OB/GYNs and Women's Health Providers That Take 1199SEIU in New York
246 practice locations across New York City, Long Island and the Hudson Valley where a published source shows participation in 1199SEIU National Benefit Fund (also listed as 1199, 1199 National Benefit Fund, Local 1199).
246 practice locations · 1,641 providers · Checked November 1, 2026
Manhattan · 52 Brooklyn · 41 Queens · 43 The Bronx · 15 Staten Island · 11 Nassau County · 39 Suffolk County · 13 Westchester County · 20 Putnam County · 1 Dutchess County · 11
About this information. Insurance information is compiled from each practice's or health system's published list of accepted plans, and from the network data health plans report to the NYS Provider & Health Plan Look-Up, as of November 1, 2026. Networks change. Confirm with the practice and your insurer before booking.
Manhattan 52 practices
- NYU Langone Health Obstetrics & Gynecology 111 Broadway, Suite 1302, Manhattan 10006 141 providers · (212) 263-9700 Source: nyulangone.org (NYU Langone Health network list)
- NYU Langone Health Obstetrics & Gynecology 550 1st Ave, Manhattan 10016 95 providers · (212) 263-7300 Source: nyulangone.org (NYU Langone Health network list)
- Mount Sinai Obstetrics, Gynecology & Reproductive Science 1000 10th Ave, Manhattan 10019 63 providers · (212) 523-4000 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- NYU Langone Health Obstetrics & Gynecology 159 E 53rd St, Manhattan 10022 60 providers · (646) 754-3300 Source: nyulangone.org (NYU Langone Health network list)
- NYU Langone Health Obstetrics & Gynecology 530 1st Ave, 5g, Manhattan 10016 57 providers · (212) 263-7300 Source: nyulangone.org (NYU Langone Health network list)
- Mount Sinai Obstetrics, Gynecology & Reproductive Science 1176 5th Ave, Box 1170, Manhattan 10029 43 providers · (212) 659-8557 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- NYU Langone Health Obstetrics & Gynecology 560 1st Ave, Manhattan 10016 41 providers · (212) 263-7300 Source: nyulangone.org (NYU Langone Health network list)
- Mount Sinai Obstetrics, Gynecology & Reproductive Science 5 E 98th St, 2nd Floor, Box 1174, Manhattan 10029 36 providers · (212) 241-9393 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- NYC Health + Hospitals Women's Health (PAGNY physicians) 506 Lenox Ave, Manhattan 10037 36 providers · (212) 939-1840 Source: nychealthandhospitals.org (NYC Health + Hospitals network list)
- Mount Sinai Obstetrics, Gynecology & Reproductive Science 10 Union Sq E, Suite 2c, Manhattan 10003 31 providers · (212) 844-8590 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- Mount Sinai Obstetrics, Gynecology & Reproductive Science 5 E 98th St 2nd Fl, OB/GYN Dept Of Mount Sinai, Manhattan 10029 31 providers · (212) 241-2232 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- NYC Health + Hospitals Women's Health 227 Madison St, Manhattan 10002 29 providers · (212) 238-7244 Source: nychealthandhospitals.org (NYC Health + Hospitals network list)
See all 52 practices that take 1199SEIU in Manhattan →
Brooklyn 41 practices
- NewYork-Presbyterian Medical Group Brooklyn – Obstetrics & Gynecology 506 6th St, Brooklyn 11215 69 providers · (718) 780-3000 Source: nyp.org (NewYork-Presbyterian Brooklyn Methodist / NYP Medical Group Brooklyn network list)
- NYC Health + Hospitals Women's Health (PAGNY physicians) 2601 Ocean Pkwy, Brooklyn 11235 51 providers · (718) 616-5356 Source: nychealthandhospitals.org (NYC Health + Hospitals network list)
- Maimonides Health Women's Health Institute 4802 10th Ave, Brooklyn 11219 45 providers · (718) 283-6000 Source: maimo.org (Maimonides Health network list)
- NYU Langone Health Obstetrics & Gynecology 150 55th St, Brooklyn 11220 36 providers · (718) 630-7000 Source: nyulangone.org (NYU Langone Health network list)
- Maimonides Health Women's Health Institute 1616 A Voorhies Ave, Brooklyn 11235 22 providers · (718) 283-8225 Source: maimo.org (Maimonides Health network list)
