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.
Important Information About Mount Sinai and Your Medicare Advantage Plan
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.
Now until March 31, patients currently enrolled in a Medicare Advantage plan have the opportunity to make a one-time change to another Medicare Advantage plan or to Original (traditional) Medicare.
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.
If you haven’t already switched to a Medicare or Medicare Advantage plan that keeps your care in network at Mount Sinai, there is one final opportunity to select a new plan. We want to provide you with options, and we sincerely hope to continue serving you without any further disruptions. Below is information to help you in your next steps.
What You Need to Know
- Even though the Medicare annual enrollment period in the fall has passed, you may have another opportunity to adjust your Medicare coverage beginning January 1, 2025. If you are currently enrolled in a Medicare Advantage plan, you can make a one-time change to your Medicare coverage between now and Monday, March 31. During this period, you can switch to a different Medicare Advantage plan or to Original (traditional) Medicare to protect your in-network access to Mount Sinai providers and facilities.
- Once you make this change, your new coverage generally will begin on the first day of the following month. So, for example, if you make a change on January 1, your new coverage will begin on Saturday, February 1.
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 Enrollment
January 1 – March 31, 2025
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).
