Accepted Insurance Plans

The following insurances are accepted at St. Mary’s Healthcare and Carondelet Regional Medical, PC:

• Medicare
• Medicaid
• AARP
• Aetna Health Inc.
  • No Medicaid Plans
• Anthem Blue Cross Blue Shield – formerly Empire Blue Cross Blue Shield
  • No Medicaid Plans or health exchange plans
• CDPHP (Including UBI, Lexington, Unified)
• Carelon Behavioral Health
• CHAMPVA
• Humana (Including Humana Military Tri-Champ & Tri-Care)
  • No Medicaid Plans               
• CIGNA*
  • No Medicaid Plans and some outpatient behavioral health services may not be covered                          
• Excellus
• Fidelis Care of NY
  • No exchange plans – soon
• Emblem Health Company
• Hamaspik, Inc.
• Highmark – formerly Blue Shield
• MagnaCare (Brighton Health Plan Solutions)
• Martin’s Point Health Care
• Medicare Railroad (Palmetto GBA)
• Meritain Health
• Mutual of Omaha
• MVP Health Plan, Inc.
• National Association Letter Carriers Health Benefit Plan
• No Fault
• Today’s Options American Progressive
• The Empire Plan NYSHIP (Including Metra)
• Tricare/Trichamp
• Trinity Health Plan of NY – formerly MediGold
• UnitedHealthcare*
  • Some outpatient behavioral health services may not be covered for UnitedHealthcare Medicare/Medicaid Plans
• UMR
• USFAMILY
• VA / VACCN
• ValueOptions
• WellCare
• Worker’s Compensation
• 1199

St. Mary’s Healthcare is in network with the following Exchange Metal Plans – MVP and CDPHP.

*Some insurance companies may contract out behavioral health services. This practice is known as a “behavioral health carve-out” and separates behavioral health services from their main plan. This can result in delays, inconsistent reimbursements, and potential out-of-network charges. It’s important to verify your behavioral health benefits and coverage details early on to avoid any surprises.