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Accepted Insurance Plans

Mount Sinai has network agreements with many health insurance companies.

Mount Sinai accepts Original Medicare
and the following Medicare Advantage plans

  • Aetna Medicare Advantage
  • AmidaCare Medicare Advantage HMO SNP
  • ElderPlan Medicare Advantage
    • Note: Mount Sinai only participates with Elderplan for select hospitals: Mount Sinai Brooklyn, Mount Sinai Morningside, Mount Sinai West, and New York Eye and Ear Infirmary of Mount Sinai.
  • EmblemHealth Medicare Advantage
  • Fidelis Medicare Advantage
  • Healthfirst Medicare Advantage
    • Note: Mount Sinai’s primary care providers are not currently accepting new Healthfirst Medicare Advantage patients.
  • MetroPlus Medicare Advantage
  • United/Oxford Medicare Advantage
    • Note: Mount Sinai only participates with United/Oxford Medicare Advantage plans that are not part of United’s Community Plan. Mount Sinai does not participate with United Community Plan.
  • Village Care Max Medicare Advantage
  • VNS Health Medicare Advantage
  • WellCare Medicare Advantage

What You Can Do Today

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.

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:

  • Call Medicare at 1-800-MEDICARE (1-800-633-4227) for assistance or visit Medicare’s website at Medicare.gov and use the Plan Finder tool to compare available Stand-Alone Part D plans and enroll in the one that best meets your needs.

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.

Mount Sinai accepts the following Medicaid health plans

  • Anthem Healthplus Medicaid (in negotiation)
  • EmblemHealth Medicaid
  • Fidelis Medicaid
  • Healthfirst Medicaid
    • Note: Mount Sinai’s primary care providers are not currently accepting new Healthfirst Medicaid patients.
  • Metroplus Medicaid

How to Change Plans

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 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.

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.

Important Notes

Plan changes made before the 15th of the month will be effective the first of the following month. Plan changes made after the 15th of the month will be effective the first of the second following month. This means that if you choose to change your plan for January 1, for example, you must do this before December 15.

If you are switching to another plan, please check with the health insurance company to make sure that your doctors and other providers are in their network.

Mount Sinai accepts the following Essential Plans

  • Anthem Essential Plans (in negotiation)
  • EmblemHealth Essential Plans
  • Fidelis Essential plans
  • Healthfirst Essential Plans
  • MetroPlus Essential Plans

You have the option to change your Essential plan. You can make this change at any time during the year by: 

Getting in touch with the assister who enrolled you

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.

Mount Sinai accepts the following Child Health Plus plans

  • Anthem Healthplus Child Health Plus (in negotiation)
  • Fidelis Child Health Plus
  • Healthfirst Child Health Plus
  • MetroPlus Child Health Plus

What You Can Do Today

To continue to receive covered care at Mount Sinai with in-network benefits, you may be able to change plans to a plan that Mount Sinai participates with. You can go to New York State’s NYS Provider & Health Plan Look-Up website for help locating a Child Health Plus plan that participates with Mount Sinai and is available in your area.

How to Change Plans

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.

Important Notes

Plan changes made before the 15th of the month will be effective the first of the following month. Plan changes made after the 15th of the month will be effective the first of the second following month. This means that if you choose to change your plan for December 1, for example, you must do this before November 15.

If you are switching to another plan, please check with the health insurance company to make sure that your doctors and other providers are in their network.

Mount Sinai accepts the following HARP plans

  • Anthem Healthplus HARP (in negotiation)
  • Fidelis HARP
  • Healthfirst HARP
  • MetroPlus HARP

How to Change Plans

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 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.

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.

Important Notes

Plan changes made before the 15th of the month will be effective the first of the following month. Plan changes made after the 15th of the month will be effective the first of the second following month. This means that if you choose to change your plan for December 1, for example, you must do this before November 15.

If you are switching to another plan, please check with the health insurance company to make sure that your doctors and other providers are in their network.

Mount Sinai accepts the following Individual Marketplace / Qualifying Health plans

  • EmblemHealth Exchange Plans
  • Fidelis Exchange/QHP Plans
  • Healthfirst Exchange/QHP Plans
  • Metroplus
    • Note: Mount Sinai does not accept Metroplus Gold 1
    • Note: Mount Sinai South Nassau does not participate in MetroPlus’ network
  • Oscar

How to Change Plans

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.