NY State Exchange Plans

CareMount Medical participates in only the following individual plans listed on the New York State Individual Insurance Exchange: 

  • Affinity QHP
  • CDPHP
  • Fidelis
  • CareConnect (North Shore-LIJ)

CareMount Medical participates in only the following small business health plans listed on the New York State “SHOP” Exchange:

  • CDPHP
  • MVP
  • CareConnect (North Shore-LIJ)

Insurance Plans

The following is a list of the Insurance Group Plans in which the CareMount Medical and ALL of its Physicians participate. Please verify your eligibility and coverage. If you have insurance coverage from a company other than listed below, services are probably "out of network" and you will be responsible for a greater out of pocket expense. Please call (914) 242-1388 to clarify before using services at CareMount Medical or if you would like to receive an estimate for your out of pocket costs. 

 

AETNA: Includes Medicare HMO, PPO, Aexcel Plans & Aetna Signature Administrators

AFFINITY: Medicaid, Medicare and QHP 

CARECONNECT: (North Shore -LIJ) Effective 1/1/15

CDPHP: (excludes Child Health Plus, Family Health Plus and Medicaid)

CIGNA: HMO, POS and PPO products (Includes EPO & PPA)

CONNECTICARE: (Through HIP Network)

CONSUMER HEALTH NETWORK (CHN)

ELDER PLAN (Medicare Plan)

EMPIRE BLUE CROSS/BLUE SHIELD: HMO, PPO, Mediblue HMO & PPO Only, Health Plus (formally known as Amerigroup), (Excludes Medicaid, Pathway and Blue Priority Networks)

FIDELIS: Includes Medicaid and Medicare 

FIRST HEALTH / CCN (also know as Coventry) PPO Only

GHI: CBP (PPO), HMO & Emblem Health (EPO & PPO) & Medicare PPO: Excludes Family Health Plus, Child Health Plus, Medicaid Managed Care, Medicare HMO & Medicare Plus Choice, Select Care)

GREAT WEST HEALTHCARE: HMO & PPO

HIP & EMBLEM HEALTH PRIME NETWORK (EPO & HMO): Includes Medicare VIP Plan, Child Health Plus, Connecticare, Vytra Plans. (Excludes Medicaid CHP, HIP Classic, Comprehealth, Medicare Essential, Family Health Plus, Medicaid and  Select Care)

MAGNACARE: Excludes Oscar Health Insurance

MEDICARE:Traditional (Includes Railroad Retirees), Aetna HMO and PPO OnlyAffinity, BCBS Mediblue HMO & PPO Only, CDPHP,  Elderplan,  Fidelis, GHI PPO, HIP (Westchester residents only), MVP: Effective 1/1/15, Today's Options Medicare Advantage (American Progressive), PPO and PFFS plans, VNS, Wellcare (Exclusively for existing patients within plan effective 1/1/15), Excludes ALL other Medicare Advantage Plans

MULTIPLAN: PPO Only

MVP HEALTH PLAN: Includes the former Hudson Health Plan. PCP Panels will be opened only for MH Division providers exclusively for existing patients and their families already within the plan Effective 1/1/15. Medicare 1/1/15(Excludes Essential Plan, Family Health Plus & Child Health Plus)

NHA (National Health Administrators)

NYSHIP (The EMPIRE PLAN)

OXFORD: Freedom and Liberty. Metro Plan exclusively for existing Liberty patients ONLY. (Excludes Medicare Plans)

PARTNERS HEALTH PLAN

PHCS (Includes Today's Option) PPO Only

POMCO

TODAY'S OPTIONS PPO MEDICARE ADVANTAGE (American Progressive): PPO and PFFS Plans

UNITED HEALTHCARE: EPO/NPP, HMO, POS, HMO PLUS, PPO (Excludes Medicare Advantage and Medicaid)

VNS (Visiting Nurse Services) (Medicare Plan)

WELLCARE: Includes Medicare & Medicaid (Exclusively for existing patients already within plan) Effective 1/1/15