All NYU Langone Facilities
HMO/POS, PPO, EPO, Medicare, Indemnity, Aetna Signature Administrators PPO,
AETNA NAP PENN plan, Aetna Savings Plus, Aetna Premier Care Network, Aetna NY
Signature & New York Community Plan. Out of network with Aetna Better Health
Langone is not participating
All NYU Langone Facilities
All NYU Langone Facilities
LICH is not participating
Orthopedic only LICH is not participating
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
Orthopedic only LICH is not participating
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
All NYU Langone Facilities
All NYU Langone Facilities
All NYU Langone Facilities
HMO, POS, PPO, EPO, Open Access, Medicare.
NYU Hospitals are out of network
with Cigna Local Plus, out of state members that have no benefits in New York for
the HMO/Network product, the Cigna Pathwell Pharmacy network and Cigna
Orthopedic only LICH is not participating
All NYU Langone Facilities
Commercial Products Only. NYU Hospitals are out of network with
Exchange/Medicare/Medicaid Networks
Orthopedic only LICH is not participating
Orthopedic only LICH
Orthopedic only LICH is not participating
All NYU Langone Facilities
All NYU Langone Facilities
HMO, Indemnity, EPO, PPO, NYS/NYC Employees, Medicare+Choice, Hotel Trades
Council, Medicare (Mediblue Extra & Mediblue Select). NYU Hospitals are out of
network with the BlueHPN/Connection Plan.
All NYU Langone Facilities
Child Health Plus, & Health Care Plus (Medicaid), Essential Plans, Exchange. NYU
Hospitals are out of network with HealthPlus Medicare Advantage Select Network,
All NYU Langone Facilities
Medicaid Managed Care, Wellcare by Fidelis Care Medicare, Child Health Plus,
Exchange and Essential Plans, HARP, MLTC
All NYU Langone Facilities
LICH is not participating
Orthopedic only LICH
All NYU Langone Facilities
Flex Select, PPO Hospital Benefits, Medicare+Choice, HMO Comprehensive Benefits
Plan (CBP), Emblem Health Dual Assurance Plan - Medicare Essential, ArchCare
Commmunity Advantage Plan - VIP Prime, GuildNet Gold Plus - VIP Prime, Emblem
Bridge Network, Medicare VIP Bold Network.
NYU Hospitals are out of network with
EmblemHealth Millennium Network, Medicare VIP Reserve Network & GHI Network
All NYU Langone Facilities
LICH is not participating
All NYU Langone Facilities
All Products including Life Improvement Plan HMO SNP
(excludes Health First Senior
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
All NYU Langone Facilities
Child Health Plus, Medicaid, Medicare Advantage, Emblem Health Dual Assurance
Plan - Medicare Essential, ArchCare Community Advantage Plan - VIP Prime,
GuildNet Gold Plus - VIP Prime, Select Care, Emblemhealth Essential Plan (Essential
Plans 1-4), Enhanced Care Plus (Health and Recovery Plan (HARP), Enhanced Care
Prime Network, Emblem Health Gold, Emblem Health Platinum, Emblem Health
Silver, Emblem Health Bronze, Emblem Health Basic, Emblem Health Healthy New
York, Emblem Health Silver Value, Emblem Health Bronze Value, Emblem Health
Gold Access Open, Emblem Health Bronze HSA, Vytra Health Plans – HMO, POS and
PPO, Emblem Bridge Network
All NYU Langone Facilities
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
Langone is not participating
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
All NYU Langone Facilities
All NYU Langone Facilities
PPO NYU Hospitals are out of network with Local 272 and Benefit Administrative
Systems (BAS) – BAS accesses PHCS/Multiplan for practitioner services only
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
All NYU Langone Facilities
All NYU Langone Facilities
All NYU Langone Facilities
Tisch, Orthopedic, RUSK and Brooklyn, Long
Island is not participating
LICH is not participating
All NYU Langone Facilities
LICH is not participating
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
All NYU Langone Facilities - Only Long Island
accepts Metro & Garden State plans
Freedom (HMO & PPO), Liberty, Metro. Out of Network with the Garden State
product. LICH is non- par with Oxford Medicare Plans, negotiating an agreement for
1/1/24. Single Case agreement can be completed in the interim.
