Tyoga CareNet is a non-profit, provider sponsored and owned organization that provides managed care solutions to health plans and employers on behalf of providers of healthcare services based in north-central Pennsylvania. This site contains information typically requested by consumers, healthcare providers, health plans, and agents. For any needs not addressed here, please contact our office for more assistance.

Tyoga CareNet Becomes a Licensed PPO

As of December, 2005 Tyoga CareNet (TCN) has been approved as a licensed Preferred Provider Organization (PPO) in the state of Pennsylvania. As a licensed PPO we are expanding our service area by becoming a partner in the statewide network known as Pennsylvania’s Preferred Health Networks (PPHN).

PPHN is a Partnership of nine geographically based networks throughout the state. Network Partners cover the state excluding only Pittsburgh, Philadelphia, and a small part of the state to our East. Like TCN, each of the nine partner networks were originally formed by healthcare providers. This partnership will increase TCN’s provider base to include more than 11,500 physicians and 94 hospitals statewide. As a larger group, each partner gains market area, economies of scale, and stronger influence with vendors and payors. TCN still remains locally owned and operated.

In addition, we will also align our network with another partner, Preferred Health Care (PHC), allowing us access to additional capabilities and expertise. PHC is located in Lancaster, PA and has particular expertise with fully-insured health plans. One of the core goals of the local TCN operation has been to increase the number of health plan options available in this area – providing choice and competition. PHC will bring to our market well established relationships with fully-insured health plans such as Assurant (Fortis), Central Reserve Life, Principal, John Alden and American Medical Security. Combined with PPHN’s expanded providers and competitive reimbursement rates, these relationships will make our market more attractive to new fully-insured health plans and self-funded employers.

To find out more about these relationships, or if you have any questions at all, please contact our offices at 570-723-0560.

Changes to Provider Status

Hershey Medical Center & Mt. Nittany Medical Center

Effective July 1, 2006, the Hershey Medical Center and Mt. Nittany Medical Center will be in-network providers under the PPHN Network for Ward Manufacturing and for Laurel Health System. The Laurel Health System Health Plan requires a referral for Tioga County residents. If you have any questions regarding this change or need help searching for providers, please call Tyoga CareNet at (570) 723-0560.

Bariatric/Gastric Bypass Surgery

If you are considering pursuing bariatric/gastric bypass surgery you should verify that the provider is currently still in-network for your plan. Do not rely on peers and friends who have had the surgery in the past because there have been some changes in the status of some providers. If you would like to verify provider status or need to find an in-network provider, call Tyoga CareNet at 570.723.0560 or go to www.tyogacarenet.com, choose “Provider Directory”, and search for in-network providers.

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