Rochester General Hospital

Health Plans Rochester General Hospital Participates With

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.

You can see a list of private providers and their contact information by clicking on Find a Doctor.

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.

For more information click here.

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
Rochester General
Health Plans
Contact Information
Yes Yes

Aetna Healthcare

RGH does not participate with the Aetna Medicare Advantage Plan
Yes Yes CareIQ
Yes Yes Cigna Healthcare
Yes Yes ElderONE
Yes Yes Empire Plan
Yes Yes Excellus BCBS
Yes Yes

Fidelis Care of NY

RGH does not participate with Fidelis Medicare Plans
Yes Yes First Niagara Business Works
Yes Yes Emblem Health
Yes Yes

HealthNow NY

RGH does not participate with HealthNow Medicaid Plans
Yes Yes Health Republic
Yes Yes


RGH does not participate with Humana Medicare. Some patients are still covered in full while others may incur a 50% Co-insurance bill.
Yes Yes
Independent Health
Yes Yes Lifetime Benefits (formerly RMSCO)
Yes Yes Magnacare
Yes Yes Martin's Point - US Family Health Plan
Yes Yes Medicare
Yes Yes MetraComp
Yes Yes Monroe Plan
Yes Yes Multi Plan
Yes Yes MVP Healthcare
Yes Yes North American Administrators
Yes Yes NY Medicaid
Yes Yes OneCall Medical
Yes Yes Pomco
Yes Yes TriCare
No Yes United Healthcare Medicare Advantage
Yes Yes United Healthcare Commercial and Medicaid
Yes Yes Value Options (Behavioral Health)
Yes Yes Wellcare of New York