Participating Health Plans

When you receive care at Catholic Health, you will be billed separately for hospital services and physician services.

This page lists the health plans that we participate in and the doctors who provide care at Catholic Health. 

No insurance? If you do not have health insurance, you may be eligible for assistance in paying your hospital bills. Learn about financial assistance.

Does Catholic Health Participate in Your Health Plan?

Catholic Health participates in many health plan networks. You can find a list of the plans in which we participate in below.

Some health plans use smaller networks for certain products, so it is important to check whether we participate in your specific plan. Our list will tell you if we do not participate in all of a health plan’s products.

Hospital Charges: Hospitals are required by law to share their standard charges for the items and services they provide. Learn how to request pricing.

Does Your Doctor Participate in Your Health Plan?

The services that you receive by a doctor in the hospital are not included in the hospital charges. Doctors bill for their services separately. 

Doctors who provide services at the hospital may be independent physicians or they may be employed by the hospital. They may or may not participate in the same health plans as the hospital.

To make sure that your care is covered by your health plan, please contact the following persons:

  1. The doctor who is arranging your hospital services: Ask which plans that he or she participates in.
  2. Other doctors who provide care: Ask the doctor who is arranging your hospital services if any other doctors will be needed for your care. Ask for contact information for these doctors, including the doctor's name, practice name, mailing address, and telephone number.
  3. Physician groups that Catholic Health contracts with: These physician groups include anesthesiologists, radiologists, and pathologists. You will want to make sure that their services are covered under your plan.

Participating Health Plans - Mount St. Mary's Hospital

Some health plans use smaller networks for certain products they offer, so it is important to check with your health plan to see whether Mount St. Mary's Hospital participates in the specific plan you are covered by.

Participating Health Insurance Plans

Aetna/Magnacare
Amerigroup
Beechstreet
Blue Cross Blue Shield
Blue Cross Essential Plans
Cancer Services Program of Erie Co.
Cancer Services Program of Niagara Co.
ChampVA
Cigna
Fidelis
First Health (Coventry)
GHI (Emblem Health)
Hospice
Independent Health
Indian Health Services - Inpatient Only
Magnacare Exchange Plan
Martin's Point Tricare
Medicaid
Medicare
Meritain (North American Preferred)
Multiplan/PHCS
MVP Preferred Care
No Fault
TLC Staff Builders PT Services Only
Today's Options (American Progressive)
Tricare Champus
Tri-State Benefits (PACE)
Tuscarora Nation Health Center-OP Services Only
United Healthcare
United Mine Workers of America
Univera Healthcare
Wellcare
Workmen's Comp
Yourcare Inc.

Examples of specific products Mount St. Mary's Hospital is not participating with:

Aetna PPO and Medicare Plans
United Healthcare - Medicaid Plan (Except Alcohol and Substance Abuse Rehab)
Blue Choice/Excellus Monroe Plan
Empire Blue Cross Routine Lab Series Processed Through United Healthcare
TLC Staff Builders - Other
Center Plans for Healthy Living
Kalos
Independent Health Passport Advantage PPO (effective 1/1/18)

Participating Health Plans - Other Catholic Health Hospitals

The health plans below are accepted by Catholic Health and our employed physicians.

If you do not see your insurance plan, please contact us at (716) 601-3600 and our customer service team will be happy to check your insurance coverage. You may also contact your insurance provider or physician directly for additional information.

Effective 1/1/18:

Aetna

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedAll ProductsNone
Health Care Exchange/EssentialN/AN/A
Medicare All ProductsNone
MedicaidNoneAll Products

Amerigroup

Category of InsuranceIncluded ProductsExcluded Products
CommercialN/AN/A
Self-FundedN/AN/A
Health Care Exchange/EssentialN/AN/A
MedicareN/AN/A
MedicaidAll ProductsNone

Beech Street

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedAll ProductsNone
Health Care Exchange/EssentialN/AN/A
Medicare N/AN/A
MedicaidN/AN/A

Blue Cross Blue Shield (Health Now)

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedAll Products (member cost shares may vary by product)None
Health Care Exchange/EssentialAll ProductsNone
Medicare All ProductsNone
MedicaidN/AN/A

Cancer Services Program of Erie County

Category of InsuranceAccepted?
Erie CountyYes

Catholic Health LIFE Program

Category of InsuranceIncluded ProductsExcluded Products
CommercialN/AN/A
Self-FundedN/AN/A
Health Care Exchange/EssentialN/AN/A
Medicare All ProductsNone
MedicaidAll ProductsNone

Cigna

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedAll ProductsNone
Health Care Exchange/EssentialN/AN/A
Medicare All ProductsNone
MedicaidN/AN/A

Fidelis

Category of InsuranceIncluded ProductsExcluded Products
CommercialNoneNone
Self-FundedNoneNone
Health Care Exchange/EssentialAll ProductsNone
Medicare All ProductsNone
MedicaidAll ProductsNone

Fallon Health Weinberg

Category of InsuranceIncluded ProductsExcluded Products
CommercialN/AN/A
Self-FundedN/AN/A
Health Care Exchange/EssentialN/AN/A
Medicare NoneAll Products
MedicaidNoneN/A

GHI

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedN/ANone
Health Care Exchange/EssentialN/AN/A
Medicare All ProductsNone
MedicaidSee Excluded ProductAll Products

Hospice

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedAll ProductsNone
Health Care Exchange/EssentialAll ProductsNone
Medicare All ProductsNone
MedicaidAll ProductsNone

Independent Health Association (IHA)

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedAll ProductsNone
Health Care Exchange/EssentialAll ProductsNone
Medicare See Excluded ProductsIHA Passport Advantage PPO
MedicaidAll ProductsNone

