Accepted Insurance

With which insurance plans does St. Peter's Health Partners participate?

St. Peter's Health Partners Hospital and Medical Group Accepted Insurances

• Medicaid (New York State)
• Medicare (Centers for Medicare & Medicaid Services (CMS))
• Aetna - St. Peter's Health Partners does not participate with Aetna Medicaid or Essential Plans
• Anthem Blue Cross (Anthem HealthChoice; see also HealthPlus) 
• Beacon Network Services, Inc. (see also Univera Healthcare) - only St. Peter's Hospital participates
• Beech Street (MediChoice Network, Inc.) - only St. Peter's Hospital, Samaritan Hospital and Sunnyview Rehabilitation Hospital participate for hospital services only)
• BlueCross BlueShield Association Blue Card Program
• Capital District Physicians' Health Plan (CDPHP)
• Carelon Behavioral Health - only St. Peter's Hospital and Samaritan Hospital participate
• Choice Care Network (Health Value Management)
  • commercial plans only
  • only St. Peter's Hospital for hospital services and St. Peter Health Partners Medical Associates participate
• Cigna - plans thru MVP Health Care and/or MultiPlan, Inc.
• CIGNA Behavioral Health, Inc. - only St. Peter's Hospital and Samaritan Hospital participate for hospital services)
• Corporate Care Management - only St. Peter's Hospital participates
• Coventry Health Care Workers Compensation, Inc. (Workers Compensation & Auto) - only St. Peter's Hospital and Samaritan Hospital participate
• Eddy Senior Care (Senior Care Connections, Inc.)
• EmblemHealth Insurance Company (see also HIP Health Insurance Company of New York) - St. Peter's Health Partners only participates for physician services
• EmblemHealth Plan, Inc. (see also Group Health Incorporated)
• Excellus BlueCross BlueShield
  • St. Peter's Health Partners participates as applicable via the BlueCross BlueShield Association Blue Card Program
  • Additionally, St. Peter's Health Partners Medical Associates practices that are located in Fulton - Montgomery - Saratoga - Schenectady - Warren – Ulster counties, are fully participating.
• Fidelis Care
• First Health Network - only St. Peter's Hospital and Samaritan Hospital participate
• Galaxy Health Network - only St. Peter's Hospital and Sunnyview Rehabilitation Hospital participate for hospital services only
• Group Health Incorporated (see also EmblemHealth Plan, Inc.)
• HealthPlus (see also Anthem Blue Cross)
• Highmark Blue Shield of Northeastern New York
• HIP Health Insurance Company of New York (see also EmblemHealth Insurance Company) - St. Peter's Health Partners only participates for physician services
• HIP Health Plan of New York (HIP) - St. Peter's Health Partners does not participate with Child Health Plus
• Humana (Medicare plans only)
• Humana Military (Humana Government Business, Inc.) - Trinity Health Anesthesia Group of New York does not participate
• Magellan Behavioral Health (U.S. IPA Providers, Inc.) - only St. Peter's Hospital participates
• Magna Care Administrative Services, LLC
• Managed Health Network, Inc. - only St. Peter's Hospital participates for hospital services
• Managed Physical Network (MPN)
• Maritain Health, Inc. - only St. Peter's Hospital participates for hospital services
• Martin's Point Health Care, Inc. (US Family Health Plan) - St. Peter's Health Partners does not participate for behavioral health services managed by MaineHealth ACO
• MediGold (Mount Carmel Health Plan, Inc.)
• MetraComp, Inc. - Trinity Health Anesthesia Group of New York does not participate
• MultiPlan, Inc. (see also PHCS)
• MVP Health Care
• MyCompass (TriADD New York, LLC) - St. Peter's Health Partners only participates with dual eligible plans
• New York State Empire Plan
  • St. Peter's Health Partners fully participates except for behavioral health services
  • St. Peter’s Hospital and Samaritan Hospital participate for behavioral health service managed by Carelon Behavioral Health
• Optum VA Community Care Network (VACCN) - Trinity Health Anesthesia Group of New York does not participate
• Oxford Health Plans (NY), Inc. (see United Healthcare for Participation Status) - Sunnyview Rehabilitation Hospital does not participate in Medicare plans
• PHCS (see also MultiPlan, Inc.)
• UMR (see United Healthcare for Participation Status)
• United Behavioral Health - only St. Peter's Hospital and Samaritan Hospital for hospital services participate
• United Healthcare - Sunnyview Rehabilitation Hospital does not participate in Medicare plans
  • Out-of-Network Effective July 1, 2024
    • All Medicare Health Plans including Dual Elligible
    • Commercial Self-Insured Health Plans
    • Commercial Fully-Insured Health Plans for Physician Services and Clinics and Anciallary Providers – Hospital Services Remain In-Network through September 1
  • Out-of-Network Effective September 1, 2024
    • Commercial Fully-Insured Health Plans for Hospital Services
    • All Medicaid, Child Health Plan and Essential Plan Health Plans
• Univera Healthcare (see also Beacon Network Services, Inc.) - only St. Peter's Hospital participates
• USA Managed Care Organization - only St. Peter's Hospital participate for hospital services only
• VNA Home Care Options, LLC (Nascentia Health) - Trinity Health Anesthesia Group of New York does not participate
• VNSNY Choice - Trinity Health Anesthesia Group of New York does not participate
• WellCare