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 which are not covered by your plan. Please inquire with your health plan before calling to schedule an appointment.
Please note that your health plan may require you to obtain a referral from your primary care provider before being seen by our specialists.
Aetna Medicare Plan (HMO)
CHN (Consumer Health Network)
PPO - CHN Client List
Coventry / First Health - National PPO Network
Elderplan for Medicaid Beneficiaries HMO SNP
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)
Island Group PPO
MagnaCare Client List ASO/PPO
National Preferred Provider Network (NPPN)
National Provider Network (NPN)
National Provider Network
Freedom Plan® PPO
Partners Health Plan
Medicare Medicaid/Dual Eligible
Quality Health Plans of NY
Medicare Advantage Silver NY
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
Tricare Prime Program PPO
VNS Choice - Managed Long Term Care Plus (MLTC Plus)