Magnacare

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedN/AN/A
Health Care Exchange/EssentialAll ProductsNone
Medicare N/AN/A
MedicaidN/AN/A

Mailhandlers

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedN/AN/A
Health Care Exchange/EssentialN/AN/A
Medicare N/AN/A
MedicaidN/AN/A

Martin's Point

Category of InsuranceIncluded ProductsExcluded Products
CommercialN/AN/A
Self-FundedN/AN/A
Health Care Exchange/EssentialN/AN/A
Medicare All ProductsNone
MedicaidN/AN/A

Medicare & Medicaid

Category of InsuranceAccepted?
Traditional MedicareYes
Traditional MedicaidYes

Monroe Plan/Yourcare

Category of InsuranceIncluded ProductsExcluded Products
CommercialN/AN/A
Self-FundedN/AN/A
Health Care Exchange/EssentialAll ProductsNone
Medicare N/AN/A
MedicaidAll ProductsNone

Multiplan

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedN/AN/A
Health Care Exchange/EssentialN/AN/A
Medicare N/AN/A
MedicaidN/AN/A

MVP

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedN/AN/A
Health Care Exchange/EssentialNoneAll Products
Medicare All ProductsNone
MedicaidNone All Products

North American/Meritain

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedN/AN/A
Health Care Exchange/EssentialN/AN/A
Medicare N/AN/A
MedicaidN/AN/A

United Healthcare

Category of InsuranceIncluded ProductsExcluded Products
CommercialSee Excluded ProductsCompass and Oxford Plans
Self-FundedAll ProductsNone
Health Care Exchange/EssentialN/AEssentials Plans
Medicare Home Care onlyNon-Home Care services are not participating with Medicare or Dual Complete products; however, CH will accept if insurer provides out-of-network authorization.
MedicaidNoneAll Products

Univera

Category of InsuranceIncluded ProductsExcluded Products
CommercialAll ProductsNone
Self-FundedAll ProductsNone
Health Care Exchange/EssentialAll ProductsNone
Medicare All ProductsNone
MedicaidAll ProductsNone

VA Choice

Category of InsuranceAccepted?
VA ChoiceYes

WellCare

Category of InsuranceIncluded ProductsExcluded Products
CommercialN/AN/A
Self-FundedN/AN/A
Health Care Exchange/EssentialAll ProductsNone
Medicare All ProductsNone
MedicaidAll ProductsNone

 

Contracted Physician Groups

For Mount St. Mary's Hospital, download our list of contracted physician groups.

Anethesiologists

Site of ServicePhysician GroupWebsiteContact Information
Kenmore Mercy HospitalAnesthesia Consultant AssociatesNone(716) 874-1098
St. Joseph CampusParkside AnesthesiaNone(716) 836-7510
Sisters of Charity HospitalParkside AnesthesiaNone(716) 836-7510
Mercy Hospital of BuffaloAbbott AnesthesiaNone(716) 826-6628

Emergency Room

Site of ServicePhysician GroupWebsiteContact Information
Kenmore Mercy HospitalTeam Healthwww.teamhealth.com1-800-848-3721
St. Joseph CampusTeam Healthwww.teamhealth.com1-800-848-3721
Sisters of Charity HospitalTeam Healthwww.teamhealth.com1-800-848-3721
Mercy Hospital of BuffaloTeam Healthwww.teamhealth.com1-800-848-3721

Hospitalist Services

Site of ServicePhysician GroupWebsiteContact Information
Kenmore Mercy HospitalBuffalo Niagara Hospitalist GroupNoneCraig Fetterman, MD; David Serra MD; (716) 447-6931
Dr. Zulkharnain, Dr. AdhamNoneDr. Zulkharnain (716) 472-4567
Dr. Adham (716) 263-8240
St. Joseph CampusBuffalo Medical GroupNone(716) 630-1100
Sisters of Charity HospitalBuffalo Medical GroupNone(716) 630-1100
Mercy Hospital of BuffaloBuffalo Medical GroupNone(716) 630-1100
Sound PhysiciansNone 

Neonatologists

Site of ServicePhysician GroupWebsiteContact Information
Kenmore Mercy HospitalN/A  
St. Joseph CampusN/A  
Sisters of Charity HospitalBuffalo Neonatology AssociatesNoneKamal Singhal, MD (716) 310-8926
Mercy Hospital of BuffaloMercy LaboristsNoneDept. of OB/GYN at Mercy, L. Gugino, Chair (716) 828-2568
Buffalo Neonatology AssociatesNoneKamal Singhal, MD (716) 310-8926

Pathologists

Site of ServicePhysician GroupWebsiteContact Information
Kenmore Mercy Hospital Eastern Great Lakes Pathology, PCNone(716) 692-2160
St. Joseph CampusEastern Great Lakes Pathology, PCNone(716) 692-2160
Sisters of Charity Hospital Eastern Great Lakes Pathology, PCNone(716) 692-2160
Mercy Hospital of BuffaloEastern Great Lakes Pathology, PCNone(716) 692-2160

Radiologists

Site of ServicePhysician GroupWebsiteContact Information
Kenmore Mercy Hospital 

Southtowns Radiology Associates

www.southtownsradiology.com(716) 649-9000
Sadashiv Shenoy, MD LLCNone(716) 447-6177
St. Joseph CampusSouthtowns Radiology Associateswww.southtownsradiology.com(716) 649-9000
Sadashiv Shenoy, MD LLCNone(716) 447-6177
Sisters of Charity Hospital Southtowns Radiology Associateswww.southtownsradiology.com(716) 649-9000
Mercy Hospital of BuffaloSouthtowns Radiology Associateswww.southtownsradiology.com(716) 649-9000