Insurance Participation

Westchester Health Medical – NY Providers

Please check with your health plan to make sure the Northwell Health provider is considered in-network for the particular service you require. Professional services are usually billed separately than facility services.

1199SEIU

Greater New York Benefit Fund
Home Care Benefit Fund
National Benefit Fund

Aetna

Aetna Choice POS
Aetna Choice POS II
Aetna Health Network Only
Aetna Health Network Option
Aetna Limited Benefits Insurance Plan (PPO)
Aetna Medicare Plan (HMO)
Aetna Medicare Plan (HMO) Open Access
Aetna Medicare Plan (PPO)
Aetna Open Access Elect Choice
Aetna Open Access HMO
Aetna Open Access Managed Choice
Aetna Passport to Health
Aetna Premier Care Network
Aetna Select
Aetna Signature Administrators
Aetna Value Performance Network
Aetna Voluntary Group Medical Plan (indemnity plan)
Elect Choice
HMO
Managed Choice POS
Open Access Aetna Select
Open Choice PPO
Quality Point-of-Service (QPOS)
Traditional Choice

Affinity

Affinity Essential American Indian
Affinity Essential Bronze
Affinity Essential Catastrophic
Affinity Essential Gold
Affinity Essential Platinum
Affinity Essential Silver
Affinity Medicare Passport Elite (HMO)
Affinity Medicare Passport Essentials (HMO)
Affinity Medicare Passport Select (HMO)
Affinity Medicare Solutions (HMO-SNP)
Affinity Medicare Ultimate (HMO-SNP)
Child Health Plus
Enriched Plan (HARP)
Medicaid
Medicare Advantage

Agewell

AgeWell New York BeWell (HMO SNP)
AgeWell New York CareWell (HMO SNP)
AgeWell New York FeelWell (HMO SNP)
AgeWell New York FIDA (Medicare-Medicaid Plan)
AgeWell New York LiveWell (Medicare Advantage)

CenterLight Healthcare

CenterLight Healthcare Direct Complete Plan HMO SNP
CenterLight Healthcare PACE

Cigna

Cigna Choice Fund Open Access Plus
Global Health Benefits
GWH-Cigna
GWH-Cigna Open Access Plus
Managed Care Plans: Network and Network POS
Managed Care Plans: Network Open Access
Managed Care Plans: Open Access Plus
PPO or EPO Plans
Shared Administration OAP
Shared Administration PPO
Strategic Alliance

Elderplan

Elderplan Advantage for Nursing Home Residents HMO SNP
Elderplan Extra Help HMO
Elderplan FIDA Total Care Duals
Elderplan for Medicaid Beneficiaries HMO SNP
Elderplan Healthy Balance POS
Elderplan Plus Long-Term Care

EmblemHealth

ConsumerDirect EPO
EmblemHealth CompreHealth EPO
EmblemHealth CompreHealth HMO
EmblemHealth EPO/PPO
InBalance EPO
Medicare Dual Eligile (PPO SNP)
Medicare Group Access (PPO)
Medicare VIP Essential (HMO)
Medicare VIP Premier (HMO) Group
Select Care Basic HMO
Select Care Bronze D HMO
Select Care Bronze HMO
Select Care Gold D HMO
Select Care Gold HMO
Select Care HD 6300 Bronze
Select Care Healthy NY HMO Gold
Select Care HMO 35/55 Silver
Select Care HMO 40/60 Gold
Select Care Platinum D HMO
Select Care Platinum HMO
Select Care Platinum POS
Select Care Silver D HMO
Select Care Silver HMO
Vytra / HIP HMO Access I & II Plans
Vytra / HMO
Connecticare with Emblem Logo

EmblemHealth (GHI)

GHI City of NY Health Benefits Program
GHI EPO/PPO
GHI EPO/PPO HSA
GHI EPO/PPO Share
GHI Flex Select/EPO Hospital Benefits PPO
GHI Medicare Choice PPO
GHI Medicare Dual Eligile (PPO SNP)
GHI Network Access PPO

EmblemHealth (HIP)

HIP Access I & II Plans (VYTRA HMO)
HIP Choice Plus Direct Pay POS
HIP Classic Network HMO
HIP HMO Direct Pay
HIP Medicaid
HIP PPO Self - Insured
HIP Premium Network EPO/PPO
HIP Premium Network HMO/POS
HIP Prime Child Health Plus HIP KID
HIP Prime Network EPO/PPO
HIP Prime Network HMO/POS
HIP Select EPO Plans
HIP Select PPO Plans
HIP VIP Medicare Access
HIP VIP Medicare Advantage

