Insurance Plans

Certain plans from the following insurance companies have relationships with us (and all of our doctors). Insurance companies offer many different types of plans, including qualified health plans from the Health Insurance Marketplace. Some plans from some insurance companies may not include us.

Please review this list carefully. Call us if you have questions or need help.

If you have an EPO or HMO insurance that is not on the list, this means MSK is not in their network. Before you make your first appointment at MSK, you must see your Primary Care Physician and get an out-of-network authorization for a comprehensive consultation. MSK must receive this authorization before any appointments are scheduled.

MSK - Anthem Contract Negotiations

Anthem may no longer include MSK as an in-network provider starting January 1, 2025.

Read more

View the insurance plans that participate with MSK below:

Payor Type Health Insurance Provider In Network
Coverage Type(s)
Coverage Details
Commercial Aetna HMO, EPO PPO, POS, Transplant
Medicare/
Medicare Advantage
Aetna Medicare Advantage (MTA and NYC retirees only) PPO
Commercial Anthem BCBS and other BCBS licensee plans PPO, POS, EPO, HMO

See updates

Medicaid/
Managed Medicaid
Anthem BCBS Health Plus HMO

See updates

Medicare/
Medicare Advantage
Anthem Blue Cross Medicare Advantage PPO, HMO, DSN

See updates

Commercial Blue Cross Blue Shield Federal Employee Program HMO, PPO

See updates

Commercial Blue Cross Blue Shield states outside of NY/NJ HMO, EPO PPO, POS

See updates

Commercial Carrum Health Supplemental
Commercial Cigna PPO, POS, HMO
Commercial Connecticare POS, EPO, HMO
Commercial Emblem PPO, POS, EPO, HMO

Offers a qualified health plan from the Health Insurance Marketplace. Call Emblem to learn more.

Medicaid/
Managed Medicaid
Emblem Essential HMO
Medicare/
Medicare Advantage
Emblem Medicare Advantage (Medicare Choice PPO Network and VIP Prime Network Only) PPO, HMO
Medicaid/
Managed Medicaid
Empire Essential HMO
Commercial Empire Plan / NYSHIP (Blue Cross/UnitedHealthcare split plan) PPO

See updates

Commercial Fidelis HMO, EPO

Offers a qualified health plan from the Health Insurance Marketplace. Call Fidelis to learn more.

Medicaid/
Managed Medicaid
Fidelis Managed Medicaid & HARP HMO
Medicare/
Medicare Advantage
Fidelis Medicare Advantage HMO
Medicare/
Medicare Advantage
First Health PPO
Commercial Healthfirst EPO, HMO, PPO, POS

Offers a qualified health plan from the Health Insurance Marketplace. Call Healthfirst to learn more.

Medicaid/
Managed Medicaid
Healthfirst Managed Medicaid HMO
Medicare/
Medicare Advantage
Healthfirst Medicare Advantage HMO, PPO
Commercial Healthsmart PPO EPO
Commercial Horizon Blue Cross Blue Shield New Jersey (HMO) HMO

See updates

Commercial Horizon Blue Cross Blue Shield New Jersey (PPO) PPO

See updates

Commercial Horizon Blue Cross Blue Shield New Jersey Omnia Tier I (EPO) EPO

See updates

Commercial Horizon Blue Cross Blue Shield New Jersey Omnia Tier II (EPO) EPO

See updates

Medicare/
Medicare Advantage
Horizon Medicare Advantage PPO, HMO
Medicaid/
Managed Medicaid
Husky CT Medicaid State Government
Commercial Magnacare PPO, POS, EPO
Medicare/
Medicare Advantage
Medicare Part A&B (traditional Medicare) Federal Government
Commercial Multiplan/Beech Street/PHCS Supplemental
Commercial MVP PPO/OAP
Other Non-Participating Plans with Out of Network Benefits PPO, POS, EPO, HMO
Medicare/
Medicare Advantage
NYC Medicare Advantage Plus for City Employees TBD
Commercial Oscar HMO/EPO
Commercial Oxford PPO, EPO
Commercial Qualcare PPO, POS, HMO
Medicaid/
Managed Medicaid
Straight NJ Medicaid State Government
Medicaid/
Managed Medicaid
Straight NY Medicaid State Government
Commercial Tricare PPO, HMO
Commercial UMR PPO, POS
Commercial United Healthcare PPO, POS, HMO
Commercial World Trade Center Health Program (WTC) State Government
Questions?

If your question is about insurance only, please call us at 646-497-9176, Monday through Friday, to (Eastern time)

If your question involves insurance and a bill you received from us, please call us at 646-227-3378, Monday through Friday, to (Eastern time)

VIDEO | 02:52

Out of Network Insurance at MSK

Video Details