We want to continue caring for you. We will remain in network with a number of other Medicare Advantage plans in 2025. We also participate with Original (traditional) Medicare and all Medicare supplements.
We are ending our participation with the following plans:
Cigna Medicare Advantage, effective Wednesday, January 1, 2025.
Humana Medicare Advantage, effective Saturday, March 1, 2025.
Medicare Advantage 2025 Open Enrollment is open now through December 7, 2024
Consider calling Chapter, a licensed, independent insurance broker, at 1-800-434-9925 to speak to an expert who can walk you through potential choices and help you enroll in a new plan if you wish. Additional resources are below.
We want you to have uninterrupted access to the high-quality care Mount Sinai provides, and we strongly hope to continue caring for you. Below is information to help you in your next steps.
What You Need to Know
- The Medicare Open Enrollment period is going on now and continues through Saturday, December 7. During this time, you can make a change to your Medicare coverage if you wish.
- There is an additional Medicare Advantage-only open enrollment period from Wednesday, January 1 through Monday, March 31. This is only for patients currently enrolled in a Medicare Advantage plan. During this period, you can switch to another Medicare Advantage plan or change to Original (traditional) Medicare.
- Emergency care is always covered, no matter our contract status with Cigna or Humana. Your insurance company is required by law to cover emergencies at in-network rates.
Resources for You
Below is a list of Medicare plans we will participate with in 2025:
| Original (traditional) Medicare | Healthfirst (not accepting new primary care patients) |
| Aetna | MetroPlus |
| AmidaCare | Oscar Health Plan |
| ArchCare | Partners Health Plan |
| Elderplan (Mount Sinai Beth Israel, Mount Sinai Brooklyn, Mount Sinai Morningside, Mount Sinai West, and New York Eye and Ear Infirmary of Mount Sinai only) | Senior Whole Health – Molina (The Mount Sinai Hospital and Mount Sinai Queens only) |
| EmblemHealth (GHI and HIP) | United/Oxford (excludes Community Plan) |
| Empire BlueCross BlueShield | WellCare |
| Empire HealthPlus | VNS Choice |
| Fidelis | Village Caremax |
If you have questions about your care, please call our dedicated community hotline at 833-623-1258.
To talk to someone about your Medicare options for 2025, please consider calling Chapter, an independent, licensed health insurance broker, whose experts can walk you through potential options and help you enroll in a new plan if you so wish. You can reach Chapter at 1-800-434-9925 or AskChapter.org/partners/Mount-Sinai.
More Information About Your Medicare Options
Medicare Advantage 2025 Open Enrollment
October 15 – December 7, 2024
What Are the Differences?
| Original/Traditional Medicare | Medicare Advantage (offered by insurance companies) |
|---|---|
| Visit any doctor or hospital in the United States that takes Medicare | Limited to the physicians and hospitals in your plan’s network and service area |
| Rarely requires referrals | Often requires referrals or prior authorization for advanced care |
| Some benefits, like eye exams, routine dental, and hearing care, are not covered | Some plans may cover benefits like vision, hearing, and dental services |
| Separate premium for Medicare drug coverage (Part D) | Most plans include Medicare drug coverage (Part D) |
| No annual limit on out-of-pocket costs | An annual limit on out-of-pocket costs |
To switch plans:
- Consider calling Chapter, a licensed, independent insurance broker, at 1-800-434-9925 to speak to an expert who can walk you through potential choices and help you enroll in a new plan if you wish.
- Visit Chapter’s website at AskChapter.org/partners/Mount-Sinai.
- Call Medicare at 1-800-MEDICARE (1-800-633-4227) for assistance with switching plans.
- Visit Medicare’s website at Medicare.gov and use the Plan Finder tool to compare available Medicare Advantage plans.
Make the Best Decision for Your Health Care
The biggest decision when signing up for Medicare, or when making your annual Medicare selection, is whether to choose Original Medicare (sometimes called traditional Medicare), or to choose a Medicare Advantage plan (Part C).
