Medicare Coverage At New York-Presbyterian Hospital

NewYork-Presbyterian Hospital is ranked in the top 14 adult medical specialties and 8 pediatric subspecialties. It offers a wide range of clinical services and accepts a variety of insurance plans. While the hospital does not explicitly mention Medicare on its website, it is certified by the Centers for Medicare & Medicaid Services, and it accepts Aetna Medicare and Healthcare Partners Medicare. Additionally, it accepts out-of-network insurance carriers, provided that the deductible and copay are met by the patient.

NewYork-Presbyterian accepts Medicare

NewYork-Presbyterian is ranked highly in adult and pediatric medical specialties, and patients can access clinical services in person or via their phone.

The hospital accepts a range of insurance plans, including Aetna, Affinity by Molina Healthcare, and Medicare through Aetna. NewYork-Presbyterian Brooklyn Methodist Hospital is affiliated with physicians who accept a variety of health plans, although it is no longer covered as an in-network provider for 32BJ members as of 2022.

Weill Cornell Imaging at NewYork-Presbyterian also accepts Medicare, as well as other insurance carriers such as EmblemHealth HIP, Fidelis, and GHI.

NewYork-Presbyterian is certified by the Centers for Medicare & Medicaid Services, with a date of initial certification of March 3, 2009, and a re-certification date of June 1, 2024.

It also accepts Medicaid

NewYork-Presbyterian Hospital accepts Medicare and Medicaid. While every effort is made to keep the list of accepted insurance plans current, insurance products do change frequently. Therefore, patients are advised to check with their insurance company to ensure their care will be covered.

NewYork-Presbyterian accepts the following Medicare insurance plans:

• Aetna Medicare
• Healthcare Partners Medicare
• EmblemHealth HIP – Medicare
• Fidelis - Medicare
• Healthfirst - Medicare
• Aetna, Indemnity
• EmblemHealth HIP – CHP, HARP, Essential Plan, Metal Level Plans
• Fidelis - Medicaid, CHP, HARP, Dual Advantage, Essential Plan, Metal Level Plans
• Healthfirst - Medicaid, CHP, HARP, Dual Advantage, Essential Plan, Metal Level Plans

In addition to the above, NewYork-Presbyterian accepts other insurance plans and out-of-network insurance carriers. It also accepts cash, checks, debit and credit cards for payment.

Patients are advised to check with their insurance company

For example, as of January 1, 2022, NewYork-Presbyterian Hospital is no longer covered as an in-network provider for 32BJ Health Fund members. This means that elective services will be covered as out-of-network, resulting in higher out-of-pocket costs for the patient. However, emergency care received at NewYork-Presbyterian will continue to be covered as in-network.

Similarly, patients with Healthcare Partners Medicare or Healthcare Partners Medicaid will need to obtain a referral from their PCP and present their HIP or Emblem ID card, which will have the HCP logo on the bottom.

In addition, patients with indemnity or out-of-network insurance carriers not listed by NewYork-Presbyterian may still be accepted provided that the policy permits and the deductible and copay are met by the patient.

It is important to note that patients should always verify their insurance coverage with their insurance provider and the hospital to avoid unexpected costs and ensure they receive the necessary care.

Emergency care is covered as in-network care

NewYork-Presbyterian Hospital accepts Medicare as a form of insurance. This includes the hospital's Brooklyn Methodist branch. However, it is always advisable to check with your insurance company to make sure your care will be covered.

As of January 1, 2022, NewYork-Presbyterian is no longer a covered in-network provider for 32BJ members. This means that elective services will be covered as out-of-network, and members may be responsible for higher out-of-pocket costs. However, emergency care received at NewYork-Presbyterian will continue to be covered as in-network care. This means that, even if you are a 32BJ member, you will not be responsible for higher costs if you require emergency care at the hospital.

If you have Medicare as your insurance, you can rest assured that emergency care at NewYork-Presbyterian Hospital will be covered as in-network care. This means that you will not face higher out-of-pocket costs for emergency treatment received at this hospital.

It is important to note that insurance products and coverage can change frequently. Therefore, it is always a good idea to verify with your insurance company and the hospital to ensure that your specific care needs will be covered. Additionally, different Medicare plans may have varying levels of coverage, so understanding your specific plan's benefits is crucial.

In conclusion, NewYork-Presbyterian Hospital does accept Medicare, and emergency care will be covered as in-network care. However, it is essential to stay informed about any changes in coverage and to understand the specifics of your Medicare plan to ensure you receive the expected coverage for your emergency care.

Other payment options are available

NewYork-Presbyterian Hospital accepts several insurance plans, including Medicare. However, it is always advisable to check with your insurance company to ensure that your care will be covered.

NewYork-Presbyterian Hospital offers flexibility with payments and accepts various payment methods. They accept major insurance plans, including Medicare and Medicaid, as well as the Presbyterian Health Plan. Additionally, they accommodate cash, check, debit, and credit card payments.

For those with insurance not in the Presbyterian Healthcare Services network, prior authorization for services is required. This prior authorization does not guarantee payment or in-network benefits.

If you are unable to pay on the day of your appointment, NewYork-Presbyterian can assist with payment arrangements. It is important to adhere to the agreed-upon terms to avoid delinquency and potential impacts on your credit status.

For those with 32BJ Health Fund insurance, as of January 1, 2022, NewYork-Presbyterian is no longer an in-network provider. Elective services will be covered as out-of-network, resulting in higher out-of-pocket costs. However, emergency care will continue to be covered as in-network.

The hospital also provides financial planning seminars and support groups to help patients make informed decisions about their healthcare finances.

It is recommended to contact the hospital directly for specific details on payment options and to understand the charges and payment expectations.

Frequently asked questions