Insurance Details

The list below identifies the plans utilized most frequently by our patients. Some of these plans require that you obtain a written referral from a primary care physician (pediatrician, family practitioner, internist) for a specialist visit to be covered.

Most plans will require you to pay for some part of the visit, either a "co-pay"  or a "deductible" which must be paid before any insurance payments are made. Even after the deductible has been met, some plans require that a percentage of the remaining balance be paid by the patient (20% is fairly common).

 
You should expect to pay any co-pay or deductible amounts at the time of the visit.

 

PlanTypeProvider IDReferral
    
1199 Benefit Plan (not HealthFirst)  No referral needed
Aetna/US HealthcareHMO2539615Electronic only
 Open Choice & PPO No referral needed
 MC Electronic only
AmeriHealth       2056471000 
 HMO/POS907580Varies with plan
 PPO1364086No referral needed
AmeriHealth Administrators                        1364086 
Amerigroup (fomerly Care Plus) 10204475script referral
Anthem Health   Varies with plan
Beech Street (PPO'S) 522302383No referral needed
Centercare 40426018533script referral
CHN (Consumer Health Network)  136040 
CignaPPO      4112463011No referral needed
 HMO and All others                         4112463011script referral
Galaxy Health Network   Varies with plan
Empire BC/BS    
Fidelis  40426018533script referral
First Health 1724017 
Health First  script referral
HealthPlus 331890401HealthPlus referral WITH authorization #
Horizon Health Care of New York 522302383No referral needed
Magnacare   522302383No referral needed
Metroplus (including Excelsior IPA) 522302383script referral
Multiplan 522302383No referral needed
Medicare 4772No referral needed
Neighborhood Health Providers 20129101NHP Referral
New York Hospital Presbyterian  script referral
One Health Plan 999947 
PHCS  522302383No referral needed
POMCO  522302383No referral needed
Select Pro  522302383No referral needed
TriCare (HealthNet)  Out of Network Referral AND
   specify codes 99244 and 92225
United Empire 522302383No referral needed
Up-Up (BCE Emergis)  522302383No referral needed
Well Care 186114script referral
 

   
Fresh Meadows (718) 468-9800 Woodside