AmeriHealth Caritas
AmeriHealth Caritas is a national managed healthcare organization headquartered in Newtown Square, Pennsylvania. The company specializes in healthcare solutions for people with low incomes, individuals with chronic health conditions, Medicare and Medicaid beneficiaries, children, families, and other underserved populations. Its businesses include Medicaid managed care, Medicare plans, dual-eligible programs, Children’s Health Insurance Program services, Health Insurance Marketplace plans, behavioral healthcare, long-term services and supports, pharmacy benefit management, specialty pharmacy, and whole-person care programs.
The organization traces its roots to 1983, when its predecessor began serving patients through a West Philadelphia hospital. Over more than four decades, AmeriHealth Caritas has expanded into one of the largest Medicaid managed care organizations in the United States. It currently serves millions of members across 13 states and the District of Columbia through multiple regional health plans and specialty businesses.
AmeriHealth Caritas is jointly owned by Independence Health Group and Blue Cross Blue Shield of Michigan. In October 2025, the company appointed Gregg MacDonald as interim president, following Kelly Munson’s move into an expanded leadership position at Independence Health Group. The organization continues to operate around its long-standing mission to help people get care, stay well, and build healthy communities.
215-937-8000
This is AmeriHealth Caritas’ current main corporate telephone number.
AmeriHealth Caritas does not use one universal Member Services number across all health plans.
Members should call the number associated with their specific AmeriHealth Caritas plan.
For example:
AmeriHealth Caritas Pennsylvania: 1-888-991-7200
Keystone First: 1-800-521-6860
AmeriHealth Caritas North Carolina: 1-855-375-8811
AmeriHealth Caritas Louisiana: 1-888-756-0004.
AmeriHealth Caritas Corporate Office
3875 West Chester Pike
Newtown Square, PA 19073
United States
AmeriHealth Caritas
3875 West Chester Pike
Newtown Square, PA 19073
United States
The company’s current corporate Contact Us and careers pages both identify this as its Corporate Office.
AmeriHealth Caritas also uses:
200 Stevens Drive
Philadelphia, PA 19113
for privacy, member-service, legal, and certain operating functions. This should not be confused with the primary Corporate Office in Newtown Square.
AmeriHealth Caritas does not prominently publish one universal unsecured general Member Services email for all health plans.
Members should use their plan’s secure contact method or plan-specific support channel.
Managed Healthcare, Medicaid, Medicare, Health Insurance, Behavioral Health, Long-Term Services and Supports, Pharmacy Benefit Management and Community Health
1983.
Gregg MacDonald
Current role:
Interim President
Effective:
October 1, 2025.
AmeriHealth Caritas is jointly owned by:
Independence Health Group
and:
Blue Cross Blue Shield of Michigan.
AmeriHealth Caritas currently serves:
Millions of members
across its Medicaid, Medicare, CHIP, Marketplace, LTSS, behavioral-health, and specialty programs.
13 states plus the District of Columbia.
AmeriHealth Caritas does not prominently publish standard public walk-in hours for its Newtown Square Corporate Office.
Members should contact their specific health plan before visiting.
https://www.amerihealthcaritas.com/
https://careers.amerihealthcaritas.com/us/en
AmeriHealth Caritas recruits across behavioral health, compliance, finance, actuarial services, technology, long-term services and supports, medical management, quality, pharmacy, operations, provider networks, and corporate professional services.
Not applicable in the traditional public-company sense.AmeriHealth Caritas is privately owned by Independence Health Group and Blue Cross Blue Shield of Michigan.
AmeriHealth Caritas provides integrated healthcare solutions designed especially for Medicaid beneficiaries, Medicare members, dual-eligible populations, children, families, individuals with disabilities, people requiring long-term support, and other underserved communities. Its whole-person model combines medical care with behavioral health, pharmacy services, care management, social-support programs, community outreach, and programs addressing social determinants of health.
AmeriHealth Caritas is one of the largest Medicaid managed care organizations in the United States and has specialized in serving low-income and chronically ill populations since 1983. Its Medicaid plans coordinate primary care, specialist services, hospital care, preventive services, prescriptions, behavioral healthcare, and community-based support while also addressing social factors such as food, housing, transportation, and employment that can affect health outcomes.
