Medicaid Health Plans
Updated as of December 23, 2025
NewYork-Presbyterian and UnitedHealthcare (operating in New York State collectively as UnitedHealthcare and Oxford Health Plans) have agreed to extend current in-network coverage through January 31, 2026, for most Medicaid members, while negotiations continue. This extension does not apply to UnitedHealthcare’s New York State Individual Family Plans lines of business offered on the New York State Exchange, including UnitedHealthcare’s “Compass” Plan. UnitedHealthcare has made the decision to exclude NewYork-Presbyterian from its Individual Family Plans.
Except for UnitedHealthcare’s Individual Family Plans enrollees, this means the care provided at NewYork-Presbyterian Hospitals or through the NewYork-Presbyterian Medical Group practices will not be considered out-of-network starting January 1, 2026, as previously communicated by UnitedHealthcare.
What This Means for You
If we are unable to reach a new agreement by January 31, 2026, starting February 1, 2026, all NewYork-Presbyterian Hospitals and the practices that are part of the NewYork-Presbyterian Medical Groups will be considered out-of-network providers for UnitedHealthcare Medicaid members. You may be able to switch to a new plan to avoid potential loss of in-network coverage.
At this time, providers who are part of ColumbiaDoctors and Weill Cornell Medicine will remain in-network. However, while you can continue to see your providers from ColumbiaDoctors and Weill Cornell Medicine, the care, specialties, and services patients receive at NewYork-Presbyterian (e.g., diagnostic testing, laboratory testing, pre-admission testing, procedures, ambulatory surgery, inpatient admissions, etc.) may not be covered as in-network, making it difficult, if not impossible, for your provider to care for you.
What You Can Do
Patients covered by a UnitedHealthcare Medicaid Plan can change their coverage at any time during their first 90 days in a new plan, one year after initial enrollment, or during a Special Enrollment Period, which is available for certain life events. Patients covered by a Child Health Plus Plan or an Essential Health Plan can change their coverage at any time, while patients covered by a Qualified Health Plan can change their coverage during annual enrollment, which began in November, or during a Special Enrollment Period. To learn more, please contact NY State of Health by calling 1-855-355-5777.
Participating Plans
For Medicaid patients, NewYork-Presbyterian is currently in-network with the following health plans and companies:
- Affinity by Molina Healthcare Medicaid, CHP, Essential
- Amida Care Medicaid
- Anthem BCBS Healthplus Medicaid, CHP, Essential, Exchange
- EmblemHealth (HIP/GHI) Medicaid, CHP, Essential, Exchange
- Fidelis Medicaid, CHP, Essential, Exchange
- Healthfirst Medicaid, CHP, Essential
- MVP Health Care Medicaid, CHP, Essential
- Wellcare Medicaid (New Jersey) and CHP (New Jersey)
- VNS Health Medicaid
Not all of the above-mentioned health insurance plans and companies are accepted at all NewYork-Presbyterian locations and affiliated practices. Please check with your provider’s office to determine which plans they participate in.
Continuation of Ongoing Care
For most patients who are undergoing an active course of treatment (inpatient or outpatient) before February 1, 2026, their scheduled appointments and/or treatments, including post-operative care, will be considered in-network until May 1, 2026. Starting May 2, 2026, unless approved by UnitedHealthcare, any subsequent non-emergency visits would be out-of-network. If a patient is pregnant, they will be considered in-network for the duration of their pregnancy, including postpartum care (delivery-related), which could be greater than 90 days.
Please call the UnitedHealthcare Member Services phone number found on the back of your insurance card to learn more about continuity/transition-of-care coverage.
Schedule Appointments Before February 1, 2026
If you have an appointment already scheduled after January 31, 2026, at one of the impacted facilities listed below, you may want to contact your Care Team to see if an earlier appointment is available.
What Happens Next
We understand that this situation is frustrating and stressful. At this time, there is no change in your health insurance coverage from UnitedHealthcare, unless noted otherwise above. You still have in-network access at the facilities listed below and with the providers currently accepting UnitedHealthcare through January 31, 2026.
We will continue to provide updates as they become available. We thank you for your understanding and for trusting us with your care.
Impacted Facilities
- NewYork-Presbyterian Hospital
- NewYork-Presbyterian/Columbia University Irving Medical Center
- NewYork-Presbyterian/Weill Cornell Medical Center
- NewYork-Presbyterian Allen Hospital
- NewYork-Presbyterian Brooklyn Methodist Hospital
- NewYork-Presbyterian Lower Manhattan Hospital
- NewYork-Presbyterian Morgan Stanley Children's Hospital
- NewYork-Presbyterian Westchester
- NewYork-Presbyterian Hudson Valley Hospital
- NewYork-Presbyterian Medical Groups (Brooklyn, Hudson Valley, Queens, Westchester)
- NewYork-Presbyterian Queens
- NewYork-Presbyterian The One
- NewYork-Presbyterian/The Spiral
- NewYork-Presbyterian Westchester Behavioral Health
- Gracie Square Hospital
- Lawrence Home Care of Westchester
- Main Street Radiology (for commercial and Medicare Advantage members only)
- The Rogosin Institute
- The Silvercrest Center for Nursing and Rehabilitation