- NYU Langone Health Obstetrics & Gynecology 97 Amity St, 3rd Floor, Brooklyn 11201 15 providers · (212) 598-6784 Source: nyulangone.org (NYU Langone Health network list)
- NewYork-Presbyterian Medical Group Brooklyn – Obstetrics & Gynecology 263 7th Ave Ste 3a, Brooklyn 11215 13 providers · (718) 246-8600 Source: nyp.org (NewYork-Presbyterian Brooklyn Methodist / NYP Medical Group Brooklyn network list)
- NYU Langone Health Obstetrics & Gynecology 186 Joralemon St, Brooklyn 11201 12 providers · (212) 263-7300 Source: nyulangone.org (NYU Langone Health network list)
- Maimonides Health Women's Health Institute 4422 9th Ave, Brooklyn 11220 10 providers · (718) 283-8773 Source: maimo.org (Maimonides Health network list)
- Community Healthcare Network (CHN) 1167 Nostrand Avenue, Brooklyn 11225 9 providers · (718) 778-0198 Source: chnnyc.org (Community Healthcare Network (CHN) network list)
- AdvantageCare Physicians (ACPNY) Obstetrics & Gynecology 233 Nostrand Ave, Brooklyn 11205 8 providers · (718) 826-5900 Source: acpny.com (AdvantageCare Physicians (ACPNY) network list)
- Jamaica Hospital Medical Center – Women's Health Services 3080 Atlantic Ave, Brooklyn 11208 8 providers · (718) 647-0240 Source: jamaicahospital.org (Jamaica Hospital Medical Center (MediSys) network list)
See all 41 practices that take 1199SEIU in Brooklyn →
Queens 43 practices
- Jamaica Hospital Medical Center – Women's Health Services 8900 Van Wyck Expy, Jamaica 11418 50 providers · (718) 206-6000 Source: jamaicahospital.org (Jamaica Hospital Medical Center (MediSys) network list)
- Mount Sinai Obstetrics, Gynecology & Reproductive Science 7901 Broadway, Elmhurst 11373 45 providers · (718) 334-4952 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- NewYork-Presbyterian Medical Group Queens – Women's Health 5645 Main St, Flushing 11355 29 providers · (718) 670-2000 Source: nyp.org (NewYork-Presbyterian Queens / NYP Medical Group Queens network list)
- Jamaica Hospital Medical Center – Women's Health Services 4500 Parsons Blvd, Flushing 11355 23 providers · (718) 670-5868 Source: jamaicahospital.org (Jamaica Hospital Medical Center (MediSys) network list)
- Jamaica Hospital Medical Center – Women's Health Services 120 46 Queens Blvd, Kew Gardens 11415 20 providers · (718) 006-6708 Source: jamaicahospital.org (Jamaica Hospital Medical Center (MediSys) network list)
- Jamaica Hospital Medical Center – Women's Health Services 8900 Van Wyck Expressway, Jamaica 11418 16 providers · (718) 206-6894 Source: jamaicahospital.org (Jamaica Hospital Medical Center (MediSys) network list)
- NewYork-Presbyterian Medical Group Queens – Women's Health 16303 Horace Harding Expy, 3rd Floor, Fresh Meadows 11365 16 providers · (718) 670-1170 Source: nyp.org (NewYork-Presbyterian Queens / NYP Medical Group Queens network list)
- Jamaica Hospital Medical Center – Women's Health Services 8906 135th St, Jamaica 11418 15 providers · (718) 206-6708 Source: jamaicahospital.org (Jamaica Hospital Medical Center (MediSys) network list)
- Jamaica Hospital Medical Center – Women's Health Services 13303 Jamaica Ave, Richmond Hill 11418 15 providers · (718) 291-3276 Source: jamaicahospital.org (Jamaica Hospital Medical Center (MediSys) network list)
- Mount Sinai Obstetrics, Gynecology and Reproductive Science 8268 164th St Rm B265, Jamaica 11432 14 providers · (718) 883-3000 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- Jamaica Hospital Medical Center – Women's Health Services 89 -40, Jamaica 11418 12 providers · (718) 206-5200 Source: jamaicahospital.org (Jamaica Hospital Medical Center (MediSys) network list)
- Jamaica Hospital Medical Center – Women's Health Services 14601 45th Ave, Suite 209, Flushing 11355 8 providers · (718) 670-4581 Source: jamaicahospital.org (Jamaica Hospital Medical Center (MediSys) network list)
See all 43 practices that take 1199SEIU in Queens →