Oscar
EPO and Exchange NYU Langone has a non-par LOA
LICH - Narrow Network same group and Exchange
All NYU Langone Facilities
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
Medicare STAR (HMO I-SNP) and MAP (HMO D-SNP) duals plan
All NYU Langone Facilities
LICH is not participating
All NYU Langone Facilities
All NYU Langone Facilities
All NYU Langone Facilities
All NYU Langone Facilities - Only Long Island
accepts Core, Charter & Compass plans
HMO, POS-P, POS, EPO, PPO, Indemnity & NPP, Nexus ACO, Nexus ACO R Tiered,.
UHC Core, UHC Charter, UHC Compass, UHC Community Products - Medicaid, CHP,
Essential and Exchange LICH is non- par with United Medicare Plans for Dialysis
only, negotiating an agreement.
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
All NYU Langone Facilities
All NYU Langone Facilities
Tisch, Orthopedic, RUSK and Brooklyn,
Island is not participating
LICH is not participating
All NYU Langone Facilities
Medicare Advantage, Medicare SNP, Medicare/Medicaid Advantage
All NYU Langone Facilities
All NYU Langone Facilities
All NYU Langone Facilities
Call plan to confirm if there is a carve out
plan based on member's benefit
All NYU Langone Facilities
Not applicable, managed by medical plan
All NYU Langone Facilities - Not Participating
Not applicable, managed by medical plan
All NYU Langone Facilities
Not applicable, managed by medical plan
All NYU Langone Facilities
LICH is not participating
LICH is participating for behavioral health only
Not applicable, managed by medical plan
Tisch, Orthopedic, RUSK and Brooklyn,
Long Island is not participating
LICH is not participating
Not applicable, managed by medical plan
All NYU Langone Facilities
LICH is not participating
Call plan to confirm if there is a carve out
plan based on member's benefit. Cigna NALC
goes to Optum. Cigna also uses Cigna
Behavioral Health in some instances.
Brooklyn only for the Optum and Cigna Behavioral Health (CBH) plans, NYU
Tisch/Orthopedic hospitals are participating with CBH NYU students only.
LICH is participating - Need to validate each Cigna patient
to confirm if they use Evernorth (Cigna Behavorial Health
CBH) for behavioral health services.
Not applicable, managed by medical plan.
Elderplan FIDA goes to Beacon Health
All NYU Langone Facilities, Brooklyn only for the FIDA product.
Not applicable, managed by medical plan,
exception is NYSHIP and BCBS Composite
All NYU Langone Facilities, Brooklyn only for the Beacon products.
LICH is participating, NYSHIP & BCBSGHI Composite go to
Not applicable, managed by medical plan
All NYU Langone Facilities
Not applicable, managed by medical plan
All NYU Langone Facilities
Not applicable, managed by medical plan
All NYU Langone Facilities
LICH is not participating
Brooklyn only
LICH is not participating
Not applicable, managed by medical plan
All NYU Langone Facilities
Brooklyn only
Not applicable, managed by medical plan
All NYU Langone Facilities
Not applicable, managed by medical plan
Tisch, Orthopedic, RUSK and Brooklyn,
Long Island is not participating
LICH is not participating
Integra MLTC
MLTC
Not applicable, not covered under MLTC
All NYU Langone Facilities - Not Participating
LiCH is participating, BH services not covered under the
Not applicable, managed by medical plan
Tisch, Orthopedic, RUSK and Brooklyn,
Long Island is not participating
LICH is not participating
Not applicable, managed by medical plan
All NYU Langone Facilities
Not applicable, managed by medical plan
All NYU Langone Facilities
As of 10/1/21, Metroplus manages
behavioral health services. Prior to 10/1/21,
managed by Beacon Health Strategies
Tisch, Orthopedic, RUSK and Brooklyn are participating as of 10/1/21. Previously
only Brooklyn was contracted.
