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Insurance: The Gateway or Roadblock to Care

This page offers information regarding insurance coverage for maternity care in Southeastern Pennsylvania. Here we list which Medicaid plans are accepted at hospitals in Bucks, Chester, Delaware, Montgomery, and Philadelphia counties as well as two local birth centers. This page also contains MCC's 2009 research report Insuring Healthy Births describing the difficulties women face in obtaining insurance for maternity services in Pennsylvania. For information on prenatal care access click here.

Medicaid Insurance Accepted by Regional Maternity Unit

The Department of Public Welfare funds five Managed Care Organizations (MCOs) to serve Medicaid eligible families. These MCOs are: HealthPartners (HP), Keystone Mercy (KM), United Health Care Community (UH) (previously AmeriChoice) and in 2010 DPW signed contracts with two new Medicaid plans, Aetna Better Health (AE) and CoventryCares (CC). Below are tables showing which MA plans are accepted at local hospitals in Bucks, Chester, Delaware, Montgomery, and Philadelphia counties as well as local birth centers. Generally, women make prenatal visits and give birth at a facility that has a contract with their healthcare plan. In emergency situations no one is turned away because of their insurance plan, or lack of insurance.

Hospitals are not required to accept all insurance plans so pregnant women may have to change providers or their insurance plans. Adding to the confusion, individual doctors within a hospital may not accept the same plans as the hospital. We investigate what options women have based on their insurance.

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Bucks County

HOSPITAL	MCO ACCEPTED
HOSPITAL	2007	2008	2010	2011
Doylestown Hospital	HP, KM	KM, UH	KM	KM
Grand View Hospital	HP, KM	KM	KM	KM, UH
Lower Bucks Hospital	HP, KM	HP, KM, UH	HP, KM, UH, AE	HP, KM, UH, AE, CC
St. Mary Medical Center	HP, KM, UH	HP, KM, UH	HP, KM, UH, AE, CC	KM, UH, AE, CC

Table Key: HealthPartners (HP), Keystone Mercy (KM), United Health Care Community (UH) (previously AmeriChoice), Aetna Better Health (AE), Coventry Cares (CC)

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Chester County

HOSPITAL	MCO ACCEPTED
HOSPITAL	2007	2008	2010	2011
Brandywine Hospital	HP, KM, UH	HP, KM, UH	HP, KM, UH	CLOSED*
Chester County Hospital	HP, KM	KM, UH	UH, AE	UH, AE, CC
Jennersville Regional Hospital	HP, KM	HP, KM	HP, KM	HP, KM, UH, AE, CC
Paoli Hospital	KM	KM	KM, AE, CC	KM, AE, CC
Phoenixville Hospital	KM	KM	KM	HP, KM, UH, AE, CC

Table Key: HealthPartners (HP), Keystone Mercy (KM), United Health Care Community (UH) (previously AmeriChoice), Aetna Better Health (AE), Coventry Cares (CC)

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Delaware County

HOSPITAL	MCO ACCEPTED
HOSPITAL	2007	2008	2010	2011
Crozer-Chester Medical Center	KM	HP, KM	KM	HP, KM, UH, AE, CC
Delaware County Memorial Hospital	KM	HP, KM	KM, CC	KM
Riddle Memorial Hospital	KM	KM	KM, AE, CC	KM, AE, CC

Table Key: HealthPartners (HP), Keystone Mercy (KM), United Health Care Community (UH) (previously AmeriChoice), Aetna Better Health (AE), Coventry Cares (CC)

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Montgomery County

HOSPITAL	MCO ACCEPTED
HOSPITAL	2007	2008	2010	2011
Abington Memorial Hospital	HP, KM	HP, KM	HP, KM, AE	HP, KM, AE
Bryn Mawr Hospital	KM	KM	KM, AE, CC	KM, AE, CC
Lansdale Hospital (Previously Central Montgomery Medical Center)	HP, KM, UH	HP, KM, UH	CLOSED*	CLOSED*
Holy Redeemer Health System	HP	HP	HP	HP
Lankenau Hospital	KM	KM	KM, AE, CC	KM, AE, CC
Mercy Suburban Hospital	HP, KM, UH	HP, KM, UH	CLOSED*
Montgomery Hospital Medical Center	HP, KM, UH	HP, KM, AC	HP, KM, UH, AE	HP, KM, UH, AE, CC
Pottstown Memorial Medical Center	HP, KM, UH	HP, UH	HP, KM, UH	HP, KM, UH

Table Key: HealthPartners (HP), Keystone Mercy (KM), United Health Care Community (UH) (previously AmeriChoice), Aetna Better Health (AE), Coventry Cares (CC)

*Maternity unit is closed, hospital is still open.

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Philadelphia County

HOSPITAL	MCO ACCEPTED
HOSPITAL	2007	2008	2010	2011
Albert Einstein Medical Center	HP, KM	HP, KM	HP, KM, UH, AE, CC	HP, KM, UH, AE, CC
Chestnut Hill HealthCare	HP, KM, UH	CLOSED*	CLOSED*	CLOSED*
Hahnemann University Hospital	HP, KM, UH	HP, KM, UH	HP, KM, UH	HP, KM, UH, AE, CC
Hospital of the University of PA	HP, KM, UH	HP, KM, UH	HP, KM, UH, AE	HP, KM, UH, AE,
Pennsylvania Hospital	HP, KM, UH	HP, KM	HP, KM, UH, AE	HP, KM, UH, AE,
Temple East-Northeastern Hospital	HP, KM, UH	CLOSED*	CLOSED*	CLOSED*
Temple University Hospital	HP, KM, UH	HP, KM, UH	HP, KM, UH	HP, UH, AE, CC
Thomas Jefferson University Hospital	KM	KM	KM, AE, CC	KM, AE, CC

Table Key: HealthPartners (HP), Keystone Mercy (KM), United Health Care Community (UH) (previously AmeriChoice (AC)), Aetna Better Health (AE), Coventry Cares (CC)

*Maternity unit is closed, hospital is still open.

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Birth Centers

HOSPITAL	MCO ACCEPTED
HOSPITAL	2007	2008	2010	2011
Bryn Mawr Birth Center	KM	KM	KM	KM
Valley Birthplace & Woman Care	KM	KM	KM, UH	KM

Table Key: HealthPartners (HP), Keystone Mercy (KM), United Health Care Community (UH) (previously AmeriChoice), Aetna Better Health (AE), Coventry Cares (CC)

Our Insuring Healthy Births Report Arrived Mother's Day 2009!

Read the report online!

Insuring Healthy Births reviews the healthcare services childbearing women need and the kinds of health insurance currently available in our state. The changes offered in this report will increase access to safe, quality maternity services in all of PA- there's no better gift for moms!

Supplemental information:

Check out our Mother's Day rally!

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Please visit our Childbirth Crisis News page to read recent articles or Take Action on important issues!

Last Updated July 2011