Insurance carriers that offer 6 appointments per year:
Aetna*
Independence Blue Cross
United Healthcare
AmeriHealth
Independence Administrators
Meritain Health
AmeriHealth Administrators
Highmark Blue Cross Blue Shield*
UMR
Insurance carriers that offer 3 appointments per year:
Cigna
Horizon Blue Cross Blue Shield
Client-specific exceptions:
Carpenters Union: After their first 6 appointments, patients can have additional appointments with only a 10% copay (about $10 per appointment)
First National Bank of Newtown (FNBN): Their Meritain Health plan includes 11 free appointments per year
Sacred Heart University: Employees have 6 appointments each instead of the usual 3 for Cigna
NextGen Security: 6 appointments per year instead of the usual 3 with Cigna
Other Notes
*Aetna Patients who have a BMI of 30 or above can have 10 free appointments per year
*Highmark BCBS Patients who have a BMI of 25 or above can have 10 free appointments per year
Patients sometimes input the incorrect insurance carrier on the insurance form. If you don’t recognize the carrier, check photo of the insurance card.
‘Keystone Health Plan East’ is often input as the carrier - this is Independence Blue Cross
For any questions about a specific patient’s coverage, email Jim at jbauwens@utopiawellcare.com