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Insurance: The Gateway or Roadblock to Care

 

Read the report online!

Supplements to the Report

 

Our Insuring Healthy Births Report has arrived!

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!

 

You can view a slideshow of our rally on May 4th in the Captol Rotunda, featuring women's stories and Insurance Commisioner Joel Ario. 

 

MCC reports regularly on which Medicaid plans are accepted at local hospitals in Bucks, Chester, Delaware, Montgomery, and Phialdelphia Counties as well as in Birth Centers

Rally for Reform in Honor of Mothers!

View the slideshow below of the rally on May 4th in the Harrisburg Capitol Rotunda presenting MCC's latest report: Insuring Healthy Births

If slideshow does not appear, right click on pop-up banner at top of webpage, below your broswer, and choose "Run ActiveX Control."

 

 

 

Medicaid Health 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 decided to investigate what insurance options women have and propose recommendations to ensure that all women are able to access insurance for maternity care. 

The Department of Public Welfare gives funds to three Managed Care Organizations (MCOs) to serve Medicaid eligible families.  These MCOs are: HealthPartners (HP), Keystone Mercy (KM) , and AmeriChoice (AC). Below is a chart that shows which MA plans are accepted at local hospitals.  Generally, women 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. 

Bucks County

HOSPITAL

HMO ACCEPTED

2007
2008
Doylestown Hospital
HP, KM
KM, AC*
Grand View Hospital
HP, KM
KM*
Lower Bucks Hospital
HP, KM
HP, KM, AC*
St. Mary Medical Center
HP, KM, AC
HP, KM, AC

Table Key: HealthPartners (HP), Keystone Mercy (KM), AmeriChoice (AC)

* Denotes a change in which a hospital began or stopped accepting a plan  

Chester County

HOSPITAL
HMO ACCEPTED
2007
2008
Brandywine Hospital HP, KM, AC HP, KM, AC
Chester County Hospital HP, KM KM, AC*
Jennersville Regional Hospital HP, KM HP, KM
Paoli Hospital  KM KM
Phoenixville Hospital KM KM

Table Key: HealthPartners (HP), Keystone Mercy (KM), AmeriChoice (AC)

* Denotes a change in which a hospital began or stopped accepting a plan    

Delaware County

HOSPITAL
HMO ACCEPTED
2007
2008
Crozer-Chester Medical Center KM HP, KM*
Delaware County Memorial Hospital KM HP, KM*
Riddle Memorial Hospital KM KM

Table Key: HealthPartners (HP), Keystone Mercy (KM), AmeriChoice (AC)

* Denotes a change in which a hospital began or stopped accepting a plan

Montgomery County

HOSPITAL
HMO ACCEPTED
2007
2008
Abington Memorial Hospital HP, KM HP, KM
Bryn Mawr Hospital KM KM
Central Montgomery Medical Center HP, KM, AC HP, KM, AC
Holy Redeemer Health System  HP HP
Lankenau Hospital KM KM
Mercy Suburban Hospital      HP, KM, AC HP, KM, AC
Montgomery Hospital Medical Center HP, KM, AC HP, KM, AC
Pottstown Memorial Medical Center HP, KM, AC HP, AC*

Table Key: HealthPartners (HP), Keystone Mercy (KM), AmeriChoice (AC)

* Denotes a change in which a hospital began or stopped accepting a plan

Philadelphia County           

HOSPITAL
HMO ACCEPTED
2007
2008
Albert Einstein Medical Center HP, KM HP, KM
Chestnut Hill HealthCare HP, KM, AC CLOSED
Hahnemann University Hospital HP, KM, AC HP, KM, AC

Hospital of the University of PA

HP, KM, AC HP, KM, AC
Pennsylvania Hospital      HP, KM, AC HP, KM*
Temple East-Northeastern Hospital HP, KM, AC CLOSED
Temple University Hospital   HP, KM, AC HP, KM, AC

Thomas Jefferson University Hospital

KM KM

Table Key: HealthPartners (HP), Keystone Mercy (KM), AmeriChoice (AC)

* Denotes a change in which a hospital began or stopped accepting a plan

Birth Centers     

HOSPITAL
HMO ACCEPTED
2007
2008

Bryn Mawr Birth Center

KM KM
Valley Birthplace & Woman Care KM KM

Table Key: HealthPartners (HP), Keystone Mercy (KM), AmeriChoice (AC)

                                         

MCC'S Childbirth at a Crossroads report offers recommendations on reversing this trend. 

 

Please visit our Childbirth Crisis News page to read recent articles or check out our Advocacy Hot Flashes!

 

 

 

Last Updated June 2009

 


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