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St. Margaret’s Hospital & Employed Physician Managed Care Affiliations

Looking to see if we are in your insurance network?

Check out our list of Managed Care Affiliations

If the NETWORK identified on your insurance card is NOT listed, we do not have a participation agreement with that insurer.

Be advised that SMH does not participate with every product line within any given insurer. As a rule of thumb, we limit our participation to PPO product lines. Be aware that when you elect to utilize the services of a nonparticipating provider (including hospital-based physicians) for anything other than emergency services or service approved by the insurer in advance, the basis of your benefit payment will be determined according to your insurance policy’s “out-of network” fee schedule and you will be responsible for the balance.

Also, you are STRONGLY encouraged to verify that pre-authorization from your insurance company has been obtained on your behalf prior to you receiving services here at SMH.

This can be done by calling the number on the back of your insurance card or by checking with the ordering physician.