Empire Blue Cross Blue Shield

Bronze Direct Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Bronze Guided Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Core Direct Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Core Guided Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Direct HMO
Direct Pay HMO
Direct Pay HMO/POS
Direct POS
DirectShare POS
Empire MediBlue Dual Advantage - HMO/SNP
Empire Prism EPO
Empire Prism PPO
Empire Total Blue
EPO
Essential Direct Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Essential Guided Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Gold Direct Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Gold Guided Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Healthy New York - Pathway/Small Group
HMO
MediBlue HMO
MediBlue PPO
MediBlueSMSmartValue Plus
Platinum Direct Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Platinum Guided Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
PPO
Preferred Direct Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Preferred Guided Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Premier Guided Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Premiere Direct Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Silver Direct Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Silver Guided Access - Pathways, Pathways X, Pathways Enhanced and Pathways X Enhanced
Tradition Plus - Indemnity

Empire HealthPlus

Child Health Plus
Essential Plan
HARP
Managed Long Term Care
Medicaid

Fidelis Care (NYS Catholic Health Plan)

Child Health Plus
Fidelis Care at Home (MLTC)
Fidelis Care Bronze
Fidelis Care Catastrophic
Fidelis Care Essential Plan 1
Fidelis Care Essential Plan 2
Fidelis Care Essential Plan 3
Fidelis Care Essential Plan 4
Fidelis Care Gold
Fidelis Care Platinum
Fidelis Care Silver
Fidelis Care Silver 250
Fidelis Dual Advantage (HMO/POS)
Fidelis Dual Advantage Flex (HMO/POS)
Fidelis Medicaid Advantage Plus (HMO/SNP)
Fidelis Medicare Advantage $0 Premium (HMO)
Fidelis Medicare Advantage Flex Plan (HMO/POS)
Fidelis Medicare Advantage Without RX (HMO/POS)
Fully Integrated Duals Advantage (MMP)
HealthierLife (HARP)
Medicaid Managed Care

Healthfirst

Bronze Leaf Plan
Bronze Pro EPO Plan
Bronze Pro Plus EPO Plan
Bronze Total EPO Plan
Child Health Plus
Essential Plan 1
Essential Plan 2
Essential Plan 3
Essential Plan 4
Gold Leaf Plan
Gold Pro EPO Plan
Gold Pro Plus EPO Plan
Gold Total EPO Plan
Green Leaf Plan
Healthfirst 65 Plus Plan HMO
Healthfirst AbsoluteCare (FIDA)
Healthfirst AssuredCare HMO SNP
Healthfirst CompleteCare HMO SNP
Healthfirst Coordinated Benefits Plan HMO
Healthfirst Increased Benefits Plan HMO
Healthfirst Life Improvement Plan HMO SNP
Healthfirst Maximum Plan HMO SNP
Healthfirst Mount Sinai (Medicare Plan - all non-Mount Sinai providers are tier 2)
Medicaid
Personal Wellnedd Plan (Medicaid HARP)
Platinum Leaf Plan
Platinum Pro EPO Plan
Platinum Total EPO Plan
Platinumk Pro Plus EPO Plan
Senior Health Partners (Orzac0
Silver Leaf Plan
Silver Pro EPO Plan
Silver Pro Plus EPO Plan
Silver Total EPO Plan

HealthNet (TRICARE) / VA Choice

TRICARE Extra
TRICARE For Life
TRICARE Prime
TRICARE Standard

HealthSmart

World Trade Center Program

Humana

Medicare HMO
Medicare PPO

MagnaCare

MagnaCare PPO

Medicare

Medicaid

Oscar

Circle Plus Network

Oxford

AARP Medicare Complete Mosaic H
AARP Medicare Complete Essential H
AARP Medicare Complete HMO Plan 2i
AARP Medicare Complete HMO Plan i
AARP Medicare Complete Plan I
Freedom Plan Classic
Freedom Plan POS
Freedom Plan PPO $10/$20
Freedom Plan PPO $20/$30
Freedom Plan PPO $25/$40
Freedom Plan PPO $40/$70
Freedom Plan Select
Freedom Plan? Access
Freedom Plan? PPO
Liberty HMO $20/$40
Liberty HMO $30/$60
Liberty Plan Access
Liberty Plan Classic
Liberty Plan POS
Liberty Plan PPO $40/$70
Liberty Plan Select
Liberty PlanSM Gated EPO
Liberty PlanSM Gated PPO
Liberty PlanSM PPO
LibertySM HMO
Oxford Ease
Oxford EPO $10/$20 Freedom
Oxford EPO $15/$25
Oxford EPO $20/$30
Oxford EPO $20/$40
Oxford EPO $30/$60
Oxford EPO $40/$70
Oxford EPO $50 Freedom
Oxford EPO HSA $1,500
Oxford EPO HSA $2,000
Oxford EPO HSA $2,000; $25/$50
Oxford EPO HSA $3,500; $40/$75
Oxford EPO HSA $5,000
Oxford Exclusive Plan
Oxford Gated EPO $25/$50
Oxford Gold NY Standard EPO
Oxford HSA Direct
Oxford HSA Exclusive
Oxford Platinum NY Standard EPO
Oxford Platinum NY Standard PPO
Oxford PPO HSA $1,500
Oxford PPO HSA $2,000; $30/$60
Oxford PPO HSA $3,750
Oxford Silver NY Standard EPO
Oxford Silver NY Standard PPO
Oxford Standard Bronze
Oxford Standard Gold
Oxford Standard Platinum
Oxford Standard Silver
Oxford EPO (Freedom Network/Liberty Network)
Oxford EPO HSA (Freedom Network/Liberty Network)
Oxford PPO HSA (Freedom Network/Liberty Network)
Primary Advantage
Primary Advantage $1,500
Primary Advantage $500
Primary AdvantageSM (Liberty Network)
Standard Gated EPO $15/$35
Standard Gated EPO $25/$40
Standard Gated EPO $3,000
Standard Gated EPO $30/$50
Standard Gated PPO $15/$35
Standard Gated PPO $30/$50

