ACA 2021: Summary Information for Providers – Central PA KEY UPDATES FOR CENTRAL PA 2021 PRODUCTS INDIVIDUAL PRODUCTS AND SMALL GROUP PRODUCTS
my Blue Access EPO my Direct Blue EPO & my Direct Blue Lehigh Valley EPO my Blue Access includes: This product is offered as my • Optional Dental and Vision Direct Blue EPO and my Direct • Full BlueCard Access Lehigh Valley EPO and includes: • Use of the Keystone Health • Optional Dental and Vision Plan West Network • Full BlueCard Access • ACA Select Networks
SMALL GROUP PRODUCTS
New! 1x Family Deductible and Out Copay Armor Coupon Program of Pocket Plan Available
The Premier Balance PPO 2500 1x Beginning January 1, 2021, the new allows individuals and families to Copay Armor Coupon Program will take have an identical deductible and effect for Grandmothered Small Group out of pocket maximum to save Members in PA. Please review the families money. following eBulletin for details on this program:
COMING SOON: COPAY ARMOR PHARMACY PRODUCT
2021 BLUE CARD UPDATES FOR CENTRAL PA There are no changes for our BlueCard program for 2021. Check NaviNet for the member’s Blue Card benefits to determine if they have Full or Limited Blue Card Access.
2021 MY DIRECT BLUE IN-NETWORK HOSPITALS No hospitals will be removed from our network in 2021.
IN-NETWORK CENTRAL PA HOSPITALS
County Facility Name Berks Penn State Health St. Joseph Medical Center Centre Mount Nittany Medical Center Cumberland Geisinger Holy Spirit Hospital Cumberland UPMC Pinnacle Carlisle Dauphin Penn State Health Milton S. Hershey Medical Center Franklin Wellspan Chambersburg Hospital Franklin Wellspan Waynesboro Hospital Lancaster Lancaster General Hospital Lancaster Lancaster General Hospital Women and Babies Lebanon Wellspan Good Samaritan Lehigh Lehigh Valley Hospital – Cedar Crest Lehigh Lehigh Valley Hospital - Muhlenberg Lehigh Lehigh Valley Hospital – 17th Street Lehigh Lehigh Valley Coordinated Health Allentown Monroe Lehigh Valley Hospital - Pocono Northampton Lehigh Valley Coordinated Health Bethlehem Schuylkill Lehigh Valley Hospital – Schuylkill E. Norwegian Street Schuylkill Lehigh Valley Hospital – Schuylkill S. Jackson Street Schuylkill Geisinger – St. Luke’s Union Evangelical Community Hospital
IN-NETWORK WESTERN PA HOSPITALS
County Facility Name Allegheny AHN Brentwood Neighborhood Hospital Allegheny AHN McCandless Neighborhood Hospital Allegheny Allegheny General Hospital Allegheny Allegheny Valley Hospital Allegheny Forbes Regional Hospital Allegheny Heritage Valley Kennedy Allegheny Heritage Valley Sewickley Allegheny Jefferson Regional Medical Center Allegheny St. Clair Hospital Allegheny The Western Pennsylvania Hospital Allegheny UPMC Children’s Hospital of Pittsburgh Allegheny Western Psychiatric Institute and Clinic of UPMC Armstrong Armstrong County Memorial Hospital Beaver Heritage Valley Beaver Bedford UPMC Bedford Blair Conemaugh Nason Medical Center Blair Tyrone Hospital Blair UPMC Altoona Butler Butler Memorial Hospital Cambria Dlp Conemaugh Memorial Medical Center Cambria Dlp Conemaugh Miners Medical Center Cattaraugus, NY Olean General Hospital Clarion Clarion Hospital Crawford Meadville Medical Center Crawford Titusville Area Hospital Erie Corry Memorial Hospital Erie Millcreek Community Hospital Erie Saint Vincent Health Center Fayette Highlands Hospital Fayette Uniontown Hospital Greene Washington Health System - Greene Hancock, WV Weirton Medical Center Lawrence UPMC Jameson McKean Bradford Regional Medical Center McKean UPMC Kane Mercer AHN Grove City Medical Center Mercer Edgewood Surgical Hospital Mercer Sharon Regional Medical Center Mercer UPMC Horizon - Greenville Mercer UPMC Horizon- Shenango Valley Potter UPMC Cole Somerset Dlp Conemaugh Meyersdale Medical Center Somerset UPMC Somerset Venango UPMC Northwest Warren Warren General Hospital Washington Advanced Surgical Hospital Washington Canonsburg General Hospital Washington Monongahela Valley Hospital Washington Washington Hospital Westmoreland AHN Hempfield Neighborhood Hospital Westmoreland Excela Health Frick Hospital Westmoreland Excela Health Latrobe Hospital Westmoreland Excela Health Westmoreland Hospital