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Ensuring Patient Access at Mount Sinai

Update About Our Participation With Certain Insurance Plans

Patient Letters

Anthem Individual Marketplace Patient Letter – English/Spanish/Chinese
Anthem Medicare Advantage Patient Letter – English/Spanish/Chinese
Anthem Medicare Advantage Transplant Patient Letter – English/Spanish/Chinese
VNS Health Patient Letter – English/Spanish/Chinese
Molina Medicaid Patient Letter – English/Spanish/Chinese
Molina Child Health Plus Patient Letter – English/Spanish/Chinese
Molina Essential Plans Patient Letter – English/Spanish/Chinese

Mount Sinai may be out of network with your health insurance provider in 2026. Please carefully read the message below to understand how this may impact you and what you can do today.

Ensuring you have access to the high-quality providers and services you depend upon is our top priority.

After careful consideration, we’ve made the decision to end our participation with certain insurance plans.  This affects the following:

  • Anthem Blue Cross Blue Shield (formerly Empire) Medicare Advantage plans
    • Medicare Advantange
      • Note: Mount Sinai’s transplant services will remain in network for Anthem Medicare Advantage patients. Any services not related to transplant care will be considered out of network beginning Thursday, January 1.
    • Individual Marketplace
  • Affinity by Molina plans
    • Medicaid
    • HARP
    • Child Health Plus
    • Essential Plans 1-5
  • VNS Health plans
    • Medicare Advantage
    • MLTC
    • Note: Mount Sinai will remain in network with VNS Health’s Medicaid HIV SNP

We want to continue caring for you, so we have provided some information below to help you understand the options available to you.

What You Need to Know

  • Mount Sinai will remain in network with your plan until at least Wednesday, December 31, but we encourage you to start exploring your coverage options for 2026 today.
  • You might have to pay more out of pocket. Mount Sinai will be out of network with the plans listed above starting in 2026. If your plan is listed above, you could end up paying more to continue receiving health care from the Mount Sinai providers you trust.
  • Emergency care is always covered, no matter our contract status with a particular insurance provider. Your insurance company is required by law to cover emergencies at in-network rates.
  • No longer accepting your insurance plan would mean that you may need to use out-of-network benefits (if available through your plan) and/or pay for your care without the aid of insurance.
  • Your insurance carrier may continue to cover your care at in-network rates for a period of time through “continuity of care” benefits if you are being treated for certain health conditions. Please see the section below for more information.

Patient Impact and What You Can Do

Anthem Individual Marketplace

Patient Impact

  • Effective Thursday, January 1, Mount Sinai physicians will no longer be in Anthem’s Individual Marketplace network.
  • Effective Sunday, March 1, Mount Sinai hospitals and clinics will no longer be in Anthem’s Individual Marketplace network.

What You Can Do

You have the opportunity to change to a health plan Mount Sinai participates with during the Marketplace Open Enrollment period, which continues through Thursday, January 15.

To change plans, visit the NY State of Health website during the Open Enrollment period.

If you enrolled in your Marketplace plan through NY State of Health please call 1-855-355-5777 (TTY: 1-800-662-1220). Calls are answered Monday through Friday from 8 am to 8 pm, and on Saturday from 9 am to 1 pm.

For assistance in finding a new plan, you can call Community Health Advocates at 888-614-5400 and ask to meet with a Navigator.

To view a list of Individual Marketplace plans Mount Sinai will participate with in 2026, click here.

Continuity of Care

If you are currently receiving care from certain Mount Sinai-affiliated specialty providers or using specific specialty services, Anthem may continue to cover your care at in-network rates for a period of time through continuity-of-care benefits.

Determinations regarding eligibility and approval for continuity of care are ultimately up to Anthem. Unfortunately, Mount Sinai physician practices do not have access to or influence over these determinations and cannot provide additional information about individual cases.

If you believe you may be eligible for continuity of care, please contact Anthem directly at the number on the back of your insurance card.

Anthem Medicare Advantage Plans

Patient Impact

  • Effective Thursday, January 1, Mount Sinai physicians and hospitals will no longer be in network with Anthem’s Medicare Advantage plans.
  • Mount Sinai’s transplant services will remain in network for Anthem Medicare Advantage patients. Any services not related to transplant care will be considered out of network beginning Thursday, January 1.

