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Winthrop University Hospital

Insurance Coverage

As a result of rules governing health insurance coverage implemented by the Affordable Care Act, and the launch of the New York State Health Exchange, there has been a great deal of confusion about which plans specific hospitals accept.

The following details all of the insurance products and plans which Winthrop-University Hospital accepts. Please keep in mind that there is a difference between “plan” and “product”. People are sometime confused when they select a certain insurance carrier and find out that a particular provider does not accept a specific product of that carrier or plan. Winthrop will attempt to work with carriers on a case by case basis to negotiate payment for plans we don’t participate with.

Health Plan Network Product type
Aetna/U.S. Healthcare HMO, PPO, Medicare HMO, Medicare PPO, Workers Comp PPO MLTC (Better Health Advantage) All Products  including MLTC
Affinity Medicaid, Child Health Plus, Family Health Plus, Medicare & Essential Health Exchange All Products including NYS Exchange Product
AgeWell FIDA, Medicare Advantage
AlphaCare FIDA, MLTC , Medicare Advantage
Americhoice (a United Health Care Company) Medicaid, Child Health Plus ,  Family Health Plus,  All products
Beech Street PPO PPO
Blue Cross Blue Shield HMO, EPO, PPO,  Senior Plan, Indemnity ( Does not include Pathway, Pathway X All products including senior plan ( Not participating in Exchange Products)
Cigna HMO, EPO, PPO All products (including Great West )
ChoiceCare/Humana (card must have both logos to apply) PPO
CenterLight ( Formerly Comprehensive Care MGMT) Medicare All inclusive care for elderly, Medicare Advantage, Medicare Special Needs
Corvel Workers Comp Workers Comp
Coventry Health Group PPO PPO
Devon Health Services PPO PPO
Emblem ( Includes HIP &  GHI) HMO, PPO, CBP,Network Access  Medicare HMO & PPO, Emblem Health EPO & PPO HMO, PPO, Senior Plan HMO & PPO, Medicaid, Vytra All products ( Not participating in Exchange Products)
Fidelis Medicaid, Child Health Plus, Family Health Plus, Medicare & Health Exchange All Products Including Exchange Product
First Health First Health, CCN, HCVM & PPO Oklahoma PPO, Workers Comp, No Fault
Galaxy Health Plans PPO PPO
Great West HealthCare  PPO PPO
HealthPlus (Amerigroup) Medicaid, Child Health Plus, Family Health Plus, Medicare All Products including Medicare
HealthFirst Child Health Plus & Family Health Plus not Medicaid  Family Health Plus, Child Health Plus B not Child Health Plus A or Medicaid ( Not participating in Exchange Products)
HealthNet (formerly PHS) HMO, PPO All Products
Health Republic (aka Freelancers) Primary Select, Primary Select EPO, Essential ( all use MagnaCare network) Individual & SHOP Exchange products
Island Group Administrators PPO
MagnaCare PPO, Direct Plus, Workers Comp, No Fault PPO, Direct Plus, Workers Comp, No Fault & FIDA
MetraComp Workers Comp Workers Comp
Multiplan PPO (Including New Savility Product) PPO
Oscar Uses MagnaCare network Individual Exchange Product 
Oxford Freedom, Liberty, Medicare (HMO Only) All Products Including SHOP Exchange) except Medicare PPO
Quality Health Plan Medicare HMO
Senior Whole Health Medicare HMO HMO 
Three Rivers PPO PPO PPO
United Healthcare (Including United Community Plan) HMO, EPO, PPO, Medicaid, Child Health Plus ,  Family Health Plus, Medicare (HMO only) All Products Including Individual exchange except Medicare PPO
VNS Medicare Advantage Dual Eligiibles, Medicare, MLTC
WellCare Medicare


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Winthrop-University Hospital
259 First Street | Mineola NY 11501 | 516-663-0333

This site provides information as a resource. It is not a substitute for professional medical advice.
Always consult a physician or healthcare provider for treatment and guidance toward good health.
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