After careful consideration, we’ve made the decision to end our participation with certain insurance plans. As of January 1, the following plans are impacted:
We want to continue caring for you, so we have provided some information below to help you understand the options available to you.
Effective Thursday, January 1, Mount Sinai physicians, hospitals and clinics are no longer in network with Anthem’s Medicare Advantage plans
Even though the regular Medicare Annual Enrollment period has passed, you may have another opportunity to make changes to your coverage in 2026. If you are currently enrolled in a Medicare Advantage plan, you can make a one-time change to your Medicare coverage between Thursday, January 1, and Tuesday, March 31. Once you make this change, your new coverage will begin on the first day of the following month. To view a list of Medicare plans Mount Sinai will participate with in 2026, click here.
For help enrolling in a Medicare Advantage plan that best meets your needs:
For help enrolling in a Medicare Part D prescription drug plan with Original Medicare:
You can also contact your local State Health Insurance Assistance Program (SHIP) for help with Medicare. In New York, call 1-800-701-0501. If you are outside of New York, visit shiphelp.org to find your local SHIP.
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.
If you prefer to continue seeing your Mount Sinai care team but do not want to switch plans, you have the option to:
Please be aware that out-of-network benefits generally will not cover all your care and may result in a significant out-of-pocket cost for you.
Effective Thursday, January 1, Mount Sinai’s physicians, hospitals, and clinics are no longer in network with Molina’s Medicaid, HARP, and Child Health Plus Plans.
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 are currently receiving care from certain Mount Sinai-affiliated specialty providers or using specific specialty services, Molina 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 Molina, subject to applicable laws. 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 Molina directly at the number on the back of your insurance card.
If you have a Molina Medicaid or HARP plan:
If you have a Molina Child Health Plus Plan:
Effective Thursday, January 1, Mount Sinai’s physicians, hospitals, and clinics are no longer in network with Molina’s Essential Plans.
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.
If you are currently receiving care from certain Mount Sinai-affiliated specialty providers or using specific specialty services, Molina 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 Molina. subject to applicable laws. 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 Molina directly at the number on the back of your insurance card.
Mount Sinai Health System has reached a new agreement to continue participating in VNS Health’s network. This means VNS will continue to cover your care at Mount Sinai at in-network rates through 2026, and there will be no interruption in your in-network access to Mount Sinai’s providers and facilities.
You may have switched plans during the Medicare Open Enrollment period to a Medicare Advantage plan Mount Sinai will participate with in 2026. If you wish to be insured by VNS next year, you have another opportunity to switch your coverage. If you are enrolled in a Medicare Advantage plan in 2026, you can make a one-time change to your Medicare coverage between Thursday, January 1, and Tuesday, March 31. Once you make this change, your plan will begin on the first day of the following month. You can call 1-800-MEDICARE (1-800-633-4227) to change your coverage.
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