Conemaugh Health System is pleased to participate in the networks of the following health plans.  Our participation is always growing, so check this page frequently.  If you have a question about our participation status with a specific insurance plan please e-mail rstaib@conemaugh.org.

Please contact your insurance company to verify participation specific to the product you are enrolled in.

Aetna US Healthcare

• Aetna US Healthcare HMO
• Aetna US Healthcare Indemnity
• Aetna US Healthcare POS
• Aetna US Healthcare PPO

BC Care First Blue Card out of area plan

Beechstreet PPO

Blue Cross of Central Pennsylvania Indemnity

Blue Cross of Central Pennsylvania Plan 378

CIGNA

• CIGNA HMO
• CIGNA Indemnity
• CIGNA POS
• CIGNA PPO

Community Care Behavioral Health

Devon Health Services Network

• extends access to various entities

Educators Mutual Insurance Indemnity

Educators Mutual Insurance PPO

First Health and CCN Network PPO

• includes Mailhandlers, Boilermakers, & HealthNet employees

Gateway Health Plan

• Gateway Health Plan Gateway Advantage (HMO)
• Gateway Health Plan Gateway Assured (HMO)
• Gateway Health Plan

Great West Healthcare Network

• extends access to various entities

HealthAmerica

• HealthAmerica HMO/POS
• HealthAmerica PPO - HealthAssurance

Highmark

• Highmark BCBS HMO Blue Choice
• Highmark BCBS HMO Keystone Blue
• Highmark BCBS Indemnity/Fee For Service Classic Blue
• Highmark BCBS Indemnity/Fee For Service Complete Care
• Highmark BCBS Indemnity/Fee For Service Preferred Benefits
• Highmark BCBS Indemnity/Fee For Service Security 65
• Highmark BCBS Indemnity/Fee For Service Special Care
• Highmark BCBS Indemnity/Fee For Service Blue Choice
• Highmark BCBS Medicare + Choice Plan Freedom Blue
• Highmark BCBS Medicare + Choice Plan Security Blue
• Highmark BCBS POS Blue Choice
• Highmark BCBS POS Select Blue
• Highmark BCBS PPO Blue Choice
• Highmark BCBS PPO Direct Blue
• Highmark BCBS PPO Preferred Blue
• Highmark Blue Card PPO/POS
• Highmark Special Care Direct Pay

Humana

• HumanChoicePPO (Private Fee for Service)

Intergroup Services Corp. (IGS) PPO

Medical Assistance Program

Medicare

Penn Highlands Health Plan

• CHS Employee Health Benefit Plan (Self-Funded)
• Diversified Group Administrators (Self-Funded PPO; Frank Calandra – Jenmar
• Penn Highlands Health Plan Galliker Dairy (Self-Funded) PPO
• Insurance Administrators of America (Self-Funded) PPO – Atlantic Broadband
• Penn Highlands Health Plan Penn Highlands Choice; RAPPO Plan (Fully Insured)
• Penn Highlands Health Plan The Loomis Company (Self-Funded) PPO; L. Robert Kimball & Assoc. (Turning Point Health Plan)

PA Blue Shield

• Pennsylvania Blue Shield Direct Blue
• Pennsylvania Blue Shield Medigap Blue
• Pennsylvania Blue Shield Plan 378
• Pennsylvania Blue Shield PPO Blue
• Pennsylvania Blue Shield Select Blue
• Pennsylvania Blue Shield Managed Care
• Preferred Healthcare System PPO

Prison Health Services

• PA Dept. of Corrections (Direct Contract) Includes:  Cresson, SCI Somerset, & SCI Laurel Highlands

SelectCare Access Corporation PPO

SeniorLIFE Johnstown PACE Program

Sterling Sterling Option I (Medicare Advantage Private Fee for Service)

TRICARE
A TRICARE-authorized provider is a provider who meets TRICARE's licensing and certification requirements and has been certified by the managed care support contractor to provide care to TRICARE beneficiaries. There are two types of TRICARE-authorized providers:

• Network providers sign a contractual agreement with the managed care support contractor and agree to provide care at a negotiated rate and file claims for beneficiaries.
• Non-network providers must be certified, but they do not sign a contractual agreement with the managed care support contractor. There are two types of non-network providers:
• Participating providers agree to file claims for beneficiaries, to accept payment directly from TRICARE and to accept the TRICARE maximum allowable charge as payment in full for their services.
• Non-participating providers do not agree to accept the TRICARE maximum allowable charge or file beneficiary claims.

Conemaugh Memorial Medical Center (MMC) is a participating, non-network provider. We do not have a formal contract with TRICARE; however, this designation allows members to utilize services at MMC but they may be faced with higher out-of-pocket costs. 

Unison

• Three Rivers Health Plan Unison HMO (formerly Medplus+)
• Medicare HMO product

United Behavioral Health/United Health Care

• United Health Care Choice & Choice Plus
• United Health Care Indemnity
• United Health Care Option PPO
• United Health Care Select & Select Plus

UPMC Health Plan

• UPMC Health Plan UPMC for Kids
• UPMC Health Plan UPMC for Life
• UPMC Health Plan UPMC for Life Specialty Plan
• UPMC Health Plan UPMC for You (HMO)
• UPMC Commercial Products

Value Options Behavioral Health

Other accepted health plans

• Most commercial indemnity products are accepted.
• Most automobile insurance products are accepted.