An advantage of receiving care at Westmed Medical Group is the wide range of insurance coverage accepted. This allows our patients the convenience of seeing their preferred doctors, even if they need to change insurance plans.

Please find a list of health plans with which WMG is participating below. Before selecting a Westmed provider, please check with your insurance company to determine if the provider participates in your plan. Additionally, we encourage you to consult with your healthcare insurance provider to confirm the plan imposes no special requirements for the provision of laboratory, radiology, pathology, or any other service.

Each patient is ultimately responsible for the selection of a healthcare plan and for understanding the benefits provided there under.

Westmed NY Participating Insurance

Last updated:  01/24/2023

  • 1199 National Benefit Fund
    • Through Aetna network

     

  • 32BJ Benefit Fund
    • Through BCBS network

     

  • Aetna
    • HMO, PPO/EPO, POS and Medicare
    • Excludes Aetna SRC

 

  • Affinity
      • Essential Plan
      • Medicaid Managed Care
      • Child Health Plus
      • Health and Recovery Plan (HARP)

 

  • ArchCare Advantage
    • SNP (Special Needs Plan)
    • Excludes MLTCP, PACE and Social Day Program

 

  • Centivo

 

  • Cigna
    • HMO, PPO/EPO, POS, Medicare

 

  • ConnectiCare
    • All Commercial Flex Plans
    • Choice and Passage plans sold off of the Access Health CT Exchange 
      • Limited to specialist services only.
    • Excludes Choice and Passage plans sold on the Access Health CT Exchange.
    • Excludes Medicare Plans

 

  • Emblem Health-GHI
    • HMO/PPO/EPO
    • Medicare

 

  • Emblem Health-HIP
    • HMO/EPO/PPO/POS
    • Bridge ASO
    • Medicare/FIDA
    • Child Health Plus
    • Excludes: Medicaid, Family Health Plus and Select Care Networks.

 

  • Empire Blue Cross Blue Shield
    • HMO, PPO/EPO, Blue Access, Connection, Indemnity, Healthy NY, Medicare, Unicare, Anthem BCBS PPO.
      • Excludes: VFG and VJD Prefix, HealthPlus Gatekeeper Plans

 

  • Empire New York State Government Plan

 

  • FirstHealth/Coventry
    • Excludes No Fault, Workers’ Compensation and Medicare

 

  • Magnacare

 

  • Medicare Plans
    • Traditional Medicare New York, Connecticut and Railroad Retirees
    • Aetna Medicare Advantage
    • Archcare Advantage HMO SNP
    • HIP and GHI Medicare
    • United Healthcare: AARP Medicare Complete, HMO, PPO and Regional PPO*-excludes PFFS and Secure Horizon
    • Empire Blue Cross Blue Shield Mediblue Medicare Advantage

 

  • Multiplan/PHCS

 

  • MVP Health Plan
    • HMO, PPO/EPO and Healthy NY
    • Medicare HMO, PPO, POS
    • Premier and Premier Plus
    • Medicaid and Child Health Plus and Essential Plans  *Limited provider participation.

 

  • Oscar Health Plan- Circle Plus Network Only *Oscar will no longer be supporting Circle Plus Plans as of 12/15/21*
    • Circle Plus Platinum
    • Circle Plus Gold
    • Circle Plus Silver
    • Circle Plus Silver HSA
    • Circle Plus Bronze

 

  • Oxford
    • Liberty and Freedom Plan
    • Metro Plan

 

  • Southern Westchester School Cooperative Health Plan (SWSCHP)
    • Through Empire BCBS

 

  • United Healthcare
    • HMO, PPO, POS, EPO
    • Charter, Core, Compass and Navigate
    • Medicare: AARP Medicare Complete, HMO, PPO and Regional PPO*-excludes PFFS and Secure Horizons
    • Excludes Community Health Plan

 

  • Workers Compensation/No Fault

 

  • The following plans are non-participation at the Rye Ambulatory Surgery Center: 
    • Archcare Advantage
    • Emblem Health Medicare (HIP and GHI)
    • MVP-HMO/PPO/EPO/Healthy NY/Premier and Premier Plus
    • Oscar Health Plans

If WMG is not a participating provider in your plan, and if the services to be provided are non-emergent, WMG can provide an estimate for the amount you will be billed for the healthcare services being considered.*WMG is currently affiliated with White Plains and Greenwich Hospitals. While a patient at these hospitals, you will be cared for by your WMG provider and WMG hospitalists, who are participating providers in all WMG accepted health plans. Please contact the hospital directly if you are unsure if the hospital and staff are participating providers in your plan.

Should you have additional questions, or if you would like to request an estimate for the amount you will be billed for healthcare services provided, please contact the Medical Billing Office at (914) 681-3110.

Please note: WMG partners with Westchester Anesthesiologists, P.C. to provide anesthesia services for procedures performed at WMG. Under the terms of this agreement, Westchester Anesthesiologists are participants in the same insurance plans with which WMG participates. Insurance participation is not guaranteed for services provided in a hospital setting. If you would like additional information about Westchester Anesthesiologists and their participating insurance plans, their contact number is (914) 428-5454.

*Absent any unforeseen circumstances that may arise whenever healthcare services are provided.