Partners Health Plan

FIDA-IDD

POMCO

POMCO Health Plan

Senior Whole Health

Medicare Advantage

United Healthcare

AARP Mediare Complete Mosaic H
AARP Medicare Complete Essential H
AARP Medicare Complete HMO Plan 2 (HMO in NYC)
AARP Medicare Complete HMO Plan 2i
AARP Medicare Complete HMO Plan i
AARP Medicare Complete Plan I
Bronze Compass Child Only ST INN Pediatric Dental
Bronze Compass Child Only ST INN Pediatric Dental (American Indian Ltd)
Bronze Compass ST INN Pediatric Dental Dep 25
Bronze Compass ST INN Pediatric Dental Dep 25 (American Indian Ltd)
Bronze Compass ST INN Pediatric Dental Dep 29
Bronze Compass ST INN Pediatric Dental Dep 29 (American Indian Ltd)
Bronze Compass Zero Child Only ST INN Pediatric Dental (American Indian $0)
Bronze Compass Zero ST INN Pediatric Dental Dep 25 (American Indian $0)
Bronze Compass Zero ST INN Pediatric Dental Dep 29 (American Indian $0)
Catastrophic Compass ST INN Pediatric Dental Dep 25
Catastrophic Compass ST INN Pediatric Dental Dep 29
Essential Plan
Gold Compass Child Only ST INN Pediatric Dental
Gold Compass Child Only ST INN Pediatric Dental (American Indian Ltd)
Gold Compass ST INN Pediatric Dental Dep 25
Gold Compass ST INN Pediatric Dental Dep 25 (American Indian Ltd)
Gold Compass ST INN Pediatric Dental Dep 29
Gold Compass ST INN Pediatric Dental Dep 29 (American Indian Ltd)
Gold Compass Zero Child Only ST INN Pediatric Dental (American Indian $0)
Gold Compass Zero ST INN Pediatric Dental Dep 25 (American Indian $0)
Gold Compass Zero ST INN Pediatric Dental Dep 29 (American Indian $0)
Health Reimbursement Account (HRA)
Health Savings Account (HSA)
Platinum Compass Child Only ST INN Pediatric Dental (American Indian Ltd)
Platinum Compass ST INN Pediatric Dental Dep 25
Platinum Compass ST INN Pediatric Dental Dep 25 (American Indian Ltd)
Platinum Compass ST INN Pediatric Dental Dep 29
Platinum Compass ST INN Pediatric Dental Dep 29 (American Indian Ltd)
Platinum Compass Zero Child Only ST INN Pediatric Dental
Platinum Compass Zero Child Only ST INN Pediatric Dental (American Indian $0)
Platinum Compass Zero ST INN Pediatric Dental Dep 25 (American Indian $0)
Platinum Compass Zero ST INN Pediatric Dental Dep 29 (American Indian $0)
Silver Compass Child Only ST INN Pediatric Dental
Silver Compass Child Only ST INN Pediatric Dental (American Indian Ltd)
Silver Compass CSR1 Child Only ST INN Pediatric Dental (CSR 73)
Silver Compass CSR1 ST INN Pediatric Dental Dep 25 (CSR 73)
Silver Compass CSR1 ST INN Pediatric Dental Dep 29 (CSR 73)
Silver Compass CSR2 Child Only ST INN Pediatric Dental (CSR 87)
Silver Compass CSR2 ST INN Pediatric Dental Dep 25 (CSR 87)
Silver Compass CSR2 ST INN Pediatric Dental Dep 29 (CSR 87)
Silver Compass CSR3 Child Only ST INN Pediatric Dental (CSR 94)
Silver Compass CSR3 ST INN Pediatric Dental Dep 25 (CSR 94)
Silver Compass CSR3 ST INN Pediatric Dental Dep 29 (CSR 94)
Silver Compass ST INN Pediatric Dental Dep 25
Silver Compass ST INN Pediatric Dental Dep 25 (American Indian Ltd)
Silver Compass ST INN Pediatric Dental Dep 29
Silver Compass ST INN Pediatric Dental Dep 29 (American Indian Ltd)
