PARTICIPATING INSURANCES:

  • AARP MedicareComplete
    • PPO Only (as of 3/21/18)
    • Excluding all HMO Plans and Mosaic Plans
  • AETNA
    • PPO & HMO (referrals required for specialists)
    • MEDICARE ADVANTAGE PPO / HMO (Elite, Premier, Value Plans)
    • LOCAL 1199
  • BCBS / EMPIRE
    • PPO and EPO (Including Bronze, Silver, Gold and Platinum)
    • HMO (Referrals required)
    • GEOBLUE
    • EXCHANGE PROGRAMS ACCEPTED FOR BCBS ONLY – EXCLUDING ANY HEALTH PLUS/CHILD HP
      • Excluding Prefix IDs with YLR, YLV or VOF and any Medicaid Advantage Plan
      • Mediblue PPO and HMO accepted if patient has out-of-network benefits
  • *CIGNA
    • GREAT WEST / ONE HEALTH (PPO Plan only)
    • RADIOLOGY RESTRICTIONS (see list of approved procedures)
  • CONNECTICARE
  • *EMBLEM HEALTH (GHI/HIP/HIP HMO)
    • *NO RADIOLOGY FOR HIP*
    • HIP HMO (referrals required for specialist)
    • Inbalance EPO
    • Enhanced Care/Plus (Medicaid), VIP Dual (HMO), VIP Gold (HMO), VIP Premiere (HMO), Vtyra, Child Health Plus, Essential Plan
    • Enhanced Care Prime, Select Care, Prime/VIP Prime, Medicare Choice PPO and Medicare Essential Networks
    • ConnectiCare Network: Medicare Advantage (PPO/POS/HMO)
    • EXCLUDING HIP EMBLEMHEALTH COMPREHEALTH
  • FIRST HEALTH/COVENTRY
  • MEDICARE
    • Railroad Medicare
    • TRADITIONAL (Part B Only: Medical)
  • MEDICHOICE/BEECH STREET
  • *MVP HEALTH CARE
    • EXCLUDING OB/GYN and PEDIATRICS
    • PPO and EPO
    • Liberty
    • Exchange Plans Accepted for MVP - Premier and Premier Plus Plans.
    • EXCLUDING THE FOLLOWING PLAN TYPES: MVPM (MEDICAID), MVPC (CHILD HEALTH PLUS), MVPMS PLANS (MEDICAID SSI), MVPH (HARMONIOUS HEALTH), MVP ESSENTIAL PLANS or Select Care Plans
    • CATSCANS ACCEPTED, BUT MUST RECEIVE PRIOR AUTHORIZATION FROM EVICORE
  • OXFORD FREEDOM, LIBERTY PLANS AND METRO PLAN EXCHANGE
    • PPO and HMO* (*referral required for specialist)
    • COMPASS PLAN
    • COMMUNITY PLAN: No NEW patients accepted with Community Plan (must contact billing department)
    • Charter, Charter Balanced, Charter Plus, Choice/Core (EPO, HMO, POS), Navigate (EPO, HMO, POS), Select (EPO, HMO, POS), Options (PPO)
  • POMCO/UMR
  • PRIVATE HEALTHCARE SERVICES (PHCS)/MULTIPLAN
  • SELECTPRO
  • TRICARE (Army ID)
  • UNITED HEALTHCARE
    • EXCLUDING EXCHANGE PLANS
  • UNITED HEALTHCARE MEDICARE SOLUTIONS (PPO Only)
  • UNITED HEALTHCARE EMPIRE STATE EMPLOYEE PLAN (NYSHIP)

NON-PARTICIPATING INSURANCES:

  • AARP MedicareComplete HMO Plans and MOSAIC
  • AFFINTY PLAN
  • CARECONNECT
  • EMPIRE BCBS *HEALTHPLUS* = MEDICAID PLAN
  • FIDELIS
  • HIP EMBLEMHEALTH COMPREHEALTH
  • HEALTHYCT
  • HEALTHSOURCE
  • HUDSON HEALTH (MVP/MEDICAID)
  • HUMANA
  • MAGNACARE
  • MVP Medicaid (MVPM), Medicaid SSI (MVPMS), Child Health Plus (MVPC), Harmonious Health (MPVH), Essential and Select Care Plains
  • MEDICARE ADVANTAGE PLANS
    • AETNA, AARP MedicareComplete (excluding HMO/Mosaic Plan) and MVP Premier/Premier Plus are ok
  • MEDICAID – ONLY ACCEPTED AS SECONDARY TO MEDICARE
  • OSCAR INSURANCE
  • UnitedHealthcare MedicareComplete Choice (Eastern) Regional PPO (RPPO) plans

*NO FAULT POLICY* (SMG IS NOT CONTRACTED WITH ANY NO FAULT INSURANCE COMPANY)

*WORKERS COMP*

  • Scarsdale/Harrison Employees Only (Form must be completed)