NY State Exchange Plans

MKMG participates in only the following individual plans listed on the New York State Individual Insurance Exchange: 

  • Affinity QHP
  • CDPHP
  • Fidelis
  • Magnacare Health Republic (Excludes Oscar Plan)
  • PHCS Today's Option
  • CareConnect (North Shore-LIJ)

MKMG participates in only the following small business health plans listed on the New York State “SHOP” Exchange:

  • CDPHP
  • Magnacare Health Republic (Excludes Oscar Plan)
  • MVP
  • Oxford
  • CareConnect(North Shore-LIJ)

Insurance Plans

The following is a list of the Insurance Group Plans in which the Mount Kisco Medical Group and ALL of its Physicians participate. Please verify your eligibility and coverage. If you have insurance coverage from a company other than listed below, services are probably "out of network" and you will be responsible for a greater out of pocket expense. Please call (914) 242-1388 to clarify before using services at MKMG, or if you wish to be assigned a designated representative to assist you with billing for "out of network" services on an ongoing basis.

 

AETNA: Includes Medicare HMO, PPO and Aexcel Plans

AFFINITY: Medicaid effective 11/1/13 / Medicare and QHP effective 1/1/14

AMERIGROUP: Medicaid

CARECONNECT: (North Shore -LIJ) Effective 1/1/15

CDPHP: Includes Medicare (excludes Child Health Plus, Family Health Plus and Medicaid) 

CIGNA: HMO, POS and PPO products (Includes EPO & PPA)

CONNECTICARE: (Through EmblemHealth Network)

CONSUMER HEALTH NETWORK (CHN)

ELDER PLAN (Medicare Plan)

EMPIRE BLUE CROSS/BLUE SHIELD: HMO, PPO, Indemnity products, Mediblue HMO & PPO Only, Healthy NY & Child Health Plus (Excludes Medicaid, Pathway and Blue Priority Networks)

FIDELIS: Includes Medicaid and Medicare Effective 11/1/14

FIRST HEALTH / CCN (also know as Coventry)

GHI: CBP (PPO), HMO & Emblem Health (EPO & PPO) Plan: Excludes Family Health Plus, Child Health Plus, Medicaid Managed Care, Medicare & Medicare Plus Choice, Select Care)

GREAT WEST HEALTHCARE: HMO & PPO

HIP & EMBLEM HEALTH PRIME NETWORK (EPO & HMO): Includes Medicare VIP Plan (Westchester residents only), Child Health Plus (Excludes Medicaid CHP), Conneticare, Vytra Plans. (Excludes, HIP Classic, Comprehealth, Excludes VIP High Options Essential, Family Health Plus, Medicaid and  Select Care)

MAGNACARE: Includes Health Republic (Excludes Oscar Health Insurance)

MEDICARE: Traditional (Includes Railroad Retirees), HIP (Westchester residents only), BCBS Mediblue HMO Only, Aetna HMO and PPO Only, CDPHP, VNS, Elderplan, Affinity and Fidelis.  Excludes ALL other Medicare Advantage Plans

MULTIPLAN

MVP HEALTH PLAN: Includes Medicare effective 1/1/15  (Excludes Medicaid, Family Health Plus and Child Health Plus)

NHA (National Health Administrators)

NYSHIP (The EMPIRE PLAN)

OXFORD: Freedom and Liberty (Excludes Medicare Plans)

PHCS (Includes Today's Option)

POMCO

UNITED HEALTHCARE: EPO/NPP, HMO, POS, HMO PLUS, PPO (Excludes Medicare Advantage and Medicaid)

VNS (Visiting Nurse Services) (Medicare Plan)