The Bronx 15 practices
- Montefiore Einstein Women's Health 111 E 210th St, Bronx 10467 130 providers · (718) 920-4321 Source: montefioreeinstein.org (Montefiore Einstein network list)
- BronxCare Health System Women's Health (OB/GYN) 1650 Grand Concourse, Bronx 10457 71 providers · (718) 239-8383 Source: bronxcare.org (BronxCare Health System network list)
- Essen Health Care 2015 Grand Concourse, Bronx 10453 23 providers · (718) 299-7295 Source: essenhealthcare.com, NYS Provider & Health Plan Look-Up
- Montefiore Einstein Women's Health 1695 Eastchester Rd, Montefiore Advanced Oncology Assoc, Bronx 10461 20 providers · (718) 405-8200 Source: montefioreeinstein.org (Montefiore Einstein network list)
- NYC Health + Hospitals Women's Health (PAGNY physicians) 234 E 149 St, Bronx 10451 20 providers · (718) 579-6101 Source: nychealthandhospitals.org (NYC Health + Hospitals network list)
- BronxCare Health System Women's Health (OB/GYN) 199 Mount Eden Pkwy, Bronx 10457 9 providers · (718) 992-7669 Source: bronxcare.org (BronxCare Health System network list)
- BronxCare Health System Women's Health (OB/GYN) 199 Mount Eden Pkwy 3, Bronx Lebanon Ambulatory Care, Bronx 10457 6 providers · (718) 992-7669 Source: bronxcare.org (BronxCare Health System network list)
- BronxCare Health System Women's Health (OB/GYN) 199 Mount Eden Pkwy 3rd, Bronx Lebanon Ambulatory Care, Bronx 10457 6 providers · (718) 992-7669 Source: bronxcare.org (BronxCare Health System network list)
- Community Healthcare Network (CHN) 1002 Westchester Ave, Bronx 10459 6 providers · (718) 320-4466 Source: chnnyc.org (Community Healthcare Network (CHN) network list)
- NYC Health + Hospitals Women's Health 1225 Gerard Ave, Bronx 10452 6 providers · (718) 960-2875 Source: nychealthandhospitals.org (NYC Health + Hospitals network list)
- NYC Health + Hospitals Women's Health 545 E 142nd St, Bronx 10454 5 providers · (718) 579-4000 Source: nychealthandhospitals.org (NYC Health + Hospitals network list)
- Essen Health Care 2015 Grand Ave, Fl 1, Bronx 10453 4 providers · (718) 583-7736 Source: essenhealthcare.com, NYS Provider & Health Plan Look-Up
See all 15 practices that take 1199SEIU in the Bronx →
Staten Island 11 practices
- Richmond Health Network OB/GYN (Richmond University Medical Center) 355 Bard Ave, Staten Island 10310 21 providers · (718) 818-1234 Source: rumcsi.org (Richmond University Medical Center network list)
- Richmond Health Network OB/GYN (Richmond University Medical Center) 4434 Amboy Rd, Staten Island 10312 12 providers · (718) 984-9658 Source: rumcsi.org (Richmond University Medical Center network list)
- AdvantageCare Physicians (ACPNY) Obstetrics & Gynecology 1050 Clove Rd, Staten Island Physician Practice, Staten Island 10301 8 providers · (718) 816-6440 Source: acpny.com (AdvantageCare Physicians (ACPNY) network list)
- Richmond Health Network OB/GYN (Richmond University Medical Center) 1058 Forest Ave, Staten Island 10310 5 providers · (718) 818-1058 Source: rumcsi.org (Richmond University Medical Center network list)
- Richmond Health Network OB/GYN (Richmond University Medical Center) 2 Teleport Dr Ste 207, Staten Island 10311 5 providers · (718) 273-5500 Source: rumcsi.org (Richmond University Medical Center network list)
- AdvantageCare Physicians (ACPNY) Obstetrics & Gynecology 4771 Hylan Blvd, Staten Island 10312 4 providers · (718) 948-8200 Source: acpny.com (AdvantageCare Physicians (ACPNY) network list)
- Richmond Health Network OB/GYN (Richmond University Medical Center) 4360 Hylan Blvd, Staten Island 10312 3 providers · (718) 818-5000 Source: rumcsi.org (Richmond University Medical Center network list)
- NYC Health + Hospitals Women's Health 165 Vanderbilt Ave, Staten Island 10304 2 providers · (718) 616-0999 Source: nychealthandhospitals.org (NYC Health + Hospitals network list)
