As a result of rules governing health insurance coverage implemented by the Affordable Care Act, and the launch of the New York State Health Exchange, there has been a great deal of confusion about which plans specific hospitals accept.
The following details all of the insurance products and plans which NYU Winthrop Hospital accepts. Please keep in mind that there is a difference between 'plan' and 'product'. People are sometimes confused when they select a certain insurance carrier and find out that a particular provider does not accept a specific product of that carrier or plan. NYU Winthrop will attempt to work with carriers on a case by case basis to negotiate payment for plans we don't participate with.
As of January 2019, NYU Winthrop Hospital has contracts with the following managed care health plans.
This list is updated periodically and subject to change. It may not be comprehensive. Please check with your health plan to verify coverage.
Please be advised that there may be certain services provided in our facility (or at one of our doctor's offices) which are not covered by your plan. It is always recommended that you inquire with your health plan before calling to schedule an appointment. Your health plan may require you to obtain a referral from your primary care provider before being seen by our specialists. Additionally, you may need to confirm whether a pre authorization is needed before scheduling a procedure.
Aetna Medicare Plan (HMO)
Choice Care / Humana
Coventry / First Health - National PPO Network
Emblem Health / GHI
GHI City of NY Health Benefits Program (Comprehensive Benefits Plan CBP)
Emblem Health / HIP
EmblemHealth (NYU Winthrop is not par with products on the Select Network)
Empire Blue Cross Blue Shield
Child Health Plus
National PPO Network
Child Health Plus B
Empire BCBS Health Plus (formerly HealthPlus Amerigroup)
World Trade Center Program only
PPO (Choice Care Network only)
MagnaCare Client List ASO/PPO
Metracomp (Workers Compensation)
Freedom Plan® PPO
Partners Health Plan
Medicare Medicaid/Dual Eligible
Senior Whole Health
Three Rivers PPO
HMO, POS, EPO, PPO, Medicare, Medicaid, Core, Charter, Compass
UnitedHealthcare Community Plan
Child Health Plus
US Family Health Plan
VNS Choice - Managed Long Term Care Plus (MLTC Plus)