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 Health Insurance Company
- Blue Cross Blue Shield Shared Cost
- Health Savings Blue
- Health Savings Embedded Blue
- Comprehensive Care Blue
- Comprehensive Care Flex Blue
- Connect Blue, A Community Blue Flex Plan
- my Direct Blue EPO
- my Direct Blue HMO (Bronze/Silver/Gold Plans)
- UPMC Advantage – Premium Network (Bronze/Silver/Gold/Platinum)
COMMERCIAL/EMPLOYER SPONSORED PRODUCTS
- Aetna (individual/employer provided)
- Aetna Behavioral Health
- Meritain Health
- Cigna (individual/employer provided)
- Cigna Behavioral Health/Evernorth Behavioral Health
- Cigna Choice Fund plans
- Cigna Global Health Benefits plans
- Cigna LocalPlus
- Cigna Netowrk (Open Access, Open Access Plus, POS Open Access, POS)
- Cigna PPO/EPO
- Community Care Behavioral Health
- HealthAmerica (individual/employer provided)
- Highmark
- Highmark (individual/employer provided)
- Community Blue (managed care plan)
- Community Blue Flex
- Connect Blue
- DirectBlue
- My Blue Access
- Performance Blue
- Performance Flex Blue
- UMR (a United Healthcare Company)
- United Healthcare Networks
- All Savers Health Plan
- Mid-Atlantic Health Plan – United Healthcare M.D.IPA Plan and Optimum Choice, Inc.
- Surest
- United Behavioral Health
- United Healthcare Catalyst
- United Healthcare Choice and Choice Plus
- United Healthcare Choice Advanced and Choice Plus Advanced
- United Healthcare Navigate
- United Healthcare NexusACO
- United Healthcare Options PPO Plans
- United Healthcare Tiered Benefit Plans
- UPMC Health Plan
- UPMC First Care
- UPMC Health Plan (individual/employer provided)
- UPMC My Care Advantage
- UPMC Total Advantage
MEDICARE AND MEDICARE ADVANTAGE PRODUCTS
- Aetna/Coventry HealthAmerica Advantra Plans
- AmeriHealth Caritas Medicare Advantage
- Cigna HealthSpring
- Geisinger Medicare
- Health Partners Medicare
- Highmark
- Community Blue Medicare HMO
- Complete Blue
- Freedom Blue HMO
- Security Blue HMO
- Wholecare Medicare Assured
- Humana Medicare Plans
- PA Health and Wellness HealthChoices Plan/Allwell/Wellcare
- Traditional Medicare
- United HealthCare
- PA AARP Medicare Advantage Plans
- PA Dual Complete Special Needs Plans
- PA Erickson Advantage Champion/Guardian Plans
- PA Erickson Advantage Freedom/Liberty/Signature Plans
- PA Group Medicare Advantage Plans
- PA UHC Care Advantage
- UPMC Health Plan
- UPMC for Life
- UPMC for Life Dual/UMPC for Life Complete Care
- UPMC for Life HMO Premier Rx Western PA; Medicare Advantage
MEDICAID AND MANAGED MEDICAID PRODUCTS
- Aetna Better Health
- AmeriHealth Caritas Community Health Choices Plan
- Geisinger Medicaid
- Health Partners Medicaid
- Highmark Wholecare Blue Cross Blue Shield
- Medicaid HealthChoices Plan (Adult Benefit Package)
- PA Health and Wellness Community Health Choices Plan
- Traditional Medicaid
- United Healthcare Community Plan of PA
- UPMC for Kids
- UPMC for You
- UPMC Community HealthChoices Plan
* ST. CLAIR IS OUT-OF-NETWORK FOR:
