Managed Care Contracts


Oswego Hospital maintains managed care contracts with numerous insurance companies and managed care companies. Typically, these contracts require pre-authorization and pre-certification and also give the insurance company the right to determine what is medically necessary for payment purposes.

It is the insurance company's responsibility to inform its insured members of any special terms under its health insurance policy. Oswego Hospital does its best to alert our patients of any circumstances that could affect their health benefits, but we cannot assume total responsibility. It is possible that you, the patient, may be responsible for a portion of your hospital bill simply because the requirements of your insurance policy are not met. These amounts can be substantial. Please contact your insurance company if you have any questions with respect to this matter or contact one of our patient account representatives. They can help determine what your insurance will cover and if you are eligible for financial assistance while you recover. A patient account representative may be reached by calling (315) 349-5533 Don't wait until you are notified that your insurance won't pay before you address this issue.

Once you no longer need acute hospital care, your health insurance may limit what it will pay for. Some insurance carriers will not cover your entire hospitalization, which may be before you are fully recovered. In that case, you will be responsible for payment of continued hospitalization and/or for nursing home placement. You may also be responsible for home care services that your insurance carrier does not cover. Some employers offer a choice of physician and hospital providers.

Listed below are firms that have contracts with the Oswego Hospital.
  • Aetna/US Healthcare
  • America's Health Plan
  • Beech Street
  • Blue Cross Blue Shield Empire Plan
  • Blue Cross Blue Shield - Excellus (Syracuse, Rochester, Utica)
  • CHCS
  • Clear Care Corporation
  • Comprehensive Rehabilitative Associates
  • CorpHealth
  • Corporate Care Management
  • Corporate Health Systems
  • CorVel
  • Direct Care America
  • Fidelis
  • First Health
  • Greenspring
  • Group Health Incorporated(aka GHI)<
  • Group Health Incorp Behavioral Health Management
  • Guardian Choice
  • Health Best
  • Healthnow
  • Healthsource
  • Integra
  • International Paper
  • Magnacare
  • Managed Physical Network
  • Merit Behavioral Health
  • MultiPlan
  • MVP
  • North American Health Plan
  • Options Health Plan
  • Pacificare
  • Preferred Behavioral Network thru PMHM
  • Preferred Mental Health Mgt
  • Private HealthCare
  • Progressive
  • Statewide PPO
  • The National Health Plan (TNCN)
  • Therapy Management
  • Total Care
  • TruCare
  • United Behavioral Health
  • United Healthcare
  • Upstate Administrative Services
  • USA Managed Care
  • Value Behavioral Health
  • Value Options