Information for Patients with UnitedHealthcare Community Plans Dual Complete Health Plans (Dual Special Needs)

Since April 1, 2021, UnitedHealthcare (United) has kept Montefiore hospitals out of network. This means with your current insurance plan you will not have in-network access to your trusted Montefiore doctors and hospitals.

United has repeatedly rejected every proposal and every solution that would restore in-network access to Montefiore. Unfortunately, United’s actions send the message that this is a permanent decision.

Continuing your care with your trusted doctor(s) is one of the most important things you can do for your health. And you do not have to find new doctors or hospitals.

What you can do: Switch to an in-network plan by calling one of the health plans listed and they can assist with making the change.

You may change your insurance during the following Medicare Advantage Open Enrollment periods:

  • April 1, 2021 – June 30, 2021

A change made during this time will go into effect the first day of the following month. For example, if you make a change April 12, your new plan would be effective May 1.

Montefiore Medical Center and White Plains Hospital participate in the following Medicare / Medicaid Dual Health Plans:

HealthFirst – 4 STARS
877-237-1303
https://healthfirst.org

WellCare – 3.5 STARS
866-237-1303
https://www.wellcare.com/en/New-York

Aetna Medicare Assure – 3 STARS
718-354-6078
https://www.aetnamedicare.com/

FidelisCare – Plan is new, no data.
800-343-3547
https://www.fideliscare.org

EmpireBCBS – 3 STARS
800-300-8181
https://mss.empireblue.com/

EmblemHealth 3 STARS
877-411-3625
https://www.emblemhealth.com/Our-Plans/

Centers Plan for Healthy Living – 3.5 STARS
877-940-9330
https://www.centersplan.com/

 

**Below Plans are ONLY for Montefiore Medical Center Patients**

AgeWell New York – 2.5 STARS
866-237-3210
https://agewellnewyork.com/

RiverSpring / ElderServe – Plan is now, no data. 
800-343-3547
https://riverspringmap.org/

Hamaspik Choice – Plan is new, no data. 
855-552-4642
https://www.hamaspikchoice.org/ 

The Centers for Medicare & Medicaid Services provides star ratings to help patients compare the quality of plans. Health Plans may earn a maximum of 5 stars based on their Quality Performance.

You will always have in-network access to our emergency rooms. Regardless of our contract status with United, you should always visit the nearest emergency room if you experience a medical emergency.

Your health is our only business, and we apologize for any inconvenience this might cause. We know how important it is to continue seeing the Montefiore doctors you know and trust.