Does gateway offer Medicare or Medicaid plans?
Gateway Health offers HMO plans with a Medicare Contract. Some Gateway Health plans have a contract with Medicaid in the states where they are offered. Enrollment in these plans depends on contract renewal. This information is not a complete description of benefits. Contact the plan for more information.
What are the different types of gateway health plans?
If you’re eligible for both Medicaid and Medicare, we offer two types of complete plans - the Ruby Plan and the Diamond Plan. As a Gateway Health plan member, you’ll get access to our team of helpful problem solvers, and all kinds of different benefits and programs to help make your life better. Here are some our most popular benefits:
What benefits do gateway health plan members get?
As a Gateway Health plan member, you’ll get access to our team of helpful problem solvers, and all kinds of different benefits and programs to help make your life better. Here are some our most popular benefits: Dental for preventive and comprehensive services Vision that covers your exam and eyewear needs
How do I access plan listings for other Penn Medicine hospitals?
You can access plan listings for other Penn Medicine hospitals at the following: Please contact the member services department of your insurance company for specific details before receiving services, as our hospitals may participate in some, but not all, products offered by a health plan.
Additional Information
The Pennsylvania Health Insurance Marketplace (Pennie) provides a listing of available plans in Lancaster, Lebanon, York and Chester Counties. Click here for the 2022 listings, including the participation status of Lancaster General facilities. 2023 plans will be available in Fall 2022.
Additional Resources
Health Insurance Exchange certified navigators are available to help you select the best coverage:
Plans
NOTE: Contracts marked with an asterisk (*) are for Transplant services in our Philadelphia locations. Please call 800-789-7366 (PENN) for more information.
Medicare Advantage
NOTE: United Healthcare NJ residents will need to activate their Passport, if available, to see a PA provider. Dual eligible members are individuals who are entitled to Medicare Part A and/or Part B and are eligible for some form of Medicaid benefit.
When does Humana change?
Enrollment in any Humana plan depends on contract renewal. [Benefits, premiums and/or member cost-share] may change on January 1 of each year. The [Formulary, pharmacy network, and/or provider network] may change at any time. You will receive notice when necessary.
Does Humana cover out-of-network doctors?
Some of Humana’s Medicare Advantage plans require you to get most or all of your care from contracted Humana providers, unless you get medically necessary emergency treatment, which is generally covered even when provided by out-of-network doctors and hospitals.
Does Humana accept Medicare?
Humana’s network providers agree to accept the copayment or coinsurance amount specified in your Humana plan as payment in full for your share of your health-care expenses for Medicare covered services. Some of Humana’s Medicare Advantage plans require you to get most or all of your care from contracted Humana providers, ...
