Insurances Accepted and Managed Care

LGMC has signed agreements with approximately 30 managed care organizations, including Aetna, Blue Cross/Blue Shield, Humana Office of Group Benefits and United Healthcare. LGMC also has approximately eleven group contracts with certain employers, enabling their staff to access hospital services at a discounted rate. In addition, LGMC is an equity member of the Acadian Health Care Alliance, a regional physician-hospital organization. LGMC is the sole provider of tertiary services among Acadian Health Care Alliance (the “Alliance”) member hospitals. Numerous agreements have been negotiated on behalf of LGMC by the Alliance, including agreements with CIGNA, Private Health Care Systems, Gilsbar 360 and several Medicare Select payers.

LGMC also has contracts with several Medicare Advantage (private fee for service) plans, underwritten by Aetna Health Management, Coventry Health Care, Humana Health Benefit Plan, Pyramid Life Insurance Company, United Healthcare Insurance Company, American Progressive Life & Health Company, Marquette National Life Insurance Company and WellCare of Louisiana. In 2012, LGMC contracted with 3 Medicaid Coordinated Care Networks:  Amerigroup, LaCare, and Louisiana Healthcare Connections.  LGH is a Preferred Provider for the following Affordable Care Act (Exchange) Plans: Blue Cross Blue Shield, Louisiana Health Cooperative and Vantage Health Plan.

LGMC LGSH SMH UHC  AGH  OCSP  AKMH
Commercial Managed Care Provider Networks      
Aetna  ✓  ✓  ✓
Bayou Medical Management          
Blue Cross and Blue Shield
  (includes Office of Group Benefits, LA State Employees)
 ✓  ✓  ✓
Choicecare  ✓ 

✓   ✓   ✓  ✓
Cigna  ✓  ✓  ✓
Coventry of Louisiana      
Gislbar 360
 ✓  ✓  ✓
Humana  ✓  ✓  ✓
IMA

 ✓  ✓  ✓ 
LWCC  ✓  ✓  ✓
PPOPlus
 ✓  ✓  ✓
Private Healthcare Systems (PHCS)   ✓   ✓  ✓
United Healthcare  ✓  ✓  ✓
Verity Healthnet  ✓  ✓  ✓
     
Medicare Managed Care Provider Networks      
Aetna PFS ✓  ✓   ✓   ✓    ✓ 
Ameriplus Preferred Care (Medicare Select) ✓   ✓ 
Blue Cross and Blue Shield Medicare Advantage   ✓  ✓       
Blue Cross and Blue Shield Medicare Select  ✓    ✓ 
Coventry PFFS  ✓  ✓  ✓
Humana Gold Choice-PFFS    ✓  ✓  ✓
Humana Medicare Advantage    ✓  ✓  ✓
Humana Medicare Select    ✓  ✓  ✓
Med-Care Advantage (Medicare Select) ✓   ✓  ✓  ✓
People's Health Network (Medicare Advantage)  ✓  ✓  ✓  ✓   ✓  ✓  ✓
Sierra Health and Life (Medicare Select)        
Today's Option PFFS  ✓  ✓  ✓
Vantage (Medicare Advantage)   ✓  ✓  ✓  ✓   ✓  ✓  ✓
Wellcare (Medicare Advantage)  ✓  ✓  ✓
     
Medicaid Managed Care Provider Networks (Bayou Health)      
Aetna  ✓  ✓ 
 ✓   ✓  ✓   ✓
Amerigroup  ✓  ✓  ✓
Louisiana Healthcare Connections  ✓  ✓  ✓
AmeriHealth Caritas (LaCare)  ✓  ✓  ✓
United Health Care  ✓  ✓  ✓
Dept of Corrections   

 ✓       
     
Affordable Care Act Provider Networks (HealthCare Exchange)      
Blue Cross Blue Shield  ✓   ✓   ✓
Humana   ✓  ✓  ✓
United Healthcare Compass   ✓ 
 ✓   ✓   ✓  ✓  ✓
Vantage Health Plan  ✓  ✓  ✓