Ethan Rhodes
NewYork-Presbyterian Hospital is ranked highly in both adult and pediatric medical specialties. It accepts a wide range of insurance plans, including indemnity and out-of-network insurance carriers. MetroPlusHealth is a low-cost insurance provider that has served New Yorkers for over 35 years, partnering with over 40 hospitals, 110 urgent care centers, 400 pharmacies, and 34,000+ healthcare providers. So, does NewYork-Presbyterian Hospital accept MetroPlusHealth insurance?
| Characteristics | Values |
|---|---|
| MetroPlusHealth Insurance Coverage | Unclear |
| In-Network Providers | No (as of January 1, 2022) |
| Out-of-Network Coverage | Emergency care is covered as in-network |
| Higher Out-of-Pocket Costs | May apply for elective services |
| Accepted Insurances | Various, including Healthcare Partners Medicaid and Medicare |
What You'll Learn
NewYork-Presbyterian accepts out-of-network insurance
It is important to note that insurance plans and coverage can change frequently. Therefore, it is recommended to verify with your insurance company directly to confirm if NewYork-Presbyterian is considered in-network or out-of-network for your specific plan.
If you have questions about coverage, payment plans, or financial assistance, you can contact the business office or your insurance provider for more information. Presbyterian Hospital, which may be related to NewYork-Presbyterian, offers financial assistance and counselors for patients who are uninsured or underinsured and have difficulty paying for care. They also provide payment options, including payment plans and charity assistance.
Additionally, for non-emergency medical procedures or surgeries, Presbyterian Hospital may contact you before your appointment to provide an estimate of the cost and collect any applicable copayments, deductibles, or coinsurance. If you are uninsured, you will be expected to pay in full, but a 25% discount on all services is offered.
Methodist Hospital: RN Temporary Permit Hiring
You may want to see also
It is ranked highly in adult and pediatric specialties
NewYork-Presbyterian Hospital is ranked highly in adult and pediatric specialties. It is ranked in the top 20 in five pediatric specialty areas: cardiology and heart surgery, diabetes and endocrinology, gastroenterology and gastrointestinal surgery, neurology and neurosurgery, and pulmonology. It is also one of the nation's best in pediatric and adolescent behavioural health.
NewYork-Presbyterian Hospital has been recognized as the #1 children's hospital in New York, according to U.S. News & World Report's 2024-2025 "Best Children's Hospitals" rankings. This is the 18th year in a row that the Hospital has ranked among the best children's hospitals in the nation. NewYork-Presbyterian Hospital was the only hospital in New York to rank among the top 50 hospitals across all 11 pediatric specialties evaluated.
The hospital is also ranked nationally in 14 specialties, including No. 1 in New York (No. 4 in the nation) for cardiology and heart surgery. It is also ranked as New York's No. 1 children's hospital and among the best in the nation for children's care, ranking nationally in 10 children's specialties according to the U.S. News & World Report's 2022-23 Best Children's Hospitals rankings.
NewYork-Presbyterian Hospital-Columbia and Cornell in New York is nationally ranked in 14 adult and 11 pediatric specialties and rated high performing in 1 adult specialty and 20 procedures and conditions. It is a general medical and surgical facility and a teaching hospital.
Comparing Hospital Maternity Pricing: What to Know
You may want to see also
MetroPlusHealth members can access a Member Portal
MetroPlusHealth has been providing low-cost, quality health care for New Yorkers for over 35 years. It is a not-for-profit organization that offers health insurance plans for New Yorkers by New Yorkers.
To access the Member Portal, members can log in using their MetroPlusHealth ID, which is provided to them within the first 15 days of their membership. This ID can be accessed both physically, through a mailed card, and virtually, through the member portal. Members can also use the Member Portal to pay their premiums, renew their coverage, and find answers to their questions in the FAQs section.
Additionally, MetroPlusHealth partners with over 40 hospitals, 110 urgent care centers, 400 pharmacies, and 34,000+ providers to ensure that their members have access to a wide range of healthcare options. Members can choose from a vast network of top doctors, specialists, and healthcare facilities to suit their specific needs.
The Member Portal is a valuable resource for MetroPlusHealth members, providing them with easy access to their health care information and a variety of tools to help them manage their health and well-being. It is a secure and convenient way for members to stay connected to their health care coverage and make informed decisions about their health.
Cells: Nature's Hospitals, Healing and Nurturing Life
You may want to see also
MetroPlusHealth offers low-cost healthcare
MetroPlusHealth has been offering low-cost, quality healthcare plans to New Yorkers for more than 35 years. It is one of the largest health insurance companies, with over 713,000 members. MetroPlusHealth members can access the Member Portal to find doctors, specialists, and pharmacies, and view their member benefits.
MetroPlusHealth offers a range of plans to suit different needs. For example, there is a low-cost plan for daycare workers in New York City. There are also plans for those who are eligible for Medicaid, including Medicaid recipients 21 or older who need additional resources for behavioural health, and a Medicaid Advantage Plus plan for people dual-eligible for Medicare and full Medicaid.
For those who are 65 years of age or older, there may be additional medical benefits available through the Medicare program. This includes a Dual-Eligible Special Needs Plan and an HMO plan for Medicare beneficiaries.
MetroPlusHealth also provides coverage for mental, dental, vision, and birth control. Mammograms are also covered, as early detection saves lives.
With access to more than 34,000 doctors and specialists, 40 hospitals, 110 urgent care centres, and 400 pharmacies, MetroPlusHealth members can be confident that they are receiving quality healthcare at a low cost.
Ovarian Cancer Detection: Hospital Check Methods Explained
You may want to see also
NewYork-Presbyterian accepts Medicare and Medicaid
NewYork-Presbyterian Hospital is ranked top in 14 adult medical specialties and 8 pediatric subspecialties. It offers exceptional clinical services and access to the latest research, clinical trials, and education initiatives through NYP Advances.
As of January 1, 2022, NewYork-Presbyterian is no longer 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 members. However, emergency care received at NewYork-Presbyterian will continue to be covered as in-network.
For uninsured patients, NewYork-Presbyterian offers a 25% discount on all services and provides financial assistance and counselors to help patients who have difficulty paying for care. They also offer payment plans and charity assistance.
Vanderbilt Hospital: How Far is it From Here?
You may want to see also
Frequently asked questions
I cannot find definitive information on whether New York Presbyterian Hospital accepts MetroPlus insurance. You should contact your insurance provider to confirm if your insurance will be accepted.
New York Presbyterian Hospital accepts several insurance plans, including:
- EmblemHealth HIP – CHP, HARP, Medicaid, Medicare, Essential Plan, Metal Level Plans
- Fidelis - Medicaid, Medicare, CHP, HARP, Dual Advantage, Essential Plan, Metal Level Plans
- GHI (Group Health Incorporated) - HMO, EPO, PPO, CBP Network
- Healthfirst - Medicaid, Medicare, CHP, HARP, Dual Advantage, Essential Plan, Metal Level Plans
Yes, New York Presbyterian Hospital accepts out-of-network insurance provided that the policy permits and the deductible and copay are met by the patient.
Yes, New York Presbyterian Hospital accepts Medicare.
Yes, New York Presbyterian Hospital accepts Medicaid.