- Mount Sinai Obstetrics, Gynecology & Reproductive Science 1441 S Ave, Staten Island 10314 1 provider · (718) 987-9777 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- Richmond Health Network OB/GYN (Richmond University Medical Center) 217 Rose Ave, Staten Island 10306 1 provider · (718) 667-1200 Source: rumcsi.org (Richmond University Medical Center network list)
- Richmond Health Network OB/GYN (Richmond University Medical Center) 200 Lafayette Ave, Staten Island 10301 1 provider · (718) 818-2420 Source: rumcsi.org (Richmond University Medical Center network list)
Nassau County 39 practices
- NYU Langone Health Obstetrics & Gynecology 259 1st St, Mineola 11501 59 providers · (516) 663-8660 Source: nyulangone.org (NYU Langone Health network list)
- Winthrop Community Medical Affiliates, P.C. 120 Mineola Blvd, Suite 100, Mineola 11501 34 providers · (516) 663-3010 Source: nyulangone.org (NYU Langone Health network list)
- Mount Sinai Obstetrics, Gynecology & Reproductive Science 1 Healthy Way, Oceanside 11572 15 providers · (516) 632-3935 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- NYU Langone Health Obstetrics & Gynecology 70 E Sunrise Hwy Ste 515w, Valley Stream 11581 14 providers · (516) 663-1365 Source: nyulangone.org (NYU Langone Health network list)
- NYU Langone Health Obstetrics & Gynecology 600 Northern Blvd, Great Neck 11021 13 providers · (516) 466-4128 Source: nyulangone.org (NYU Langone Health network list)
- FemmPro OB/GYN + Midwife 520 Franklin Ave, Suite 153, Garden City 11530 6 providers · (516) 294-4700 Source: femmproobgyn.com, NYS Provider & Health Plan Look-Up
- NYU Langone Health Obstetrics & Gynecology 297 Mineola Blvd, Mineola 11501 5 providers · (516) 294-1377 Source: nyulangone.org (NYU Langone Health network list)
- Mount Sinai South Nassau Women's Health OB/GYN 1 S Central Ave, Valley Stream 11580 4 providers · (516) 632-3350 Source: mountsinai.org (Mount Sinai South Nassau network list)
- Mount Sinai South Nassau Women's Health OB/GYN 2900 Hempstead Tpke, Levittown 11756 4 providers · (516) 227-3333 Source: mountsinai.org (Mount Sinai South Nassau network list)
- AdvantageCare Physicians (ACPNY) Obstetrics & Gynecology 70 Charles Lindbergh Blvd, Ste. 100, Uniondale 11553 3 providers · (516) 483-2020 Source: acpny.com (AdvantageCare Physicians (ACPNY) network list)
- AdvantageCare Physicians (ACPNY) Obstetrics & Gynecology 1055 Stewart Ave, Bethpage 11714 3 providers · (516) 938-0100 Source: acpny.com (AdvantageCare Physicians (ACPNY) network list)
- Mount Sinai Obstetrics, Gynecology & Reproductive Science 155 W Merrick Rd, Freeport 11520 3 providers · (516) 379-3139 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
See all 39 practices that take 1199SEIU in Nassau County →
Suffolk County 13 practices
- NYU Langone Health Obstetrics & Gynecology 180 E Pulaski Rd, Huntington Station 11746 13 providers · (631) 425-2218 Source: nyulangone.org (NYU Langone Health network list)
- Mount Sinai South Nassau Women's Health OB/GYN 5 Cuba Hill Rd, Greenlawn 11740 5 providers · (631) 628-5000 Source: mountsinai.org (Mount Sinai South Nassau network list)
- NYU Langone Health Obstetrics & Gynecology 1486 Deer Park Ave, Unit A, North Babylon 11703 5 providers · (631) 442-3200 Source: nyulangone.org (NYU Langone Health network list)
- Mount Sinai South Nassau Women's Health OB/GYN 120 New York Ave, Huntington 11743 4 providers · (631) 351-3766 Source: mountsinai.org (Mount Sinai South Nassau network list)
- Mount Sinai South Nassau Women's Health OB/GYN 325 Park Ave, Huntington 11743 3 providers · (631) 659-4400 Source: mountsinai.org (Mount Sinai South Nassau network list)
- Mount Sinai Obstetrics, Gynecology and Reproductive Science 2017 Deer Park Ave, Deer Park 11729 2 providers · (631) 923-1333 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- Sun River Health 1556 Straight Path, Wyandanch 11798 2 providers · (516) 214-8020 Source: sunriver.org (Sun River Health network list)
