HEALTH PLAN PARTICIPATION

Orleans Community Hospital is a participating provider in many health plan networks. You can find a list of the plans in which we participate in below. Some health plans use smaller networks for certain products they offer so it is important to check whether we participate in the specific plan you are covered by. Our list will tell you if we do not participate in all of a health plan’s products.

It is also important for you to know that the physician services you receive in the hospital are not included in the hospital’s charges. Physicians who provide services at the hospital may be independent voluntary physicians or they may be employed by the hospital. Physicians bill for their services separately and may or may not participate in the same health plans as the hospital. You should check with the physician arranging your hospital services to determine which plans that physician participates in. Information for physicians employed by the hospital can be found by clicking here: employed physicians. Orleans Community Health contracts with a number of physician groups, such as emergency room physicians, anesthesiologists, radiologists, and pathologists, to provide services at the hospital. Contact information for the physician groups the hospital has contracted with is available by clicking here: contracted physicians. You should contact these groups directly to find out which health plans they participate in.

You should also check with the physician arranging for your hospital services to determine whether the services of any other physicians will be required for your care. Your physician can provide you with the name, practice name, mailing address and telephone number of any physicians whose services may be needed. Your physician will also be able to tell you whether the services of any physicians employed or contracted by Orleans Community Health.

Below is a list of the insurance carriers that OCH accepts. Each carrier may offer several different plans.  OCH may NOT accept all of these plans.  Please contact your insurance carrier to see if your plan is accepted by OCH.

  • Aetna
  • CHAMPVA
  • Cigna
  • EmblemHealth
  • Empire BCBS
  • Excellus Blue Cross and Blue Shield
  • Fidelis Care
  • GHI
  • HealthNow/BCBSWNY
  • Independent Health
  • MAGNACARE
  • Medicaid – New York State
  • Medicare
  • Monroe Plan/Blue Choice
  • MVP Health Care
  • No Fault
  • Skilled Nursing
  • TRICARE
  • United Healthcare
  • Univera Healthcare
  • Workers Compensation

Skilled Nursing Facility:

  • Kalos
  • I Circle
  • Fidelis

Insurance Plan’s In-Network and Out-of Network Tiers

Many insurance plans sort hospitals and other care providers into “in-network” and “out-of-network” tiers. Typically, “in-network” care is less expensive than “out-of-network” care.  Before you receive care, it’s a good idea to contact your insurance company to help you understand how your health care provider’s status in a particular tier may affect your health care costs.