LICH is not participating
Not applicable, managed by medical plan
All NYU Langone Facilities
Not applicable, managed by medical plan
LICH is not participating
Not applicable, managed by medical plan
Tisch, Orthopedic, RUSK and Brooklyn,
Long Island is not participating
LICH is not participating
Oscar
EPO and Exchange
Tisch and Orthopedic are participating with UHC for the NYU Langone Hospitals and
School of Medicine Employee plan. Brooklyn is participating for the Commercial
Tisch, Orthopedic, RUSK and Brooklyn,
Long Island is not participating
Not applicable, managed by medical plan
All NYU Langone Facilities
Medicare STAR (HMO I-SNP) and MAP (HMO D-SNP) duals plan
Not applicable, managed by medical plan
All NYU Langone Facilities
LICH is not participating
Not applicable, managed by medical plan
All NYU Langone Facilities
Tisch and Orthopedic are participating with UHC for the NYU Langone Hospitals and
School of Medicine Employee plan. Brooklyn is participating for the Commercial
Not applicable, managed by medical plan
All NYU Langone Facilities
Not applicable, managed by medical plan
Tisch, Orthopedic, RUSK and Brooklyn,
Long Island is not participating
LICH is not participating
Not applicable, managed by medical plan
All NYU Langone Facilities
Not applicable, managed by medical plan
All NYU Langone Facilities
Not applicable, managed by medical plan
All NYU Langone Facilities
Medicaid, Child Health Plus, Essential Plan and HARP
LICH
All products
World Trade Center/Health Smart
All
1199 National Benefit Fund
All Product Plans
Three Rivers Provider Network
PPO, Workers Compensation
United Healthcare
HMO, POS-P, POS, EPO, PPO, Indemnity & NPP, Nexus ACO, Medicare, Medicare Regional PPO. NYU Langone Hospitals - Tisch, Orthopedic, RUSK and Brooklyn are non-par
with UHC Core, UHC Charter, UHC Compass. All NYU Langone Hospitals are non-par with Medicare Dual Complete SNP & All UHC Community Products.
All NYU facilities are contracted with Optum for the VA Community Care Network.
VillageCare
VA Commuity Care Network- Optum
- NYU does not participate with
Magna Care Create Health Plans
- NYU does not participate with
Quality Health Plan. This plan closed effecve February 29, 2020.
- NYU does not participate with UHC Community Plan for all products.
LICH is participating with UHC Community Plans
- Par with Emblem Bridge Network via HIP & GHI eff. 9/1/19
Medicare/Medicaid; Dual Eligible
Medicare
Medicare
Metropolitan Correctional Center, Bureau of Prisons, Department of Corrections
Medicare D-SNP, Medicare Choice and Choice MLTC
Medicare D-SNP, Medicare Choice and Choice MLTC
- Empire BCBS exchange products moved to Empire Health Plus platform eff. 1/1/20
- Plans with an * indicate only NYU Langone Orthopedic participates with this managed care plan.
- NYU Diagnostic Lab does not participate with Empire BCBS HMO plans including Child Health Plus and all BCBS Exchange plans; Health Republic of NJ
- NYU Diagnostic Lab participates with Medicare Part B only.
- Hotel Trades Council plan members are required to secure a referral from Hotel Trades Council for all services.
- NYU Langone does not participate with Affinity Health Care - termination date 09/01/2018.
LiCH is participating with Affinity
- NYU does not participate with Health First Senior Health Partners
- NYU Hospital may or may not participate with other products offered by the managed care plan. Please contact the managed care plan. To confirm hospital’s participation in other products not listed
Aetna Health Inc.
HMO/POS, PPO, EPO, Medicare, Indemnity & FIDA, Aetna Signature Administrators PPO. NYU Hospital are out of network with AETNA NAP PENN plan, Aetna Premier Care
Network, Aetna NY Signature, Aetna Better Health Medicaid, Aetna Savings Plus & New York Community Plan
PPO
Magna Care
PPO NYU Hospitals are out of network with Local 272 and Benefit Administrative Systems (BAS) – BAS accesses PHCS/Multiplan for practitioner services only
Maksin Group PPO - NYU Students Only
Medicare
Metropolitan Correctional Center, Bureau of Prisons, Department of Corrections
NYU Facilities Participatng with BH plans
PPO
Canadian Medical Network Global Inc
PPO
All products
Health Republic Health Care of New Jersey
Hebrew Hospital Home Choices Health
Medicare, FIDA
Child Health Plus, Medicaid, Medicare Advantage, Emblem Health Dual Assurance Plan - Medicare Essential, ArchCare Community Advantage Plan - VIP Prime, GuildNet
Gold Plus - VIP Prime, Select Care, Emblemhealth Essential Plan (Essential Plans 1-4), Enhanced Care Plus (Health and Recovery Plan (HARP), Enhanced Care Prime Network,
Emblem Health Gold, Emblem Health Platinum, Emblem Health Silver, Emblem Health Bronze, Emblem Health Basic, Emblem Health Healthy New York, Emblem Health
Silver Value, Emblem Health Bronze Value, Emblem Health Gold Access Open, Emblem Health Bronze HSA, Vytra Health Plans – HMO, POS and PPO, Emblem Bridge
Network
PPO & Workers’ Compensation
International
- Integra MLTC was purchased by Anthem on 5/6/2022
National Healthcare Solutions Inc.