AmeriHealth Caritas provides Medicare-related healthcare products for eligible older adults and other Medicare beneficiaries. These plans can include preventive services, medical care, prescription-drug coverage, care coordination, and additional benefits depending on the specific market and plan design.
AmeriHealth Caritas operates plans for people who qualify for both Medicare and Medicaid. These dual-eligible programs are designed to coordinate benefits across both government healthcare programs while offering supplemental benefits, preventive services, and personalized care management.
AmeriHealth Caritas participates in Children’s Health Insurance Program coverage in selected markets, helping eligible children and families obtain medical, preventive, prescription, behavioral, and related healthcare services. In Pennsylvania, Keystone First CHIP is one example of a current AmeriHealth Caritas-affiliated CHIP offering.
AmeriHealth Caritas Next provides individual and family health insurance products through the Health Insurance Marketplace in selected states. Current operations include plans in states such as Delaware, Florida, Indiana, Louisiana, North Carolina, Ohio, and South Carolina depending on the plan year and market.
AmeriHealth Caritas manages long-term services and supports for individuals who need assistance with daily living, disability-related services, community-based care, home-based support, or nursing-facility care. Pennsylvania Community HealthChoices and Keystone First Community HealthChoices are examples of current LTSS-oriented managed-care programs.
AmeriHealth Caritas provides behavioral-health managed-care services through businesses including PerformCare. Services can involve mental-health treatment, substance-use services, care coordination, crisis support, children’s behavioral-health programs, provider networks, and community-based behavioral-health resources.
PerformCare is AmeriHealth Caritas’ behavioral-health managed-care business. It operates programs in Pennsylvania and New Jersey, including New Jersey’s Children’s System of Care and HealthChoices behavioral-health services in selected Pennsylvania counties.
AmeriHealth Caritas provides pharmacy-benefit management through PerformRx, which administers medication benefits, pharmacy networks, formulary programs, utilization management, and other prescription-related services for health plans and members.
The AmeriHealth Caritas organization also provides specialty pharmacy capabilities designed for members requiring high-cost, complex, or specialty medications. These services complement its broader pharmacy-benefit management and clinical-care operations.
Care coordination helps members navigate physicians, hospitals, specialists, prescription benefits, behavioral-health services, community resources, and other healthcare needs. AmeriHealth Caritas emphasizes an integrated person-centered approach designed to improve outcomes while reducing avoidable emergency-room visits and hospital admissions.
Members with chronic diseases or complex medical needs may receive additional care-management assistance. Programs can help members understand treatment plans, connect with healthcare providers, manage medications, obtain preventive care, and access community resources relevant to their condition.
AmeriHealth Caritas provides disease-specific interventions and programs for members living with chronic medical conditions. The company reports that its integrated management approach is designed to improve health outcomes and reduce potentially preventable healthcare events.
AmeriHealth Caritas emphasizes preventive services such as health screenings, immunizations, wellness visits, maternal care, chronic-disease monitoring, and early intervention. Preventive healthcare is a core component of its Medicaid and Medicare care-management strategies.
Selected AmeriHealth Caritas plans offer maternity programs designed to support pregnant members before, during, and after pregnancy. Services can include outreach, care coordination, educational support, prenatal-care assistance, and connections to healthcare and community resources.
Bright Start is a maternity-focused program offered through selected AmeriHealth Caritas plans. It can provide outreach, pregnancy education, clinical-care coordination, social-resource assistance, and support designed to improve maternal and infant health outcomes.
AmeriHealth Caritas incorporates nonmedical factors into its whole-person healthcare model. Programs may help members address housing, food insecurity, employment, transportation, education, and other conditions that directly influence health and the ability to obtain medical care.
The company works with healthcare providers, community organizations, advocates, and civic leaders to develop health programs for underserved populations. Outreach initiatives can include wellness education, job training, community events, health screenings, and connections to social resources.
AmeriHealth Caritas develops and manages networks of physicians, hospitals, pharmacies, behavioral-health professionals, specialists, home-care providers, and other healthcare organizations. Provider Network Management teams support contracting, credentialing, reimbursement, quality improvement, and provider relations.
AmeriHealth Caritas uses provider programs designed to reward timely, efficient, equitable, and high-quality healthcare. These initiatives can tie incentives to health outcomes, quality performance, preventive care, and reductions in total cost of care.
