St. Clair Hospital makes navigating the healthcare landscape easy because St. Clair participates with every major insurer in almost every product.* That means that St. Clair is an in-network provider for these insurers and products. And, if you choose a health insurance product (like a high deductible plan) that requires you to share in the cost of paying for services you’ll be pleased to know that ST. CLAIR IS OFTEN THE LOWEST COST PROVIDER. So, when you choose a health plan, either through your employer or the Federal Health Insurance Marketplace (www.healthcare.gov), make sure you have St. Clair in your network.
See below for a list of health insurance products which are out-of-network at St. Clair, as well as a list of insurance products that are in-network at St. Clair. If you have further questions about whether your health insurance coverage will allow you access to St. Clair’s nationally recognized services at in-network rates, please call our Customer Service line at 412.344.3408 to speak to a St. Clair representative.
ST. CLAIR IS IN-NETWORK FOR:
FEDERAL MARKETPLACE PRODUCTS (ACA)
- Aetna-Coventry (Bronze/Silver/Gold Plans)
- Highmark – Connect Blue, a Community Blue Flex Plan
- Highmark Health Insurance Company
- Blue Cross Blue Shield Shared Cost
- Health Savings Blue
- Health Savings Embedded Blue
- Comprehensive Care Blue
- Comprehensive Care Flex Blue
- my Direct Blue EPO
- my Direct Blue HMO (Bronze/Silver/Gold Plans)
- UPMC Health Insurance
- UPMC Advantage – Premium Network (Bronze/Silver/Gold/Platinum)
COMMERCIAL/EMPLOYER SPONSORED PRODUCTS
- Aetna (individual/employer provided)
- Aetna Pennsylvania Employee Trust Fund (PEBTF) custom HMO network
- Cigna (individual/employer provided)
- Cigna Behavioral Health
- Community Care Behavioral Health
- HealthAmerica (individual/employer provided)
- Highmark
- Highmark (individual/employer provided)
- Community Blue (managed care plan)C
- Community Blue Flex
- Connect Blue
- DirectBlue
- Performance Blue
- Performance Flex Blue
- UMR (a United Healthcare Company)
- United Healthcare Networks
- United Healthcare Catalyst
- United Healthcare Choice
- United Healthcare Choice Plus
- United Healthcare HRA
- United Healthcare HSA
- United Behavioral Health
- UPMC Health Plan
- UPMC Health Plan (individual/employer provided)
- UPMC My Care Advantage
- UPMC Total Advantage
MEDICARE AND MEDICARE ADVANTAGE PRODUCTS
- Traditional Medicare
- Aetna/Coventry HealthAmerica Advantra Plans
- AmeriHealth Caritas Medicare Advantage
- Cigna
- Bravo Health Springs
- Highmark
- Community Blue Medicare HMO
- Security Blue HMO
- Freedom Blue HMO
- HM Wholecare Medicare Assured
- Humana Medicare Plans
- PA Health and Wellness HealthChoices Plan
- United HealthCare
- United Healthcare Medicare Complete
- United Healthcare Dual
- UPMC Health Plan
- UPMC for Life
- UPMC for Life Dual
- UPMC for Life HMO Premier Rx Western PA; Medicare Advantage
MEDICAID AND MANAGED MEDICAID PRODUCTS
- Traditional Medicaid
- Medicaid HealthChoices Plan (Adult Benefit Package)
- Aetna Better Health
- Highmark Wholecare Blue Cross Blue Shield
- United Healthcare Community Plan
- UPMC for You
- UPMC Community HealthChoices Plan
- PA Health and Wellness Community Health Choices Plan
- AmeriHealth Caritas Community Health Choices Plan
* ST. CLAIR IS OUT-OF-NETWORK FOR:
