Guide to Using Your Mental Health Coverage. We know Insurance can be confusing for some and we will try to help you navigate the process.
At this time PNPG accepts and participates IN-NETWORK with the following plans:
Capital Blue Cross PPO (NOT KEYSTONE CENTRAL NOR NEW ST. LUKE'S)
Populytics and Valley Preferred-LVH
Most State and Federal Blue Cross/Blue Shield Plans
PLEASE BE ADVISED we NO longer participate with the Amerihealth Administrators, Independence Administrators (IBX), Magellan Networks Associated with the St. Luke's Hospital and Independence Blue Cross Blue Shield Plans.
As a patient you are responsible to:
Verify your mental health coverage is in-network with PNPG as a group.
Pay your co-pay or co-insurance at time of service. Initially, if there is confusion we will general submit a claim to verify this.
Be aware of specific plan limits, pre-authorizations, referrals required and deductibles. Please contact your carrier for your eligibility and benefits.
Please remember to verify PNPG is an IN-NETWORK provider as your MENTAL HEALTH/BEHAVIORAL benefits.
At this time we do NOT participate with AETNA, UNITED BEHAVIORAL HEALTH, UNITED HEALTH CARE or any other MAGELLAN Health Plans.
Your provider can provide documentation of services in the form of a super bill for self-submission for potential out-of-network reimbursement. However we cannot submit these claims for you.
We DO accept private/self pay at a discounted rate, which varies by provider.