Does MagnaCare cover out of network providers?

See or call 1-800- 548-0138 for a list of in-network doctors and other providers. If you use an in-network doctor or other health care provider, this plan will pay some or all of the costs of covered services. Be aware your network provider might use an out-of-network provider for some services.

What is Aetna MagnaCare?

MagnaCare is a third-party administrator (TPA) for self-insured clients, helping them manage their health plans. We are not an insurance company. For some clients, we also arrange payments. Since our health plan designs are customized for each client, they decide which services to cover, and how much to cover.

Is MagnaCare an HMO or PPO?

MagnaCare’s extensive PPO network in New York, New Jersey, and Connecticut includes more than 200 hospitals and 220,000 healthcare provider locations.

Is MagnaCare a PPO?

MagnaCare’s Certified PPO program focuses on building a strong relationship between the employer, injured worker, and providers to achieve better overall outcomes.

Does Mount Sinai accept MagnaCare?

Through the partnership, MagnaCare will guide its clients’ eligible members to preferred Mount Sinai facilities and providers for total joint replacement procedures.

Does MagnaCare cover prescriptions?

At MagnaCare Rx we provide comprehensive prescription benefit services. In doing this, we may require personal health and/or prescription drug information.

What are providers?

Provider is a term used for health professionals who provide health care services. Often, however, the term also refers to other health care professionals such as hospitals, nurse practitioners, chiropractors, physical therapists, and others offering specialized health care services. …

How do I claim MagnaCare insurance?

For more information, call Provider Services at 800-352-6465. If a proper submission is made, MagnaCare will reach a decision on a post-service claim in 60 days, and 15 days for a pre-service claim. There are situations when additional documents are required to reach a decision.

Who owns MagnaCare?

Brighton Health Plan Solutions
For 30 years, MagnaCare, a division of Brighton Health Plan Solutions, has helped organizations in New York, New Jersey, and Connecticut take control of their healthcare costs and give their members access to high value care.

What type of plan is MagnaCare?

As a health plan services provider and TPA, MagnaCare offers the personal touch. Choose from robust nationwide PPO and casualty networks. Benefit from competitive discounts, flexible plan design including tiered benefits, and responsiveness to your needs.

Is MagnaCare in Florida?

Florida MagnaCare Family Doctors by City.

What specialty pharmacy does MagnaCare use?

Walgreens Specialty Pharmacy
You can contact Walgreens Specialty Pharmacy by visiting or by calling 888.347. 3416.

How to contact a provider in the Magnacare network?

If you need clarification on a patient’s coverage, contact Provider Services at 800.352.6465. Joining the MagnaCare network is as easy as 1, 2, 3 Know a great provider? Nominate a colleague (or even yourself) for participation in the MagnaCare provider network.

How does alicare work with the provider portal?

Amalgamated Life and Alicare value the role of our provider professionals and to make your participation in our networks as seamless and efficient as possible we have designed our new provider portal. Through the provider portal you have instant access to claims and eligibility information.

How can I find out more about alicare?

For more information visit or call 914-367-5000. For information regarding AliCare’s services, please call John Thornton at 914-367-5511.

How to contact alicare self insured benefits agency?

With all our products, we emphasize timely turnaround and the highest quality outcomes through a highly trained staff – which translates into efficient management of self-insured employee benefits plans and cost savings to our clients. For more information visit or call 914-367-5000.