Please Note: Westmed’s Norwalk office and lab will close at 3pm on Friday, 07/19 and will be CLOSED on Saturday, 07/20 & 07/27 due to renovations.

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:  01/31/2019

 

  • Aetna
    • HMO, PPO/EPO, POS and Medicare, 1199SEIU
    • Excludes Aetna SRC

 

  • Affinity
    • Medicaid Managed Care
    • Child Health Plus
    • Medicare Advantage
    • Qualified Health Plus
    • Basic Health Plan/Essential Plan
    • Excludes FIDA and MLTC plans

 

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

 

  • Cigna
    • HMO, PPO/EPO, POS, Great West Healthcare
    • 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-GHI
    • PPO/EPO, Humana
    • Excludes: Medicare

 

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

 

  • Empire Blue Cross Blue Shield
    • HMO, PPO/EPO, Indemnity, Healthy NY, Pathway and Pathway Enhanced, Medicare, Unicare, Anthem BCBS PPO, 32BJ Benefit Fund, SWSCHP

 

  • Empire New York State Government Plan

 

  • FirstHealth/Coventry
    • HMO, PPO, EPO, HealthNet, HealthFirst
    • 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
    • Affinity
    • EmblemHealth GHI and HIP Medicare
    • Empire BCBS Mediblue 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

 

  • 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.