Frequently Asked Questions

• Effective Thursday, January 1, Mount Sinai physicians are no longer 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.

If you are currently receiving care from certain Mount Sinai-affiliated specialty providers or using specific specialty services, Anthem may be required to continue covering your care at in-network rates for a limited period of time under continuity-of-care protections.

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.

If you believe you qualify for continuity-of-care coverage and have been unable to get clear information or a response from Anthem, we encourage you to report the issue to the New York State Department of Financial Services at 1-800-342-3736, or 1-212-480-6400 if you live in New York City. You can also file a complaint through the New York State Department of Financial Services at dfs.ny.gov/complaint.

Effective Thursday, January 1, Mount Sinai physicians, hospitals and clinics are no longer in Anthem’s Medicare Advantage network.

Effective Thursday, January 1, Mount Sinai physicians, hospitals, and clinics are no longer in Molina’s Medicaid, Child Health Plus, HARP, or Essential Plan networks.

If you decide to continue your insurance coverage through Anthem Medicare Advantage, Anthem Individual Marketplace, or Molina, 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.

Yes. All insurance companies are required to process emergency claims as if you were in network, so rest assured that you can always receive emergency care in Mount Sinai’s emergency rooms.