Every AmeriHealth Caritas plan provides a Member Services operation to help members understand benefits, locate providers, replace ID cards, understand claims, access transportation or interpretation assistance where available, and resolve healthcare-plan questions. Phone numbers differ by plan and state.
Provider Services assists participating healthcare professionals with claims, eligibility, benefits, authorizations, network questions, credentialing, and other plan-related matters. AmeriHealth Caritas publishes dedicated Provider Services numbers for each regional health plan.
AmeriHealth Caritas’ community-focused care approach emphasizes equitable healthcare access and improved outcomes for historically underserved populations. This work is integrated into Medicaid programs, community outreach, provider partnerships, and quality initiatives.
AmeriHealth Caritas uses a whole-person care model that considers physical health, behavioral health, pharmacy needs, socioeconomic conditions, and community circumstances together rather than treating each need separately. The company describes this integrated approach as a central part of its national healthcare strategy.
AmeriHealth Caritas has a central corporate telephone number, but Member Services and Provider Services are decentralized by state and health plan.
215-937-8000.
215-937-8000
215-937-8000
215-937-8000
1-888-991-7200.
1-800-521-6007.
1-855-235-5115
1-800-521-6007.
Member Services: 1-866-533-5490
Provider Services: 1-800-521-6007.
1-800-521-6860
1-800-521-6007.
Participant Services: 1-855-332-0729
Provider Services: 1-800-521-6007.
Member Services: 1-800-450-1166
Provider Services: 1-800-521-6007.
Enrollee Services: 1-844-472-2447
Provider Services: 1-800-521-6007.
1-833-590-3300
1-833-301-3377.
1-888-756-0004
1-877-588-2248.
1-855-375-8811
1-888-738-0004.
1-833-764-7700
1-833-644-6001.
1-833-704-1177
1-888-599-1479.
1-800-228-8554
1-888-312-5713.
1-888-276-2020
1-800-741-6605.
202-408-4720
or:
1-800-408-7511.
202-408-2237
or:
1-888-656-2383.
1-877-652-7624
TTY:
1-866-896-6975.
Capital area:
1-888-722-8646
1-717-671-6541.
1-888-700-7370.
1-888-722-8646.
800-575-0417
AmeriHealth Caritas publishes this toll-free Compliance Hotline for confidential compliance, ethics, and privacy concerns.
215-937-8000
AmeriHealth Caritas
200 Stevens Drive
Philadelphia, PA 19113
Attn: Privacy Office.
AmeriHealth Caritas does not use one universal corporate toll-free Member Services number.
Toll-free support varies by health plan.
There is no single nationwide billing number because claims, premiums, member billing, and provider payments are administered by specific AmeriHealth Caritas plans.
AmeriHealth Caritas does not operate a conventional retail sales department.State partners and healthcare organizations interested in managed-care solutions should use the corporate business contact process.
Regional contacts vary by health plan and market.
Not applicable in the conventional public-company sense.
AmeriHealth Caritas does not prominently publish one permanent universal media phone number on its primary corporate contact page.
No universal public HR telephone number is prominently listed.
Careers:
https://careers.amerihealthcaritas.com/us/en
AmeriHealth Caritas does not replace emergency medical services.
For a life-threatening medical emergency, members should call:
911
The best way to reach a live representative is to call the Member Services number printed on your AmeriHealth Caritas insurance card. Because AmeriHealth Caritas operates multiple health plans in different states, there is no single nationwide Member Services line. Pennsylvania Medicaid members can call 1-888-991-7200, Keystone First members can call 1-800-521-6860, North Carolina members can call 1-855-375-8811, and Louisiana members can call 1-888-756-0004.
For corporate matters rather than individual plan benefits, call 215-937-8000. Providers should use the Provider Services number associated with the member’s health plan. Before calling, have the member ID, plan name, date of service, provider information, claim or authorization number, and any previous case reference available so the representative can locate the issue more efficiently.
AmeriHealth Caritas’ current corporate headquarters is:
AmeriHealth Caritas Corporate Office
3875 West Chester Pike
Newtown Square, PA 19073
United States
Corporate Phone: 215-937-8000.
3875 West Chester Pike
Newtown Square, PA 19073
United States
Current AmeriHealth Caritas Contact Us and careers materials identify this location as the organization’s Corporate Office.