- Cigna is no longer contracted with HealthCare Partners. Cigna Pathwell Pharmacy network is not contracted. Indemnity is non-network based and has no contract. State of Illinois is no longer a Cigna client. Confirm coverage for Cigna out of state members that have no benefits in New York for the HMO/Network
product.
- Effective October 1, 2023 Gold Care 1 and Gold Care 2 products have been combined and the new product name is Gold Care.
Amida Care All products
Connecticare Commercial Products Only. NYU Hospitals are out of network with Exchange/Medicare/Medicaid Networks
Centers Plan for Healthy Living
All products
Cigna
HMO, POS, PPO, EPO Open Access, Medicare. NYU Hospitals are out of network with Cigna Local Plus, out of state members that have no benefits in New York for the
HMO/Network product, the Cigna Pathwell Pharmacy network and Cigna Connect plans
Carrier Name Contracted Plans NYU Facilities
Aetna Health Inc.
HMO/POS, PPO, EPO, Medicare, Indemnity & Aetna Signature Administrators PPO. NYU Hospital are out of network with AETNA NAP PENN plan, Aetna Premier Care
Network, Aetna NY Signature, Aetna Better Health Medicaid, Aetna Savings Plus & New York Community Plan
Carrier Name Contracted Plans
PPO, Workers Compensation
Empire BC/BS
HMO, Indemnity, EPO, PPO, NYS/NYC Employees, Medicare+Choice, Hotel Trades Council, Medicare (Mediblue Extra & Mediblue Select). NYU Hospitals are out of
network with the BlueHPN/Connection Plan.
Empire BC/BS Health Plus
Child Health Plus, & Health Care Plus (Medicaid), Essential Plans, Exchange (eff. 1/1/20). NYU Hospitals are out of network with HealthPlus Medicare Advantage Select
Network, prefix RXJ
Fidelis
Medicaid Managed Care, Wellcare by Fidelis Care Medicare, Child Health Plus, Exchange and Essential Plans, HARP, MLTC
Health First All Products including Life Improvement Plan HMO SNP (excludes Health First Senior Health Partners plans)
GHI EmblemHealth
Flex Select, PPO Hospital Benefits, Medicare+Choice, HMO Comprehensive Benefits Plan (CBP), Emblem Health Dual Assurance Plan - Medicare Essential, ArchCare
Commmunity Advantage Plan - VIP Prime, GuildNet Gold Plus - VIP Prime, Emblem Bridge Network, Medicare VIP Bold Network. NYU Hospitals are out of network with
Medicare VIP Reserve Network & GHI Network Access and EmblemHealth Millennium Network.
Medicare Advantage, Medicare/Medicaid Advantage
FIDA, Medicare Advantage Plan (MA), Medicaid Advantage Plus Plan (MAP)
Medicare, The PPO plan -Humana Commercial product accesses the Cigna Network. Choice Care was purchased by Humana which is the Humana Commercial product.
Canadian Medical Network Global Inc
PPO
All products
Centers Plan for Healthy Living
All products
Cigna
HMO, POS, PPO, EPO Open Access, Medicare. NYU Hospitals are out of network with Cigna Local Plus, out of state members that have no benefits in New York for the
HMO/Network product, the Cigna Pathwell Pharmacy network and Cigna Connect plans
PPO
ALL products
Metro Plus
Medicaid, Child Health Plus, Medicare, Exchange, Essential and FIDA (dual eligible), Metro Plus Gold, Metro Plus Gold Care, HARP.
PPO
Med Save PPO
straight
A & B
International Health Insurance of
Olympic Airlines PPO
Oxford Health Plans
Freedom (HMO & PPO), Liberty, & Medicare (Secure Horizons), and Mosiac. NYU Langone Hospitals - Tisch, Orthopedic, RUSK and Brooklyn are out of network with the
Metro and Garden State product.
