- Effective Thursday, January 1, Mount Sinai physicians will no longer be 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.
Frequently Asked Questions
What is changing about Mount Sinai’s participation with Anthem Individual Marketplace plans?
What is changing about Mount Sinai’s participation with Anthem Medicare Advantage plans?
- Effective Thursday, January 1, Mount Sinai physicians will no longer be in Anthem’s Medicare Advantage network.
- Effective Sunday, March 1, Mount Sinai hospitals and clinics will no longer be in Anthem’s Medicare Advantage network.
What is changing about Mount Sinai’s participation with Molina Medicaid, Child Health Plus, HARP, and NY Essential plans?
- Effective Thursday, January 1, Mount Sinai physicians will no longer be in Molina’s Medicaid, Child Health Plus, HARP, or Essential Plan networks.
- Effective Sunday, March 1, Mount Sinai hospitals and clinics will no longer be in Molina’s Medicaid, Child Health Plus, HARP, or Essential Plan networks.
What is changing about Mount Sinai’s participation in VNS Health insurance plans?
We previously said we would be ending our participation with VNS’s Medicare Advantage plans, effective Thursday, January 1. However, we have reached a new agreement to continue participating in VNS’s network. This means that VNS will continue to cover care at Mount Sinai at VNS’s in-network rates through 2026, and there will be no interruption of in-network access to Mount Sinai’s providers and facilities.
What happens if I continue my insurance coverage through Anthem Medicare Advantage, Anthem Individual Marketplace, or Molina?
If you decide to continue your insurance coverage through Anthem Medicare Advantage, Anthem Individual Marketplace, Molina, or VNS Health, 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.
Will emergency care still be covered in network?
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.
What can I do to protect my access to care at Mount Sinai?
We encourage you to look at other plans now, well ahead of January 1, to help prevent any gaps in your ability to access care from Mount Sinai. We want to continue caring for you at our Mount Sinai locations. Click here to view a list of the insurance plans we will participate with in 2026.