AmeriHealth Caritas also maintains operations at:
200 Stevens Drive
Philadelphia, PA 19113
The address appears in current privacy and Terms of Use materials and is used for certain Member Services, privacy, legal, and administrative functions.
Gregg MacDonald
He was appointed interim president effective:
October 1, 2025.
Kelly Munson
Munson served as President and CEO of AmeriHealth Caritas beginning in February 2024 before assuming an expanded role at Independence Health Group in 2025.
AmeriHealth Caritas is jointly owned by:
Independence Health Group
and:
Blue Cross Blue Shield of Michigan.
AmeriHealth Caritas currently serves members across:
13 states
and:
District of Columbia.
The company serves:
Millions of members
through Medicaid, Medicare, CHIP, Marketplace, LTSS, behavioral-health, pharmacy, and specialty programs.
The company’s Pennsylvania portfolio includes:
AmeriHealth Caritas Pennsylvania
AmeriHealth Caritas Pennsylvania Community HealthChoices
AmeriHealth Caritas VIP Care
Keystone First
Keystone First Community HealthChoices
Keystone First VIP Choice
Keystone First CHIP
and:
PerformCare.
PerformRx
provides pharmacy-benefit management services and is part of AmeriHealth Caritas’ national healthcare portfolio.
AmeriHealth Caritas’ longstanding mission is:
Helping people get care, stay well, and build healthy communities.
Members filing a complaint against AmeriHealth Caritas should first identify their exact health plan because grievance procedures, appeal rights, mailing addresses, deadlines, and Member Services numbers vary by state and product. Keep the member ID card, claim or authorization information, provider name, dates of service, notices received from the health plan, medical records where relevant, and notes from prior support calls.
Begin by calling the Member Services number printed on your AmeriHealth Caritas ID card. Explain whether the problem involves a provider, claim, authorization, benefit, prescription, customer-service experience, transportation issue, medical service, or another plan matter. AmeriHealth Caritas operates separate support teams for each health plan, so using the plan-specific phone number is more effective than calling the corporate headquarters. Ask the representative to document the complaint and provide a reference or case number where available.
If the issue is not resolved through normal Member Services, ask to file a formal complaint or grievance under your plan’s procedures. AmeriHealth Caritas plan documents explain that complaints can involve dissatisfaction with the health plan, healthcare provider, service, or another aspect of care. Formal grievance rights, deadlines, appeal options, and mailing addresses vary according to the plan and state, so follow the instructions contained in your member handbook or adverse-benefit notice.
If the dispute involves a denied service, prior authorization, claim, medication, or another adverse benefit determination, ask whether the matter should be handled as an appeal instead of a general complaint. Keep copies of the denial notice, medical documentation, provider recommendations, and prior correspondence. Deadlines can be strict for healthcare appeals, so use the exact instructions included with the plan’s denial or determination notice and request expedited review where permitted for urgent health circumstances.
Serious compliance, ethics, or privacy concerns can be reported through AmeriHealth Caritas’ Compliance Hotline at 800-575-0417. Privacy concerns can also be directed to AmeriHealth Caritas, 200 Stevens Drive, Philadelphia, PA 19113, Attn: Privacy Office, or by calling 215-937-8000. For serious general corporate correspondence, the main Corporate Office is 3875 West Chester Pike, Newtown Square, PA 19073. Keep copies of all written complaints and proof of delivery.
If an internal complaint, grievance, or appeal remains unresolved, the appropriate external process depends on the health plan and issue. Medicaid members may have appeal or fair-hearing rights through their state Medicaid agency, Medicare members may use Medicare’s appeal and complaint processes, and Marketplace members may have access to state or federal insurance regulators. Privacy complaints may also be submitted to the U.S. Department of Health and Human Services Office for Civil Rights when appropriate. Always retain denial notices, grievance decisions, appeal records, correspondence, and case numbers before escalating externally.
Ramona Tire is an automotive service company that provides a wide range of tire and…
Car-X Tire & Auto is a well-known automotive service chain in the United States, specializing…
Curo Financial Technologies Corp. is a company that provides a range of financial services, primarily…
Enova International, Inc. is a financial technology (fintech) company that provides online financial services to…
Community Choice Financial Inc. (CCFI) is a financial services company that provides a variety of…
Smile Brands Inc. is a leading provider of business support services to dental practices in…
This website uses cookies.