IBC is planning to introduce a new Medicare Advantage HMO product (?New
Medicare Product?) beginning January 1, 2012, that will have a smaller, limited
network of providers (the ?Medicare Limited Network?) The New Medicare Product,
which is pending approval from the Centers for Medicare & Medicaid Services,
was developed in response to our members? requests for more affordable product
options.
One of the distinguishing characteristics of the New Medicare Product will be
the size and scope of its provider network. This will allow IBC to offer a
valuebased alternative to our standard, large network product offerings. The
Medicare Limited Network will not include all hospitals participating in
our current Medicare Advantage HMO network. Instead, the Medicare Limited
Network will be a subset of the existing IBC-contracted network and will
consist of hospitals located in Philadelphia, Delaware, Montgomery, Bucks, and
Chester counties. To the right is a list of the hospitals that are
participating in the Medicare Limited Network. Please note that if a
participating IBC hospital does not appear on this list, it means the hospital
is not participating in the Medicare Limited Network, and members who purchase
the New Medicare Product should not be referred to these hospitals for
non-emergency services. This hospital list is subject to change. Please visit
www.ibx.com/providers/mln for any updates or
changes to this hospital list.
In July, providers who are currently participating in our Medicare Advantage
HMO network received letters notifying them of the New Medicare Product and
whether they are eligible to participate in the Medicare Limited Network. For a
list of the eligibility requirements for the Medicare Limited Network, please
visit www.ibx.com/providers/mln.
If you have any questions, please contact your Network Coordinator. If you need
assistance identifying your Network Coordinator, please use the locator tool
found on the NaviNet? web portal or on
www.ibx.com/providers under Contact Information.
You may also call Customer Service at
1-800-ASK-BLUE.
Note: For mental health/substance abuse services, please contact Magellan
Behavioral Health, Inc. at 1-800-688-1911 for the Behavioral Health Network.
Medicare Limited Network Participating Hospitals*
All hospitals are located in the following Pennsylvania counties: Philadelphia,
Delaware, Montgomery, Bucks, and Chester.
Participating hospital
County
Abington Memorial Hospital
Montgomery
Aria Health: Bucks County Campus
Bucks
Aria Health: Frankford Campus
Philadelphia
Aria Health: Torresdale Campus
Philadelphia
Brandywine Hospital
Chester
Chester County Hospital and Health System
Chester
Chestnut Hill Hospital
Philadelphia
Children?s Hospital of Philadelphia
Philadelphia
Crozer-Chester Medical Center
Delaware
Crozer-Chester: Springfield Campus
Delaware
Delaware County Memorial Hospital
Delaware
Doylestown Hospital
Bucks
Fox Chase Cancer Center
Philadelphia
Good Shephard Penn Partners
Philadelphia
Grand View Hospital
Bucks
Holy Redeemer Hospital and Medical Center
Montgomery
Hospital of the University of Pennsylvania
Philadelphia
Jeanes Hospital
Philadelphia
Jennersville Regional Hospital
Chester
Kindred Hospital
Delaware
Kindred Hospital
Philadelphia
Kindred Hospital: Havertown
Delaware
Lansdale Hospital
Montgomery
LifeCare Hospital of Chester County
Chester
Lower Bucks Hospital
Bucks
Mercy Fitzgerald Hospital
Delaware
Mercy Philadelphia Hospital
Philadelphia
Mercy Suburban Hospital
Montgomery
Nazareth Hospital
Philadelphia
Penn Presbyterian Medical Center
Philadelphia
Pennsylvania Hospital
Philadelphia
Phoenixville Hospital
Chester
Pottstown Memorial Medical Center
Montgomery
Roxborough Memorial Hospital
Philadelphia
St. Luke?s Quakertown Hospital
Bucks
St. Mary Medical Center
Bucks
Taylor Hospital
Delaware
Temple University Hospital
Philadelphia
*This list is current as of July 25, 2011, but is subject to change. Please
visit www.ibx.com/providers/ml for any
updates or changes to this list.