Plan Participation for Employed Physicians Except Neonatology & Oceanside ER

As of October 1, 2019, Mount Sinai South Nassau Employed Physicians have 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 (NON PAR with Blue Cross Exchange 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 — limited to the below plans:
  • Healthfirst Medicaid Managed Care
  • Healthfirst Essential Plan
  • Healthfirst Child Health Plus
  • Healthfirst Personal Wellness Plan
    
• 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)
    
• Humana — ChoiceCare, Gold Plus HMO, Choice PPO, Gold Choice
• 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
  
• 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 and the Health Exchange Plan
  
• Partners Health Plan — Medicare Managed Care and Medicaid Managed Care
  
• Private Healthcare Systems, Inc. (PHCS) — All PPO and Self-Insured Plans
  
• 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 and the Health Exchange Plan
  • All Commercial (except Compass), HMO, PPO, Self-Insured Plans and Medicare HMO
    
• 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
  
• WellCare — Medicare Managed Care and Medicaid Managed Care