We have ended our participation in certain Medicare Advantage plans that do not provide the standard of service we believe our patients deserve. This means:
We are making this change because we want to ensure that our patients receive the best level of service possible. We believe that decisions about your medical treatment should be made by you and your physician, so we want to work only with health plans that allow us to care for you in this way. To ensure that the plans we participate with will meet this standard, we have ended our participation with Cigna and Humana Medicare Advantage plans.
Effective Wednesday, January 1, Mount Sinai is out of Cigna’s Medicare Advantage network. Effective Saturday, March 1, Mount Sinai is out of Humana’s Medicare Advantage network.
We have ended our participation with Cigna and Humana Medicare Advantage plans. However, through Monday, March 31, you may have an opportunity to make changes to your Medicare Advantage coverage. If you are currently enrolled in a Medicare Advantage plan, you can make a one-time change to your Medicare coverage and switch to a different Medicare Advantage plan or to Original (traditional) Medicare to protect your in-network access.
Once you make this change, your new coverage generally would begin on the first day of the following month. That means that, if you change your plan by March 31, you will regain your in-network access to Mount Sinai physicians and services on Tuesday, April 1, 2025.
For Cigna Medicare Advantage Patients
Effective Wednesday, January 1, Mount Sinai is no longer part of Cigna’s Medicare Advantage network. If you do not choose a new plan before the Medicare Advantage enrollment period ends March 31, Mount Sinai will continue to be out of network for you, and you generally will not be able to regain in-network access in 2025.
For Humana Medicare Advantage Patients
Effective Saturday, March 1, Mount Sinai is no longer part of Humana’s Medicare Advantage network. If you do not choose a new plan before the Medicare Advantage enrollment period ends March 31, March 31, Mount Sinai will continue to be out of network for you and you generally will not be able to regain in-network access in 2025.
Below is a list of the Medicare coverage options we will participate with in 2025:
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.
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.
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.
Mount Sinai’s transplant services will remain in network for Humana Medicare Advantage patients. Any services not related to transplant care are now considered out-of-network, effective Saturday, March 1.
The best way to ensure you have seamless access to all the care you may need is to choose a plan that covers all Mount Sinai Health System services. You can make a one-time change to your Medicare coverage between now and Monday, March 31. During this period, you can switch to a different Medicare Advantage plan or to Original (traditional) Medicare to protect your in-network access to Mount Sinai providers and facilities.
You can learn more about your Medicare coverage options and view a list of Medicare plans that Mount Sinai will participate with in 2025 by visiting ChooseMountSinai.org or calling our dedicated community hotline at 833-623-1258.
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