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Billing & Insurance

Participating Health Plans

General Content

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. 

Name of Insurance

Hospital
Accepted:

Physician
Accepted:

CareIQ

Yes

Yes

ElderONE

Yes

Yes

Empire Plan

Yes

Yes

Excellus BCBS

Yes

Yes

Emblem Health

Yes

Yes

HealthNow NY

Yes

Yes

HealthNow NY

Yes

Yes

Health Republic

Yes

Yes

Humana

Yes

Yes

Humana MedicaidSome patients are still covered in full while others may incur a 50% Co-insurance bill

No

No

Magnacare

Yes

Yes

Medicare

Yes

Yes

MetraComp

Yes

Yes

Multi Plan

Yes

Yes

MVP Healthcare

Yes

Yes

MVP Healthcare

Yes

Yes

NY Medicaid

Yes

Yes

OneCall Medical

Yes

Yes

Pomco

Yes

Yes

TriCare

Yes

Yes

Wellcare of NY

Yes

Yes