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Frequently Asked Questions

What is changing about Mount Sinai’s participation in Cigna and Humana Medicare Advantage plans?

We are ending our participation in certain Medicare Advantage plans that are not providing the standard of care we believe our patients deserve. This means:

  • Effective Wednesday, January 1, Mount Sinai will no longer be in Cigna’s Medicare Advantage network.
  • Effective Saturday, March 1, Mount Sinai will no longer be in Humana’s Medicare Advantage network.

What happens if I continue my Medicare Advantage coverage through Cigna or Humana?

If you decide to continue your Medicare Advantage coverage through Cigna or Humana, the insurer may require you to pay more out of pocket to continue receiving health care from the Mount Sinai providers you trust. It 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.

When will Mount Sinai services, physicians, and facilities no longer be in network with my Medicare Advantage plan?

Mount Sinai will be out of Cigna’s Medicare Advantage network Wednesday, January 1, and Humana’s Medicare Advantage network Saturday, March 1. It is important to know that Mount Sinai Health System remains in network with each plan through that plan’s termination date.

Will emergency care still be covered in network?

Emergency care is always covered, no matter our network status with Cigna or Humana. Cigna or Humana will be required by law to cover the emergency care we provide, and Mount Sinai stands ready to provide that care.

Where can I find out more information?

If you’d like to talk with someone about your Medicare options for 2025, we recommend you call Chapter, a licensed health insurance broker, whose experts can walk you through the choices and help you enroll in a new plan if you so wish. You can learn more by calling Chapter at 1-800-434-9925 or visiting AskChapter.org/partners/Mount-Sinai.

If you have questions about your care, we invite you to call our dedicated community hotline at 833-623-1258.

What can I do to protect my access to care at Mount Sinai?

The Medicare Open Enrollment period is going on now and continues through Saturday, December 7. During this time, you have the option to make a change to your Medicare plan if you wish. We want to continue caring for you at our Mount Sinai locations; below is a list of the Medicare coverage options we will participate with in 2025:

Original (traditional) Medicare

Aetna

AmidaCare

ArchCare

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)

EmblemHealth
(GHI and HIP)

Empire BlueCross BlueShield

Anthem BCBS Health Plus
(Formerly known as Empire HealthPlus)

Healthfirst
(not accepting new primary care patients)

MetroPlus

Oscar Health Plan

Partners Health Plan

Senior Whole Health – Molina
(The Mount Sinai Hospital and Mount Sinai Queens only)

Oxford
(excludes Community Plan)

United Healthcare
(excludes Community Plan)

WellCare

Village Caremax

VNS Choice

Have a question that’s not answered here? Contact our dedicated community information line at 833-623-1258.