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Participating Health Plans

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Participating Health Plans - Rochester General Hospital

This is a listing of health plans that Rochester General Hospital and employed Rochester General physicians participate with. Health Plans have numerous products, some of which Rochester General Hospital may not participate in. Private / Non-Employed physicians that may provide services at Rochester General Hospital are not represented here. Please check with your Health Plan or Provider to verify whether or not the Provider participates in your Health Plan product. 

Beginning January 1, 2017, Aetna Medicare Advantage health plans will exclude Rochester General Hospital, Newark-Wayne Community, Unity Hospital and their associated physician practices from its network. This means Aetna Medicare Advantage members may incur higher out-of-network costs when visiting these Rochester Regional Health locations* in 2017. Clifton Springs Hospital and United Memorial Medical Center remain participants in 2017 Aetna Medicare Advantage and will not be affected by this change.

As of January 1, 2017, our hospital and employed physicians will be out-of-network in the Aetna Medicare Advantage health plan. We will be participating in the Medicare Advantage health plans offered through Excellus BlueCross BlueShield and MVP Health Care. 

If you have any questions about the Health Plans we participate with please call Customer Service at 585.922.1900. 

RGH does not participate with Humana Medicare. Some patients are still covered in full while others may incur a 50% Co-insurance bill.

Rochester General
Hospital
Rochester General
Physicians
Health Plans
Contact Information
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes
Health PlansHealth Plans

Aetna Healthcare

RGH does not participate with the Aetna Medicare Advantage Plan

Contact InformationContact Information www.aetna.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansCareIQ Contact InformationContact Information www.corvel.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansCigna Healthcare Contact InformationContact Information www.cigna.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansElderONE Contact InformationContact Information www.elderone.org
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansEmpire Plan Contact InformationContact Information www.empireplanproviders.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansExcellus BCBS Contact InformationContact Information www.excellusbcbs.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth Plans

Fidelis Care of NY

RGH does not participate with Fidelis Medicare Plans

Contact InformationContact Information www.fideliscare.org
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansFirst Niagara Business Works Contact InformationContact Information www.firstniagara.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansEmblem Health Contact InformationContact Information www.emblemhealth.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth Plans

HealthNow NY

RGH does not participate with HealthNow Medicaid Plans

Contact InformationContact Information securews.healthnowny.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansHealth Republic Contact InformationContact Information newyork.healthrepublic.us
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth Plans

Humana

RGH does not participate with Humana Medicare. Some patients are still covered in full while others may incur a 50% Co-insurance bill.

Contact InformationContact Information www.humana.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes
Health PlansHealth PlansIndependent Health
Contact InformationContact Information www.independenthealth.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansLifetime Benefits (formerly RMSCO) Contact InformationContact Information www.lifetimebenefitsolutions.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansMagnacare Contact InformationContact Information www.magnacare.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansMartin's Point - US Family Health Plan Contact InformationContact Information martinspoint.org
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth Plans Medicare Contact InformationContact Information www.medicare.gov
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansMetraComp Contact InformationContact Information www.metracomp.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansMulti Plan Contact InformationContact Information www.phcs.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansMVP Healthcare Contact InformationContact Information www.mvphealthcare.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansNorth American Administrators Contact InformationContact Information www.phcs.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansNY Medicaid Contact InformationContact Information www.health.ny.gov/health_care/medicaid
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansOneCall Medical Contact InformationContact Information www.onecallcm.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansPomco Contact InformationContact Information www.pomcogroup.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansTriCare Contact InformationContact Information www.tricare.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansUnited Healthcare Contact InformationContact Information www.unitedhealthcareonline.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansValue Options (Behavioral Health) Contact InformationContact Information www.valueoptions.com
Rochester General HospitalRochester General HospitalYes Rochester General PhysiciansRochester General PhysiciansYes Health PlansHealth PlansWellcare of New York Contact InformationContact Information www.wellcare.com
Clifton Springs HospitalClifton Springs HospitalYes Clifton Springs PhysiciansClifton Springs PhysiciansYes Health Plans we participate with:Health Plans we participate with:YourCare Health Plan Web AddressWeb Addresshttps://www.yourcarehealthplan.com/