. Joseph's Health does not participate for behavioral health services managed by Carelon Behavioral Health
• Optum VA Community Care Network (VACCN)
• Oxford Health Plans (NY), Inc. (see also United Healthcare)
  • Commercial Administered Plans
  • Commercial Fully Insured/Underwritten Plans
    • Medical Group Services
    • Hospital Services
  • Medicare Plans
  • Medicaid/Essential Plan Plans
    • Medical Group Services
    • Hospital Services
• PHCS (see also MultiPlan, Inc.)
• POMCO Select Network administered by UMR
• Resolve Health Plan
• Trinity Health Plan New York (formerly MediGold)
• UMR (see separately POMCO Select Network administered by UMR)
  • see separately POMCO Select Network 
    administered by UMR
• United Healthcare
  • Commercial Administered Plans 
  • Commercial Fully Insured/Underwritten Plans
    • Medical Group Services
    • Hospital Services
  • Medicare Plans
  • Medicaid/Essential Plan Plans
    • Medical Group Services
    • Hospital Services 
• Univera Healthcare (through Excellus BlueCross BlueShield)
• VNA Home Care Options, LLC (Nascentia Health)
• WellCare

What is managed care?

Managed care is an attempt to lower the price of health care services by managing the access to that care. A patient's access to services may be coordinated and managed by a primary care provider, such as a family practice physician, pediatrician or internist. These services are offered within a defined network of health care providers.

St. Joseph's Health offers managed care organizations (HMOs and other insurance plans) the most comprehensive health care network in Central New York.

For patients, that means we offer health care services wherever they are on the health continuum, from wellness to illness. Patient's may need one or a number of our services to achieve optimum health. The integration among St. Joseph's Health's many programs and services means patients receive coordinated, continuous care.

For HMOs and other insurance plans, it means St. Joseph's Health offers a complete array of quality services that are competitively priced.