Managed Care Contracts | American Senior Communities Managed Care Contracts | American Senior Communities

ASC Managed Care Contracts
Revised 12/10/19

  • Coventry Plan, Cofinity Plan
  • Pre-authorization Required.
  • Blue Preferred Primary and Primary Plus Blue Access
  • Blue Traditional
  • Medicare Advantage HMO and PPO Managed Medicaid (Healthy Indiana Plan & Hoosier Care Connect) 
  • Workman’s Compensation
  • The HCC is MDM at Medicaid rates.
  • The HIP is MDM at 130% of MD rate.
  • All GM retirees go through NaviHealth.

Insurance holder must have both the member ID Alpha prefix and participating hospital.

Member ID Alpha prefixes accepted:

Participating acute hospitals:

  • Adams County Memorial
  • Baptist Health Floyd
  • Community Health System
  • Davies Community
  • Deaconess
  • Elkhart General
  • Eskenazi
  • Franciscan Health Hospitals
  • Good Samaritan
  • Greene County
  • Hancock Regional
  • Hendricks Regional
  • Highpoint Health
  • IU Health
  • Jackson CO. – Schneck
  • Major Health
  • Marion General
  • Memorial – South Bend
  • Parkview Health
  • Pulaski Memorial
  • Putman Co. Reid
  • Scott Memorial
  • St. Joe – Kokomo
  • St Vincent Hospitals
  • Union
  • Witham Health
  • Woodlawn Hospital
  • Medicare Advantage
  • Commercial
  • Marketplace (QHP)
  • Managed Medicaid Plans – HIP, Hoosier Care Connect & Hoosier HealthWise
  • Commercial Plan – AmBetter
  • Medicare Advantage – AllWell
  • Managed Medicaid – HIP, Hoosier
  • Healthwise
  • Direct for all products including Optum CarePlus
  • AARP Medicare Complete Choice
  • United HealthCare (UHC)
  • Optum CarePlus, United Medical Resources (UMR)
  • NaviHealth provides admission pre-certification on United’s behalf
  • Beech Street
  • Corvel
  • Galaxy Health Network
  • HealthSmart
  • Interplan Health Group (IHG)
  • Provider Network (NPPN)
  • PHCS Savility
  • Sterling (PFFS & PPO plans only)
  • USA MCO

Humana: NaviHealth provides admission pre-certification and concurrent review on Humana’s behalf

 

The following SNFs are contracted with Humana MCR & Commercial:


The following SNFs are contracted with Humana Commercial only:


The following SNFs are not contracted with either of the Humana plans:


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