About - Hospitals - Programs and Services - Outpatient - Locations - Giving
Health Plan Participation
 
 
Home > About Us > Health Plan Participation

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.