Participating Insurance Plans

Notice to Patients with Medicaid Coverage

With the end of the pandemic declaration, health insurance will no longer be automatically renewed for Medicaid members. To stay covered, you must renew your insurance by contacting your insurance provider or your state Medicaid office:

New York State: 855-355-5777 or nystateofhealth.ny.gov
Pennsylvania: 866-550-4355 or dhs.pa.gov/Compass

Patients are also encouraged to verify with their Insurance Company that The Guthrie Clinic is considered an in-network provider and in-network hospital.

NOTE: These lists are subject to change without notice due to on going contract negotiations and renewals

Health Plans

Corning Hospital, NY
Cortland Medical Center, NY
Robert Packer Hospital, NY and
Robert Packer Hospital, Towanda Campus, PA
Troy Community Hospital, PA

Guthrie Medical Group

Commercial (Health Maintenance Organization - HMO, Exclusive Provider Organization - EPO and Preferred Provider Organization - PPO) Products
Aetna Yes Yes
Cigna 
(Only Guthrie NY and Bradford County facilities/providers with a MVP logo on CIGNA card)
Yes Yes
Capital District Physician Health Plan (CDPHP) Yes Yes
EmblemHealth Yes Yes
Devon Health Yes Yes
Empire Health Plan - United Healthcare and Anthem - Excellus (Blue Cross and Blue Shield) for New York State employees  Yes Yes
Excellus (Blue Cross - Blue Shield - New York) Yes Yes
Fidelis Care - Commercial Exchange Product only Yes Yes
Geisinger Health Plan  Yes Yes
Highmark (Blue Cross - Blue Shield) 

Yes

(Note: Guthrie Corning Hospital and Guthrie Cortland Medical Center does not have an agreement with Highmark)
Yes
Lifetime Benefits Solutions Yes Yes
Multi Plan Yes Yes
MVP Health Plan Yes Yes
Pa Health & Wellness - Commercial Exchange Product only Yes Yes
POMCO - United Healthcare Yes Yes
United Healthcare  Yes Yes
UPMC Health Plan Yes Yes
Medicare and Medicare Advantage (Health Maintenance Organization - HMO and Preferred Provider Organization - PPO) Products
Aetna - Medicare Advantage  Yes Yes
AmeriHealth Caritas - Medicare Advantage  Yes Yes
Capital District Physician Health Plan (CDPHP) - Medicare Advantage Yes Yes
EmblemHealth - Medicare Advantage Yes Yes
Excellus (Blue Cross-Blue Shield - New York State) - Medicare Advantage

Yes

(Note: Guthrie Troy Community Hospital  does not have an agreement with Excellus)
Yes
Fidelis Care - Medicare Advantage Yes Yes
Geisinger Health Plan - Medicare Advantage Yes Yes
Highmark (Blue Cross-Blue Shield) - Medicare Advantage

Yes

(Note: Guthrie Corning Hospital and Guthrie Cortland Medical Center does not have an agreement with Highmark)
Yes
Highmark WholeCare (previously Gateway) Yes Yes
Humana - Medicare Advantage Yes Yes
iCircle - Medicare Advantage Yes Yes
Jefferson Health Plan (Formerly Health Partners) Yes Yes
Medicare Yes Yes
MVP Health Care - Medicare Advantage Yes Yes
Nascentia Health Plus Yes Yes
Pa Health & Wellness - Medicare Advantage Yes Yes
WellCare - Medicare Advantage Yes Yes
United Healthcare - Medicare Advantage Yes Yes
UPMC Health Plan - Medicare Advantage Yes Yes
Medicaid and Medicaid Managed Care Products
Aetna Better Health - Medicaid Managed Care Yes Yes
AmeriHealth Caritas  - Medicaid Managed Care Yes Yes
Capital District Physician Health Plan (CDPHP)  - Medicaid Managed Care Yes Yes
Excellus (Blue Cross-Blue Shield - New York)  - Medicaid Managed Care

Yes

(Note: Guthrie Troy Community Hospital  does not have an agreement with Excellus)
Yes
Fidelis Care  - Medicaid Managed Care Yes Yes
Geisinger Health Plan  - Medicaid Managed Care

Yes

Yes
Highmark WholeCare (previously Gateway) Yes Yes
iCircle - Medicaid Managed Care Yes Yes
Jefferson Health Plan (Formerly Health Partners) Yes Yes
Medicaid - State of New York Yes Yes
Medicaid - State of Pennsylvania  Yes Yes
Molina Health Plan  - Medicaid Managed Care Yes Yes
MVP Health Care  - Medicaid Managed Care Yes Yes
Pa Health & Wellness  - Medicaid Managed Care Yes Yes
United Health care – Medicaid New York and Pennsylvania

