Participating Insurance Plans

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

New York Marketplace Participating Insurance Plans

  • Excellus Blue Cross
  • Fidelis
  • MVP - Group & Individual Plans

Pennsylvania Marketplace Participating Insurance Plans

  • Aetna
  • Blue Cross-NEPA
  • Blue Shield of Pennsylvania (Highmark)
  • Fidelis
  • Geisinger

Guthrie Medical Group Participating Insurance Plans:

Questions about plans in-network for Guthrie Medical Group, call 800-936-9990.

  • Aetna - PPO, HMO,POS, EPO, Medicare Advantage
  • Aetna Better Health Managed Medicaid
  • AmeriHealth Caritas Northeast Managed Medicaid, Dual Medicare
  • AmeriHealth Caritas Northeast Dental
  • AmeriHealth Caritas PA Community Health Choices
  • AmeriHealth Caritas VIP Care
  • Blue Shield of PA - Highmark (Blue Card), Freedom Blue, Community Blue HMO/PPO
  • Blue Cross - NEPA (Blue Card)
  • Capital District Physicians Health Plan - PPO , Managed Medicaid, Family Health Plus, Child Health Plus, HARP, Medicare Advantage
  • Cigna (through MVP)
  • Coventry/Health America
  • Davis Vision (Corning, Bath, Big Flats office ONLY)
  • Delta Dental Dentaquest 
  • Devon 
  • Emblem Health (formerly GHI) Commerical & Medicare Advantage
  • Excellus - Commercial, Medicare Advantage, Exchange Plan, Essential Plan, HARP (HMO Blue Options / Blue Choice Options) Medicaid Managed Care, Child Health Plus, Healthy NY
  • Excellus Monroe
  • Fidelis Care of New York - Managed Medicaid, Exchange Plan, Essential Plan, HARP, Medicare Advantage
  • First Priority Health/Blue Care (services are restricted to PA office lications)
  • Gateway Health Plan Managed Medicaid, CHIP, Dual Medicare
  • Geisinger - Family Plan Managed Medicaid & CHIP, Gold Medicare Advantage, Commercial, Exchange Plan
  • HealthPlex (Orthodontia only )
  • Humana Choice Care - Medicare Advantage PPO & HMO
  • Martin's Point
  • Medicare
  • Medicaid/Medical Assistance 
  • Meritain Health / NAA
  • Met Life (Orthodontia)
  • MVP - HMO, EPO/PPO, ASO, Group & Individual Exchange Plans, Managed Medicaid, Family Health Plus, Child Health Plus
  • PA Health and Wellness Medicaid, Dual Medicare
  • PHCS / Multiplan
  • POMCO
  • TriWest 
  • United Concordia (Orthodontia)
  • United Healthcare - Commercial , Medicare Advantage, Community Plan NY
  • United Healthcare Empire Plan
  • UPMC - Commercial, Medicare Advantage, Medicaid, (Partners Plan not included).
  • VA CCN - Optum
  • Wellcare - Managed Medicaid
  • Wellcare Today's Options

Guthrie Hospital Participating Insurance Plans:

Questions about plans in-network for Guthrie hospitals, call 1-800-836-9990.

  • Aetna Better Health managed Medicaid
  • Aetna US Healthcare
  • Aetna Medicare
  • AmeriHealth Caritas (Pennsylvania Managed Medicaid)
  • AmeriHealth Caritas PA Community Health Choices
  • AmeriHealth Caritas VIP Care
  • American Progressive / Universal American / Today's Options (Medicare Advantage)
  • Beech Street (Guthrie Corning Hospital Only)
  • Blue Cross
  • Capital District Physicians Health Plan (CDPHP)
  • CDPHP Medicaid
  • CDPHP Medicare
  • CDPHP Universal Benefits, Inc. and Capital District Physicians' Healthcare Network, Inc.
  • CHAMPVA
  • Cigna through MVP
  • Coventry Cares (Pennsylvania Managed Medicaid)
  • Devon
  • EBS-RMSCO (HMO, PPO/EPO, POS, ASO)
  • Excellus Medicaid Managed Care, Family Health Plus, Child Health Plus (excludes Special Programs - ZFV prefix) (Guthrie Corning Hospital and Guthrie RPH only)
  • Excellus Medicare Blue PPO (Guthrie Corning Hospital and Guthrie RPH only)
  • Fidelis Care Medicaid Managed Care, Family Health Plus, Child Health Plus
  • First Priority Health
  • Geisinger Health Plan Family (GHP Family)(Pennsylvania Managed Medicaid)
  • GHI Commercial PPO/EPO (Guthrie Corning Hospital and Guthrie RPH only)
  • Health America/Coventry and First Health
  • HealthNow PPO
  • Highmark Medicare Freedom Blue (Guthrie RPH and Guthrie Troy Community Hospital only)
  • HMO-CNY (Guthrie Corning Hospital only)
  • Humana Choice PPO Medicare Advantage
  • Medicare
  • Multiplan
  • MVP/Preferred Care
  • MVP Medicare
  • New York Medicaid
  • New York Workers Compensation
  • North American - Meritain
  • Pennsylvania Medical Assistance
  • Pennsylvania Workers Compensation
  • POMCO
  • Private Health Care System (PHCS)
  • SIEBA (Guthrie RPH and Guthrie Troy Community Hospital only)
  • Sterling Option 1
  • Tricare (non-network participating provider)
  • United Healthcare (excludes Medicaid Products)
  • United Healthcare Medicare (excludes Medicare Select)
  • Univera HealthCare (HMO, PPO/EPO, POS, ASO)