A Note about Urgent Care Services

Insurance

Plans/Products

Comments

1199 National Benefit & Pension Funds

PPO

Inpatient/Ambulatory only, not accepted in clinics

Academic Health Plan (AHP)

PPO

Referrals are not required for this insurance plan and most patients will have a 20% or 10% coinsurance responsibility

ADAP - NY State AIDS Program

Outpatient ophthalmology services only

Call to verify patient's eligibility and obtain authorization

Aetna US Healthcare

HMO, PPO

HMO/POS - Referral required

Affinity

Medicaid HMO, Child Health Plus, Family Health Plus

Referral required

Americhoice

Medicaid HMO, Child Health Plus, Family Health Plus

Referral requirements are determined by the patient's benefit

Amerigroup (formerly CarePlus)

Medicaid HMO, Child Health Plus, Family Health Plus

No referral

Anthem Health

PPO, POS

PPO - No referral

Atlantis Health Plan

HMO

No referral

BCE Emergis (UP & UP)

PPO

PPO - No referral

Beech Street Corp (merged with CapCare)

PPO

PPO - No referral

Better Health Advantage

PPO

PPO - No referral

Cigna Healthcare

PPO, HMO

HMO - Referral required, POS - No referral

Community Care Network

PPO

PPO - No referral

Community Care Partners

SNIP

No referral

Consumer Health Network

PPO

PPO - No referral

Devon Health Services

PPO

PPO - No referral

Direct Care America

PPO

PPO - No referral

Elderplan

Medicare HMO

No referral

Empire Health Choice (BCBS)

HMO, PPO, POS, Indemnity, Medicare HMO

Not accepted in clinics

Fidelis Care (Centercare)

Medicaid HMO, Child Health Plus, Family Health Plus

No referral required

First Health (Healthcare Compare/Affordable)

PPO

PPO - No referral

Galaxy (Managed Care Inc. - MCI)

PPO

PPO - No referral

Global Medical Management

PPO

PPO - No referral

Great West Healthcare

PPO

PPO - No referral

Group Health Incorporated (GHI)

CBP, Flex Select, PPO, HMO, Medicaid HMO, CHP, FHP, Medicare

CHP, FHP, CAID - Referral required

Healthfirst

Medicaid HMO, Child Health Plus, Family Health Plus, A Plus

No referral

Healthfirst/MHI

HMO, Medicare HMO

No referral

Healthnet

Commercial, PPO

Inpatient/Ambulatory only, not accepted in clinics

Healthplus

Medicaid HMO, Child Health Plus, Family Health Plus

Authorization and referral required

HIP/VYTRA

HMO, Child Health Plus, Medicaid HMO, Medicare HMO, Heritage, Prime

Referral required

Independent Health

PPO

PPO - No referral

Magnacare

HMO, PPO

HMO, POS - Referral required

Mastercare

PPO

PPO - No referral

Medcare International

PPO

PPO - No referral

Medicaid

No referral

Medicare

No referral

Metracomp

PPO

PPO - No referral

Metroplus

Medicaid, FHP, CHP and Medicare

Referral Required

Multiplan

PPO

PPO - No referral

National Health Plan

PPO

PPO - No referral

National Preferred Provider Network

PPO

PPO - No referral

National Provider Network

PPO

PPO - No referral

Neighborhood Health Providers

Medicaid HMO, Child Health Plus, Family Health Plus

Referral required

Oxford Health Plans

HMO, PPO, Medicare HMO, Liberty, Freedom

Referral form does not apply to all

POMCO

PPO

PPO - No referral

Private Healthcare Systems (PHCS)

PPO

PPO - No referral

Proamerica Managed Care

PPO

PPO - No referral

Selectpro

PPO

PPO - No referral

Travel Care Services

PPO

PPO - No referral

United Healthcare

HMO, PPO, Liberty, Freedom Medicare, Medicaid

Referral requirements are determined by the patient's benefit

USA Managed Care Network

PPO

Referral required

Visiting Nurse Service of NY (VNS)

No referral

Wellcare

Medicaid HMO, Child Health Plus, Family Health Plus

No referral

Revised 12/29/08