- Mount Sinai Obstetrics, Gynecology and Reproductive Science 750 Montauk Hwy, West Islip 11795 1 provider · (631) 376-1010 Source: mountsinai.org (Mount Sinai Health System (Manhattan, Queens, Brooklyn hospitals) network list)
- Mount Sinai South Nassau Women's Health OB/GYN 1995 New York Ave, Huntington Station 11746 1 provider · (631) 923-1333 Source: mountsinai.org (Mount Sinai South Nassau network list)
- Mount Sinai South Nassau Women's Health OB/GYN 59 Southern Blvd, Nesconset 11767 1 provider · (631) 659-1700 Source: mountsinai.org (Mount Sinai South Nassau network list)
- Sun River Health 1080 Sunrise Hwy, Amityville 11701 1 provider · (631) 716-9026 Source: sunriver.org (Sun River Health network list)
- Sun River Health 300 Ctr Dr, Riverhead 11901 1 provider · (631) 574-2580 Source: sunriver.org (Sun River Health network list)
See all 13 practices that take 1199SEIU in Suffolk County →
Westchester County 20 practices
- Optum OB/GYN (Optum New York, formerly CareMount Medical) 90 S Bedford Rd, Care Mount Medical , PC, Mount Kisco 10549 66 providers · (914) 241-1050 Source: optum.com, NYS Provider & Health Plan Look-Up
- WESTMED Medical Group (Summit Health) Obstetrics & Gynecology 210 Westchester Ave, White Plains 10604 35 providers · (914) 682-0700 Source: summithealth.com (WESTMED Medical Group (Summit Health Westchester) network list)
- Sun River Health 1037 Main St, Peekskill 10566 26 providers · (914) 734-8800 Source: sunriver.org (Sun River Health network list)
- WESTMED Medical Group (Summit Health) Obstetrics & Gynecology 1 Theall Rd, Rye 10580 21 providers · (914) 848-8888 Source: summithealth.com (WESTMED Medical Group (Summit Health Westchester) network list)
- Sun River Health 1200 Brown St, Peekskill 10566 15 providers Source: sunriver.org (Sun River Health network list)
- WPHPA Obstetrics & Gynecological Partners (White Plains Hospital) 141 S Central Ave, Hartsdale 10530 15 providers · (914) 997-1060 Source: res.cloudinary.com (White Plains Hospital (WPHPA) network list)
- WPHPA Obstetrics & Gynecological Partners (White Plains Hospital) 170 Maple Ave, 4th Floor, White Plains 10601 14 providers · (914) 328-8444 Source: res.cloudinary.com (White Plains Hospital (WPHPA) network list)
- WESTMED Medical Group (Summit Health) Obstetrics & Gynecology 73 Market St, Yonkers 10710 13 providers · (914) 831-6830 Source: summithealth.com (WESTMED Medical Group (Summit Health Westchester) network list)
- WESTMED Medical Group (Summit Health) Obstetrics & Gynecology 3030 Westchester Ave, Purchase 10577 8 providers · (914) 831-4100 Source: summithealth.com (WESTMED Medical Group (Summit Health Westchester) network list)
- Optum OB/GYN (Optum New York, formerly CareMount Medical) 400 E Main St, Mount Kisco 10549 7 providers · (914) 241-1050 Source: optum.com, NYS Provider & Health Plan Look-Up
- WESTMED Medical Group (Summit Health) Obstetrics & Gynecology 1084 N Broadway, Yonkers 10701 6 providers · (914) 848-8640 Source: summithealth.com (WESTMED Medical Group (Summit Health Westchester) network list)
- WPHPA Obstetrics & Gynecological Partners (White Plains Hospital) 600 Mamaroneck Ave Ste 110, Harrison 10528 4 providers · (914) 723-8100 Source: res.cloudinary.com (White Plains Hospital (WPHPA) network list)
See all 20 practices that take 1199SEIU in Westchester County →
Putnam County 1 practice
- Optum OB/GYN (Optum New York, formerly CareMount Medical) 660 Stoneleigh Ave, Carmel 10512 4 providers · (845) 279-2000 Source: optum.com, NYS Provider & Health Plan Look-Up
Dutchess County 11 practices
- Optum OB/GYN (Optum New York, formerly CareMount Medical) 6734 Route 9, Rhinebeck 12572 12 providers · (845) 231-5600 Source: optum.com, NYS Provider & Health Plan Look-Up
- Optum OB/GYN (Optum New York, formerly CareMount Medical) 2507 S Rd, Poughkeepsie 12601 7 providers · (845) 471-2287 Source: optum.com, NYS Provider & Health Plan Look-Up