Yes

Yes
UPMC Health Plan  - Medicaid Managed Care Yes Yes
Tricare and Veteran's Administration Products
Tricare (Humana Military) No Yes
Tricare (Martin's Point Healthcare) Yes Yes
 VA Community Care Network - Veterans Affairs (Optum/United Healthcare) Yes Yes

Guthrie Homecare and Hospice

Health Plans Guthrie Homecare and Hospice Med Supply Depot (Durable Medical Equipment)
Commercial (Health Maintenance Organization - HMO, Exclusive Provider Organization - EPO and Preferred Provider Organization - PPO) Products
Aetna Yes  Yes 
Cigna  Yes  Yes 
Capital District Physician Health Plan (CDPHP) Yes  Yes 
Devon Health Yes Yes
EmblemHealth No No
Empire Health Plan - United Healthcare and Anthem - Excellus (Blue Cross and Blue Shield) for New York State employees  Yes Yes
Excellus (Blue Cross - Blue Shield - New York) Yes  Yes 
Fidelis Care - Commercial Exchange Product only Yes  Yes 
Geisinger Health Plan  Yes  Yes 
Highmark (Blue Cross - Blue Shield)  Yes  Yes 
Lifetime Benefits Solutions No No
Multi Plan Yes  Yes 
MVP Health Plan Yes  Yes 
Pa Health & Wellness - Commercial Exchange Product only Yes  Yes 
POMCO - United Healthcare Yes  Yes 
United Healthcare  Yes  Yes 
UPMC Health Plan Yes  Yes 
Medicare and Medicare Advantage (Health Maintenance Organization - HMO and Preferred Provider Organization - PPO) Products
Aetna - Medicare Advantage  Yes  Yes 
AmeriHealth Caritas - Medicare Advantage  Yes  Yes 
Capital District Physician Health Plan (CDPHP) - Medicare Advantage Yes  Yes 
EmblemHealth - Medicare Advantage No No
Excellus (Blue Cross-Blue Shield - New York State) - Medicare Advantage Yes  Yes 
Fidelis Care - Medicare Advantage Yes  Yes 
Geisinger Health Plan - Medicare Advantage Yes  Yes 
Gateway Health Plan - Medicare Advantage Yes  Yes 
Highmark (Blue Cross-Blue Shield) - Medicare Advantage Yes  Yes 
Humana - Medicare Advantage Yes  Yes 
iCircle - Medicare Advantage Yes  Yes 
Medicare Yes  Yes 
MVP Health Care - Medicare Advantage Yes  Yes 
Pa Health & Wellness - Medicare Advantage Yes  Yes 
WellCare - Medicare Advantage Yes  Yes 
United Healthcare - Medicare Advantage Yes  Yes 
UPMC Health Plan - Medicare Advantage Yes  Yes 
Medicaid and Medicaid Managed Care Products
Aetna Better Health - Medicaid Managed Care Yes  Yes 
AmeriHealth Caritas  - Medicaid Managed Care Yes  Yes 
Capital District Physician Health Plan (CDPHP)  - Medicaid Managed Care Yes  Yes 
Excellus (Blue Cross-Blue Shield - New York)  - Medicaid Managed Care Yes  Yes 
Fidelis Care  - Medicaid Managed Care Yes  Yes 
Geisinger Health Plan  - Medicaid Managed Care Yes  Yes 
Gateway Health Plan  - Medicaid Managed Care Yes  Yes 
iCircle - Medicaid Managed Care Yes Yes
Medicaid - State of New York Yes  Yes 
Medicaid - State of Pennsylvania  Yes  Yes 
Molina Health Plan  - Medicaid Managed Care Yes  Yes 
MVP Health Care  - Medicaid Managed Care Yes  Yes 
Pa Health & Wellness  - Medicaid Managed Care Yes  Yes 
United Healthcare  - Medicaid Managed Care Yes  Yes 
UPMC Health Plan  - Medicaid Managed Care Yes  Yes 
Tricare and Veteran's Administration Products
Tricare (Humana Military) No No
Tricare (Martin's Point Healthcare) Yes  Yes 
 VA Community Care Network - Veterans Affairs (Optum/United Healthcare) Yes  Yes 

Dental

Health Plans
Guthrie Dental
 
Dental Products
Geisinger Dental (Skygen) Yes
AmeriHealth Dental Yes
Delta Dental Yes
Dentaquest  Yes
Healthplex (Orthodontia only) Yes
MetLife Orthodontia Yes
United Concordia Orthodontia Yes
  • Physician services provided in the hospital are not included in the hospital's charges; 
  • Physicians who provide services in the hospital may or may not participate with the same plans as the hospital, and;
  • The prospective patient should check with the physician arranging for the hospital services to determine the plans in which the physician participate.