What You Can Do

The Medicare Annual Enrollment period began Wednesday, October 15, and continues through Sunday, December 7. This period gives you an opportunity to adjust your Medicare plan or choose one that best suits your needs. To view a list of Medicare plans Mount Sinai will participate with in 2026, click here.

  • Please call 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.
  • Call Medicare at 1-800-MEDICARE (1-800-633-4227) for assistance with switching plans.
  • Visit Medicare’s website at www.Medicare.gov and use the Plan Finder tool to compare available Medicare Advantage plans and Stand-Alone Part D plans for beneficiaries who want Original Medicare with prescription drug coverage.
  • As you evaluate the options available to you, please keep in mind that in addition to certain Medicare Advantage plans, Mount Sinai also participates with Original (traditional) Medicare and all Medicare supplement plans.

Molina Medicaid, HARP, and Child Health Plus Plans

Patient Impact

  • Mount Sinai’s physicians will no longer be in Molina’s network beginning Thursday, January 1.
  • Mount Sinai’s hospitals and clinics will no longer be in Molina’s network beginning Sunday, March 1.

What You Can Do

If you wish to continue having your care covered at Mount Sinai, you may be able to switch to an insurance plan that Mount Sinai participates with. To view a list of Medicaid plans Mount Sinai will participate with in 2026, click here.

If you have a Molina Medicaid or HARP plan:

  • You can change your plan at any time during your first 90 days in a new plan. You can also change your plan after your first full year (12 months) in a health plan.
  • If you enrolled in your Medicaid plan through the NY State of Health website, please call 1-855-355-5777 (TTY: 1-800-662-1220). Calls are answered Monday through Friday from 8 am to 8 pm, and on Saturday from 9 am to 1 pm.
  • If you have Medicaid through your cash assistance case, you can change your plan by calling New York Medicaid Choice at 1-800-505-5678 (TTY 888-329-1541). Calls are answered Monday through Friday from 8:30 am to 8 pm, and on Saturday from 10 am to 6 pm. Have your Medicaid number handy when you call.

If you have a Molina Child Health Plus Plan:

  • To continue receiving care at Mount Sinai with in-network benefits, you can change your Child Health Plus plan at any time during the year by calling NY State of Health, at 1-855-355-5777 (TTY: 1-800-662-1220). Calls are answered Monday through Friday from 8 am to 8 pm, and on Saturday from 9 am to 1 pm.

Molina Essential Plans

Patient Impact

  • Mount Sinai’s physicians will no longer be in Molina’s network beginning Thursday, January 1.
  • Mount Sinai’s hospitals and clinics will no longer be in Molina’s network beginning Sunday, March 1.

What You Can Do

If you wish to continue having your care covered at Mount Sinai, we encourage you to switch to a plan Mount Sinai participates with. To view a list of plans Mount Sinai will participate with in 2026, click here.

  • Get in touch with the assister who enrolled you.
  • Call NY State of Health at 1-855-355-5777 (TTY: 1-800-662-1220). Calls are answered Monday through Friday from 8 am to 8 pm, and on Saturday from 9 am to 1 pm

VNS Health Plans

Patient Impact

  • Effective Thursday, January 1, Mount Sinai will no longer be in network with VNS Health Medicare Advantage or MLTC plans.
    • Note: Mount Sinai will remain in network with Medicaid HIV SNP – Select Health

What You Can Do

The Medicare Annual Enrollment period begins Wednesday, October 15, and continues through Sunday, December 7. This period gives you an opportunity to adjust your Medicare plan or choose one that best suits your needs. To view a list of Medicare plans Mount Sinai will participate with in 2026, click here.

  • Please call Chapter
  • Call Medicare at 1-800-MEDICARE (1-800-633-4227) for assistance with switching plans.
  • Visit Medicare’s website at www.Medicare.gov and use the Plan Finder tool to compare available Medicare Advantage plans.
  • As you evaluate the options available to you, please keep in mind that in addition to certain Medicare Advantage plans, Mount Sinai always accepts original (traditional) Medicare and all Medicare supplements.