- Optum OB/GYN (Optum New York, formerly CareMount Medical) 30 Columbia St, Poughkeepsie 12601 6 providers · (845) 231-5600 Source: optum.com, NYS Provider & Health Plan Look-Up
- Sun River Health 3360 Route 343, Amenia 12501 5 providers · (845) 838-7038 Source: sunriver.org (Sun River Health network list)
- Premier Medical Group – Women's Health & Wellness Center 50 Eastdale Ave N, Poughkeepsie 12603 4 providers · (845) 437-5000 Source: premiermedicalhv.com, NYS Provider & Health Plan Look-Up
- Optum OB/GYN (Optum New York, formerly CareMount Medical) 600 Westage Business Ctr D, Fishkill 12524 3 providers · (845) 231-5600 Source: optum.com, NYS Provider & Health Plan Look-Up
- Optum OB/GYN (Optum New York, formerly CareMount Medical) 2515 S Rd, Poughkeepsie 12601 2 providers · (845) 278-7000 Source: optum.com, NYS Provider & Health Plan Look-Up
- Optum OB/GYN (Optum New York, formerly CareMount Medical) 241 N Rd, Poughkeepsie 12601 1 provider · (845) 471-5000 Source: optum.com
- Premier Medical Group – Gynecology & Women's Health 243 N Rd, Poughkeepsie 12601 1 provider Source: premiermedicalhv.com, NYS Provider & Health Plan Look-Up
- Premier Medical Group – Gynecology & Women's Health 696 Dutchess Tpke, Poughkeepsie 12603 1 provider · (845) 454-8200 Source: premiermedicalhv.com
- Sun River Health 29 N Hamilton St, Poughkeepsie 12601 1 provider · (845) 454-8204 Source: sunriver.org (Sun River Health network list)
Frequently asked questions
How do I confirm an OB/GYN is in network with 1199SEIU?
Call the office with the exact name of your 1199SEIU plan and your member ID, and ask whether the specific clinician you want to see participates. Then check the insurer's online provider directory or call the member services number on your card. The NYS Provider & Health Plan Look-Up also shows networks that health plans report to the state. One insurer can sell many plan products with different networks, so the company name alone is not enough.
Do I need a referral to see an OB/GYN with 1199SEIU?
Usually not for routine women's health care. New York law bars HMOs and state-regulated insurers from limiting a woman's direct access to an in-network OB/GYN for annual exams, care that follows from them, acute gynecologic conditions and pregnancy care. Other specialists, tests or procedures may still need a referral or prior authorization. Self-funded employer plans follow federal rules, so check your plan documents.
What is the difference between an HMO and a PPO?
In general, an HMO or EPO covers care only from in-network providers, except in emergencies, and an HMO may ask you to choose a primary care provider. A PPO or POS plan usually lets you see out-of-network providers too, but you pay more and may have to file claims yourself. Your ID card or plan documents say which type you have.
What if my OB/GYN does not take 1199SEIU?
Ask your plan whether you have out-of-network benefits and what you would pay. If your plan has no in-network provider with the right training for your needs, ask your plan whether it will approve an out-of-network referral at in-network cost. You can also ask the practice for its self-pay prices, or use this directory to find a nearby practice in your network.
Am I protected from surprise medical bills in New York?
Generally, yes. New York law and the federal No Surprises Act protect patients from many surprise bills, such as care from an out-of-network provider at an in-network hospital or surgery center when an in-network provider was not available, and most emergency care. In those cases you usually owe only your in-network cost-sharing. The NY Department of Financial Services explains the rules and how to dispute a bill.
Why is a practice I know not listed for this plan?
This directory lists a practice under 1199SEIU only when a published source shows it participates. Many practices accept plans we could not verify. If you are a practice, claim your free listing to add your plans.
