Effective December 31, 2018, AgeWell, CenterLight and Partners Health Plan insurance will not be accepted by Westmed Medical Group. It is important for you to find a new participating insurance plan prior to that date. Check the list below for our participating plans.   

If you choose not to remain with Westmed and wish to request a copy of your medical records, please download and complete the “Authorization for the Release of Health Information.”


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 thereunder.

Westmed NY Participating Insurance

Last updated:  10/01/2018

  • 1199 National Benefit Fund
    • Through Aetna Network

 

  • 32BJ Benefit Fund
    • Through BCBS Network

 

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

 

  • Affinity
    • Excludes FIDA and MLTC plans

 

  • AgeWellTerminating effective 01/01/2019
    • Medicare
    • FIDA
    • Excludes MLTC

 

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

 

  • CenterLight Terminating effective 01/01/2019
    • PACE
    • Direct Complete (Specialists only)
    • Excludes FIDA and Select Plans

 

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

 

  • ConnectiCare
    • All Commercial Flex Plans
    • Choice and Passage plans sold off of the Access Health CT Exchange 
      • Limited to specialists only. All PCPs are considered non-participating.
    • Excludes Choice and Passage plans sold on the Access Health CT Exchange.
    • Excludes Medicare Plans

 

  • Emblem Health-HIP
    • PPO/EPO
    • Medicare

 

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

 

  • Empire Blue Cross Blue Shield
    • HMO, PPO/EPO, Indemnity, Healthy NY, Pathway and Pathway Enhanced, Medicare, Unicare, Anthem BCBS PPO

 

  • Empire New York State Government Plan

 

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

 

  • Great West Healthcare

 

  • HealthNet
    • Must have FirstHealth logo on insurance card.

 

  • Magnacare

 

  • Medicare Plans
    • Traditional Medicare New York, Connecticut and Railroad Retirees
    • Aetna Medicare Advantage
    • Archcare Advantage HMO SNP
    • Agewell
    • Affinity
    • Centerlight: PACE and Direct SNP
    • HIP and GHI Medicare
    • United Healthcare: AARP Medicare Complete, HMO, PPO and Regional PPO*-excludes PFFS and Secure Horizons
      • Regional PPO plans are accepted at the out-of-network level of benefits.
    • Empire Blue Cross Blue Shield Mediblue Medicare Advantage

 

  • Multiplan/PHCS

 

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

 

  • No Fault

 

  • Oscar Health Plan- Circle Plus Network Only
    • Circle Plus Platinum
    • Circle Plus Gold
    • Circle Plus Silver
    • Circle Plus Silver HSA
    • Circle Plus Bronze

 

  • Oxford
    • Liberty and Freedom Plan
    • Metro Plan

 

  • Partners Health Plan Terminating effective 01/01/2019

 

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

 

  • Unicare
    • Through Empire Blue Cross Blue Shield-Excludes Medicare

 

  • 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
      • Regional PPO plans are accepted at the out-of-network level of benefits.
    • NexusACO
    • Excludes Community Health Plan

 

  • Workers Compensation

 

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.