Silver Compass Zero Child Only ST INN Pediatric Dental (American Indian $0)
Silver Compass Zero ST INN Pediatric Dental Dep 25 (American Indian $0)
Silver Compass Zero ST INN Pediatric Dental Dep 29 (American Indian $0)
United Healthcare Medicare Complete Choice
United Healthcare Medicare Complete Choice Essential
UnitedHealthcare Bronze Compass $3,000
UnitedHealthcare Catalyst
UnitedHealthcare Catastrophic Compass $6,600
UnitedHealthcare Choice
UnitedHealthcare Choice Advanced
UnitedHealthcare Choice Plus
UnitedHealthcare Choice Plus Advanced
UnitedHealthcare Gold Compass $1,000
UnitedHealthcare Gold Compass $600
UnitedHealthcare Navigate Plus
UnitedHealthcare North Shore-LIJ Advantage
UnitedHealthcare North Shore-LIJ Advantage Plus
UnitedHealthcare NY Bronze HMO Rx 0.0.0 Child Zero CSR
UnitedHealthcare NY Bronze HMO Rx 0.0.0 Zero CSR
UnitedHealthcare NY Bronze HMO Rx 10.35.70
UnitedHealthcare NY Bronze HMO Rx 10.35.70 Child Limited CSR
UnitedHealthcare NY Bronze HMO Rx 10.35.70 Child Only
UnitedHealthcare NY Bronze HMO Rx 10.35.70 Limited CSR
UnitedHealthcare NY Catastrophic HMO
UnitedHealthcare NY Gold HMO Rx 0.0.0 Child Zero CSR
UnitedHealthcare NY Gold HMO Rx 0.0.0 Zero CSR
UnitedHealthcare NY Gold HMO Rx 10.35.70
UnitedHealthcare NY Gold HMO Rx 10.35.70 Child Limited CSR
UnitedHealthcare NY Gold HMO Rx 10.35.70 Child Only
UnitedHealthcare NY Gold HMO Rx 10.35.70 Limited CSR
UnitedHealthcare NY Platinum HMO Rx 0.0.0 Child Zero CSR
UnitedHealthcare NY Platinum HMO Rx 0.0.0 Zero CSR
UnitedHealthcare NY Platinum HMO Rx 10.30.60
UnitedHealthcare NY Platinum HMO Rx 10.30.60 Child Limited CSR
UnitedHealthcare NY Platinum HMO Rx 10.30.60 Child Only
UnitedHealthcare NY Platinum HMO Rx 10.30.60 Limited CSR
UnitedHealthcare NY Silver HMO Rx 0.0.0 Child Zero CSR
UnitedHealthcare NY Silver HMO Rx 0.0.0 Zero CSR
UnitedHealthcare NY Silver HMO Rx 10.35.70
UnitedHealthcare NY Silver HMO Rx 10.35.70 73AV CSR
UnitedHealthcare NY Silver HMO Rx 10.35.70 Child 73AV CSR
UnitedHealthcare NY Silver HMO Rx 10.35.70 Child Limited CSR
UnitedHealthcare NY Silver HMO Rx 10.35.70 Child Only
UnitedHealthcare NY Silver HMO Rx 10.35.70 Limited CSR
UnitedHealthcare NY Silver HMO Rx 6.15.30 94AV CSR
UnitedHealthcare NY Silver HMO Rx 6.15.30 Child 94AV CSR
UnitedHealthcare NY Silver HMO Rx 9.20.40 87AV CSR
UnitedHealthcare NY Silver HMO Rx 9.20.40 Child 87AV CSR
UnitedHealthcare Options Non-Differential PPO
UnitedHealthcare Options PPO
UnitedHealthcare Platinum Compass
UnitedHealthcare Silver Compass $1,750
UnitedHealthcare Silver Compass $2,000
UnitedHealthcare Silver Compass HSA
UnitedHealthcare Silver Compass HSA $1,750
UnitedHealthcare Silver Compass HSA $250

United Healthcare Community Plan

Child Health Plus
Family Health Plus
UnitedHealthcare Community Plan

US Family Health Plan

Tricare Prime Program PPO

Wellcare

Child Health Plus
Essential Plan
Healthy Choice
Wellcare Access
Wellcare Choice

Westchester Health Medical – Connecticut Provider

Connecticut Anthem BCBS

Commercial Plans
Medicare Advantage Plans

Connecticare

HMO Open Access
HMO Personal Care Plan
Point - of - Service Open Access
Point - of - Service Personal Care Plan

Medicare