Patient Resources

Accepted Insurance Plans 2020

NY State Exchange Plans

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

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

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.

AETNA: HMO, PPO, Aexcel, Premier Care Network (APCN), Performance Network (APN), Medicare HMO and PPO

AFFINITY: Medicaid, Essential Plans (Excludes Enriched Health Harp)

CDPHP: Commercial and Medicare (Excludes Essential Plans, Child Health Plus, Family Health Plus & Medicaid)

CIGNA: HMO, POS, PPO and EPO

CONNECTICARE: (Through Emblem Health Prime Network)

CONSUMER HEALTH NETWORK (CHN)

COVENTRY: PPO (Through First Health)

EMBLEM HEALTH PRIME NETWORK: EPO, HMO, PPO, POS and Medicare (Through GHI or HIP) (Excludes Select Network and Enhanced Prime Network)

EMPIRE BLUE CROSS/BLUE SHIELD: HMO, PPO, Health Plus, Health Plus Gatekeeper, Mediblue HMO and  PPO (Excludes Pathway, Blue Priority Networks and Blue Access Networks)

FIDELIS: Medicaid, Essential Plans, Gold, Platinum, Bronze, Silver, and Medicare

FIRST HEALTH: PPO, Coventry PPO

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

GREAT WEST HEALTHCARE: HMO & PPO

HIP: Emblem Health Prime Network (EPO & HMO), Bridge Network, Medicare VIP Plan, Child Health Plus, Connecticare, Vytra Plans (Excludes Medicaid CHP, HIP Classic, Comprehealth, Medicare Essential, Family Health Plus, Medicaid, Select Care, Millennium, and Enhanced Prime Networks)

MAGNACARE: Including Brighton Health Plan Solutions

MEDICARE: Traditional (Includes Railroad Retirees), Aetna HMO and PPO, BCBS Mediblue HMO and PPO, CDPHP, GHI PPO and HIP, MVP, Partners Health Plan.

MULTIPLAN: PPO Only

MVP: Commercial, Medicare and Medicaid (Excludes Essential Plan)

NYSHIP (Empire Plan)

OXFORD: Freedom and Liberty (Excludes Medicare Plans and Metro Network)

PARTNERS HEALTH PLAN: Commercial and Medicare

PHCS: PPO Only

UNITED HEALTHCARE: EPO, HMO, POS, HMO PLUS, PPO, Choice Plus, Select Plus, Medicare Advantage (Excludes Community, Essential, Medicaid and Mosaic Plans)