Participating Health Plans

Participating Insurance Plans for McLaren Care Region
INSURANCE CARRIER: Product Type CARO REGION
Aetna - (See Cofinity also) PPO/POS Yes
Medicare Advantage (MA) Yes
  Aetna Better Health - Medicaid Medicaid NO
BMT NO
ASR PPO / TPA NO
Bay Arenac Behavioral Health Behavioral Health NO
BCCCNP - Breast Cervical Cancer Control Navigation Program - County Health Plan (CHP) NO
Beacon Health
(aka.Value Options)
Behavioral Health NO
Beaumont Health
Cancer Related Treatment only
Special arrangements NO
BeechStreet/CappCare
  PPO (National) acquired by MultiPlan
  (previous Ethix Great Lakes)
PPO NO
Blue Care Network (BCN) HMO Yes
MA HMO Yes
Value Options NO
BMT NO
Blue Cross Blue Shield of MI Traditional Yes
  BCBSM Trust PPO Yes
  Medicare Plus Blue PPO MA Yes
  Blue Cross Complete Medicaid NO
Blue Distinction Center for Transplants NO
Central Care
  Self Funded Employer Group
PPO NO
  Insured Group NO
Chippewa Indians - Northern Special Arrangements/Hospital only NO
CIGNA
  > Direct contract for Northern.

  > Access thru HAPs PHP Network
PPO Access thru HAP
  LifeSource KCI only BMT NO
Cofinity PPO Yes
  Cofinity Auto Auto  
  Cofinity & Workers Comp W Comp NO
Community Mental Health Central MI at Bay Behavioral Health NO
ConnectCare PPO NO
Fidelis/Centene Medicare Dual Eligible  
First Health PPO Yes
Gift of Life & Eversight MI
  Organ, Eye and Tissue procurement
OPO NO
Great Lakes PACE Medicare Special NO
Harbor Health Plan
Medicaid NO
Health Alliance Plan (HAP)
  HAP Commercial HMO
HMO Yes
  HAP Commercial PPO - AHL PPO Yes
  HAP Preferred HPI PPO Yes
  Medicare Advantage HMO MA HMO Yes
  Medicare Advantage PPO & Sr. Plus MA PPO & Sr. Plus Yes
  Bone Marrow Transplant BMT NO
  Midwest Health Plan - Medicaid Medicaid Yes
  Midwest Health Plan - MA Medicare Advantage NO
HCAP PPO Yes
HUMANA -
  Medicare PPO, POS & PFFS
PPO  
Huron Behavioral Health Behavioral Health NO
Immergrun PPO Yes
Integrated Health Plan (IHP) PPO NO
InterLink Health Services - BMT BMT NO
INTERPLAN
  aka: The Chandler Group or Direct Care
PPO NO
Little Traverse Bay Bands of Odawa Indians Special NO
Magellan Behavioral Health Behavioral Health NO
McLaren Health Plan (MHP) -
  Commercial HMO HMO Yes
  Medicaid HMO Medicaid Yes
  McLaren Health Advantage - PPO PPO NO
Medicare
  Medicare Fee for Service (FFS) Medicare Yes
  MetraHealth (Railroad) Medicare Yes
Medicaid Medicaid Yes
Meridian Health Plan of MI Medicaid HMO Yes
MA NO
Michigan Amish Medical Board (MI-AMB) Special Arrangements NO
Mid Michigan Health Network -
  PPO
PPO NO
  BMT BMT NO
Molina Medicaid Yes
Medicare Advantage NO
MI Health Link NO
D-SNP NO
MultiPlan
  (aka: BeechStreet/CappCare)
  PPO
PPO Yes
  PPO/EPO/POS/BMT PPO/EPO/POS/BMT Yes
Natioinal Provider Network Agreement PPO
National Marrow Donor Program BMT NO
NMRE -
  Northern MI Regional Entity
Behavioral Health NO
  AuSable Valley Community Mental Health Behavioral Health NO
  Manistee Benzie Community Mental Health Behavioral Health NO
  North Country Community Mental Health Behavioral Health NO
  Northern MI Community Mental Health Behavioral Health NO
Oakland Community Mental Health Authority (OCCMHA) Behavioral Health NO
OPTUM /URN
  (aka United Resource Networks)
BMT NO
Paramount
  PPO/HMO/POS
PPO/HMO/POS NO
  Medicare Advantage MA NO
  Medicaid (Ohio) Medicaid NO
  BMT BMT NO
PHCS (owned by MultiPlan)
  PPO
PPO NO
Physician Health Plan (PHP)
  Mid MI Commercial HMO
HMO NO
  Exclusive Network HMO NO
  PPO PPO NO
PlanVista Solutions -
  (was Preferred Provider Network, Inc.)
PPO / TPA NO
PPONext PPO NO
Priority Health -
  HMO
HMO Yes
  PPO PPO Yes
  Medicare Advantage MA Yes
  Medicaid Medicaid NO
  BMT BMT NO
TheraMatrix
  Physical Therapy Network
UAW Ford SPECIAL NO
Three Rivers Network PPO NO
Total Health Care Medicaid HMO NO
MA NO
Tuscola Behavioral Health Behavioral Health NO
Tricare/ HUMANA MILITARY - Military Yes
  QTC - diagnostic services Military NO
  VES - Veterans Elvauation Serv. Military NO
  Veterans Choice Program (VCP) 2016 Military Yes
United Health Care -
  PPO (not all products)
PPO Yes
  UHC Community Plan (Medicaid) Medicaid Yes
  Medicare Advantage MA NO
  United - Behavioral Health Services Behavioral Health NO
Upper Peninsula Health Plan Special Arrangements in the UP and Cardio Vasc. Grp NO