Unity Care PPO
Universal Health Care
Medicare
Behavioral Health Carve Out Plan
United Healthcare
HMO, POS-P, POS, EPO, PPO, Indemnity & NPP, Nexus ACO, Medicare, Medicare Regional PPO. NYU Langone Hospitals - Tisch, Orthopedic, RUSK and Brooklyn are non-par
with UHC Core, UHC Charter, UHC Compass. All NYU Langone Hospitals are non-par with Medicare Dual Complete SNP & All UHC Community Products.
VA Commuity Care Network- Optum
All NYU facilities are contracted with Optum for the VA Community Care Network.
Medicare/Medicaid; Dual Eligible
Medicare
Metro Plus
Medicaid, Child Health Plus, Medicare, Exchange, Essential and FIDA (dual eligible), Metro Plus Gold, Metro Plus Gold Care 2, HARP. NYU Hospitals is out of network with
Metroplus Gold Care 1.
FIDA, Medicare Advantage Plan (MA), Medicaid Advantage Plus Plan (MAP)
Medicare Advantage, Medicare/Medicaid Advantage
World Trade Center/Health Smart
All
1199 National Benefit Fund
All Product Plans
PPO
National Healthcare Solutions Inc.
International
Oxford Health Plans
Freedom (HMO & PPO), Liberty, & Medicare (Secure Horizons), and Mosiac. NYU Langone Hospitals - Tisch, Orthopedic, RUSK and Brooklyn are out of network with the
Metro and Garden State product.
HMO, Indemnity, EPO, PPO, NYS/NYC Employees, Medicare+Choice, Hotel Trades Council, Child Health Plus, Blue Priority, Medicare (Mediblue Extra & Mediblue Select).
NYU Hospitals are out of network with the Connection Plan.
Medical Only grid - See the grid below for Behavioral Health services.
Child Health Plus, Medicaid, Medicare Advantage, Emblem Health Dual Assurance Plan - Medicare Essential, ArchCare Community Advantage Plan - VIP Prime, GuildNet
Gold Plus - VIP Prime, Select Care, Emblemhealth Essential Plan (Essential Plans 1-4), Enhanced Care Plus (Health and Recovery Plan (HARP), Enhanced Care Prime Network,
Emblem Health Gold, Emblem Health Platinum, Emblem Health Silver, Emblem Health Bronze, Emblem Health Basic, Emblem Health Healthy New York, Emblem Health
Silver Value, Emblem Health Bronze Value, Emblem Health Gold Access Open, Emblem Health Bronze HSA, Vytra Health Plans – HMO, POS and PPO, Emblem Bridge
PPO, Medicare
ALL products
International Health Insurance of
Danmark
PPO
PPO NYU Hospitals are out of network with Local 272 and Benefit Administrative Systems (BAS) – BAS accesses PHCS/Multiplan for practitioner services only
GHI EmblemHealth
Flex Select, PPO Hospital Benefits, Medicare+Choice, HMO Comprehensive Benefits Plan (CBP), Emblem Health Dual Assurance Plan - Medicare Essential, ArchCare
Commmunity Advantage Plan - VIP Prime, GuildNet Gold Plus - VIP Prime, Emblem Bridge Network, Medicare VIP Bold Network. NYU Hospitals are out of network with
Medicare VIP Reserve Network & GHI Network Access and EmblemHealth Millennium Network.
All Products including Life Improvement Plan HMO SNP (excludes Health First Senior Health Partners plans)
Empire BC/BS
Child Health Plus, & Health Care Plus (Medicaid), Essential Plans, FIDA, Exchange (eff. 1/1/20)
Medicaid Managed Care, Medicare Advantage, Child Health Plus, Exchange and Essential Plans, HARP, MLTC
PPO & Workers’ Compensation
Commercial Products Only. NYU Hospitals are out of network with Exchange/Medicare/Medicaid Networks
NYU Langone Health, Brooklyn, Long Island, NYU Langone Ortho, Rusk Institute of Rehabilitation Medicine, LICH and Anesthesia
Contract Payor List - as of June 2024
LICH
Medicaid, Child Health Plus, Essential Plan and HARP