Plan Participation for Hospital

Plan Participation

As of October 1, 2021, Mount Sinai South Nassau has contracts with the following managed care health plans. This list is updated periodically and subject to change. It may not be comprehensive.

  •  AgeWell — Medicare
  • Aetna/US Health Care — all HMO, PPO, Self-Insured Plans, Aetna Signature Administrators, Indemnity, Medicare HMO and PPO
  • Affinity — all lines of business, including the Health Exchange Plan
  • AlphaCare — Nassau County only
  • Beacon Behavioral Health
  • Beech Street — PPO
  • Blue Cross/Blue Shield (Empire)
    • Empire MediBlue Medicare Advantage Plans
    • Commerical HMO, PPO, & Indemnity Plans
    • “The Empire Plan” New York State Employees and Participating Agencies (NOTE: United Health Care Insurance Company of New York provides Medical coverage)
    • The City of New York Plan (NOTE: GHI provides Medical coverage)
    • BlueCross/BlueShield Federal Employee Program
    • Empire BlueCross BlueShield HealthPlus
  • CenterLight (formerly CCM)
  • ChoiceCare (Humana)
  • Cigna Health Care (Connecticut General)
  • CorVel — WC only
  • Coventry/First Health/CCN Network — PPO
  • Elderplan
  • Fidelis Health — Medicaid, Child Health Plus HMO Plans and the Health Exchange Plan
  • Galaxy/MCI — PPO
  • GHI (Group Health Incorporated) — all Commercial, HMO, HMO Select, PPO, Flex, GHI-BMP, Medicare HMO and Self-Insured Plans (NON PAR with GHI Exchange Plans)
  • Healthfirst
  • HIP (Health Insurance Plan of New York) — Medicare, Medicare HMO Plans and Medicaid HMO
    • All Commercial HMO, PPO and Self-Insured Plans (NON PAR with HIP Exchange Plans)
  • Hospice Care Network
  • Hospice of New York (Inpatient Hospice Care Only) — specific to Hospice Care Network patients
  • Humana ChoiceCare, Gold Plus HMO, Choice PPO, Gold Choice
  • Island Group Administration PPO out of Southampton
  • MagnaCare Preferred, Inc. — all PPO, Direct Plus-MagnaCare, HMO and Self-Insured Plans
  • Magellan Behavioral Health (formerly Merit Behavioral Care) — Mental Health only
    • All HMO, PPO and Self-Insured Plans
  • Medicare
  • Medicaid
  • MetraComp — Workers Compensation only
  • Metropolitan Jewish Hospice
  • Multiplan All HMO, PPO and Self-Insured Plans
  • NYSHIP (the Empire Plan)
  • Oscar Insurance Corporation — Health Exchange Plan
  • Oxford Health Plans — All Commercial, HMO (Freedom), PPO (Liberty) and Self-Insured Plans, Medicare Advantage, non-par with OXFORD HEALTH EXCHANGE and OXFORD METRO
  • Partners Health Plan — Medicare Managed Care and Medicaid Managed Care
  • Private Healthcare Systems, Inc. (PHCS) — All PPO and Self-Insured Plans
  • Senior Whole Health — Medicare/Medicaid dual eligible
  • Three Rivers Health Plans — PPO
  • United Behavioral Health — All hospital-based services (inpatient and partial hospitalization)
  • United Health Care of New York, Inc. — UnitedHealthcare Community Plan, Medicaid HMO, Child Health Plus Plans
    • All Commercial (except Compass), HMO, PPO, Self-Insured Plans and Medicare HMO
    • Non-par with UNITED HEALTHCARE EXCHANGE and UNITED HEALTH CORE/CHARTER and Compass
  • USFHP (US Family Health Plan) — Military
  • Value Behavioral Health (ValueOptions) — Mental Health
    • All HMO, PPO and Self-Insured Plans
  • VNSNY Choice — Medicare, Medicaid lines of business
  • Vytra Health Plans - All Commercial, HMO, PPO and Self-Insured Plans
  • Zadroga Plan for 9/11 Victims (HealthSmart)
Plan Participation for Hospital

Plan Participation for Hospital

As of January 1, 2016, Mount Sinai South Nassau has contracts with the following managed care health plans...

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Plan Participation for Employed Physicians Except Neonatology & Oceanside ER

Plan Participation for Employed Physicians Except Neonatology & Oceanside ER

As of January 1, 2016, the Mount Sinai South Nassau Employed Physicians...

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Plan Participation for Neonatology

Plan Participation for Neonatology

Plan participation information for Mount Sinai South Nassau Neonatology. This list is updated periodically and subject...

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Plan Participation for Oceanside Emergency Room

Plan Participation for Oceanside Emergency Room

Plan Participation Information for South Nassau Physician Group PC (Oceanside ER)...

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Contracted Physician Groups

Contracted Physician Groups

The following are the physician groups the hospital contracts with to provide services...

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Financial Assistance Program

Financial Assistance Program

At Mount Sinai South Nassau, we provide care without regard to source of payment. If you do not have...

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