OB/GYNs and Women's Health Providers That Take Medicaid in New York
255 practice locations across New York City, Long Island and the Hudson Valley where a published source shows participation in NY Medicaid (fee-for-service) (also listed as Medicaid, NYS Medicaid, Medicaid FFS).
255 practice locations · 1,436 providers · Checked November 1, 2026
Manhattan · 29 Brooklyn · 40 Queens · 36 The Bronx · 6 Staten Island · 17 Nassau County · 45 Suffolk County · 37 Westchester County · 19 Rockland County · 5 Orange County · 7 Putnam County · 2 Dutchess County · 12
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 29 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)
- 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)
- NYU Langone Health Obstetrics & Gynecology 560 1st Ave, Manhattan 10016 41 providers · (212) 263-7300 Source: nyulangone.org (NYU Langone Health network list)
- Northwell Health Obstetrics & Gynecology 100 E 77th St, Manhattan 10075 27 providers · (212) 434-2000 Source: northwell.edu (Northwell Health network list)
- NYU Langone Health Obstetrics & Gynecology 355 W 52nd St, Manhattan 10019 19 providers · (646) 778-5555 Source: nyulangone.org (NYU Langone Health network list)
- NYU Langone Midwifery Services 301 E 17th St, Manhattan 10003 14 providers · (212) 598-2454 Source: nyulangone.org (NYU Langone Health network list)
- NYU Langone Health Obstetrics & Gynecology 150 E 32nd St Fl 1, Manhattan 10016 12 providers · (212) 263-7021 Source: nyulangone.org (NYU Langone Health network list)
- NYU Langone Health Obstetrics & Gynecology 240 E 38th St, Manhattan 10016 9 providers · (212) 263-7300 Source: nyulangone.org (NYU Langone Health network list)
- AdvantageCare Physicians (ACPNY) Obstetrics & Gynecology 215 E 95th St, Manhattan 10128 7 providers · (212) 996-8000 Source: acpny.com (AdvantageCare Physicians (ACPNY) network list)
- Northwell Health Fertility – New York City 210 E 64th St, Manhattan 10065 7 providers · (212) 324-2229 Source: northwell.edu (Northwell Health network list)
See all 29 practices that take Medicaid in Manhattan →
Brooklyn 40 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)
- 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)
- Maimonides Health Women's Health Institute 5014 Fort Hamilton Pkwy, Brooklyn 11219 7 providers · (718) 283-7979 Source: maimo.org (Maimonides Health network list)
- Community Healthcare Network (CHN) 999 Blake Ave, Brooklyn 11208 6 providers · (718) 277-8303 Source: chnnyc.org (Community Healthcare Network (CHN) network list)
See all 40 practices that take Medicaid in Brooklyn →
Queens 36 practices
- 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)
- Northwell Health Obstetrics & Gynecology 10201 66th Rd, Forest Hills 11375 29 providers · (718) 830-4000 Source: northwell.edu (Northwell Health 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)
- Joseph P. Addabbo Family Health Center – Women's Health 6200 Beach Channel Dr, Arverne 11692 8 providers · (718) 945-7150 Source: addabbo.org, NYS Provider & Health Plan Look-Up
- Northwell Health Obstetrics & Gynecology 9525 Queens Blvd, Rego Park 11374 8 providers · (718) 925-6200 Source: northwell.edu (Northwell Health network list)
- NewYork-Presbyterian Medical Group Queens – Women's Health 11205 Queens Blvd, Forest Hills 11375 7 providers · (281) 863-9500 Source: nyp.org (NewYork-Presbyterian Queens / NYP Medical Group Queens network list)
- Northwell Health Obstetrics & Gynecology 11241 Queens Blvd, Forest Hills 11375 7 providers · (347) 321-7911 Source: northwell.edu (Northwell Health network list)
- NewYork-Presbyterian Medical Group Queens – Women's Health 5620 Main St, Flushing 11355 6 providers · (718) 670-1837 Source: nyp.org (NewYork-Presbyterian Queens / NYP Medical Group Queens network list)
- NewYork-Presbyterian Medical Group Queens – Women's Health 5626 Main St, Flushing 11355 6 providers · (718) 670-1185 Source: nyp.org (NewYork-Presbyterian Queens / NYP Medical Group Queens network list)
- NewYork-Presbyterian Medical Group Queens – Women's Health 5634 Main St, Flushing 11355 6 providers · (718) 670-2468 Source: nyp.org (NewYork-Presbyterian Queens / NYP Medical Group Queens network list)
- CHOICES Women's Medical Center 14732 Jamaica Ave, Jamaica 11435 5 providers · (718) 786-5000 Source: choicesmedical.com, NYS Provider & Health Plan Look-Up
- AdvantageCare Physicians (ACPNY) Obstetrics & Gynecology 3175 23rd St, Astoria 11106 4 providers · (718) 956-2200 Source: acpny.com (AdvantageCare Physicians (ACPNY) network list)
See all 36 practices that take Medicaid in Queens →
The Bronx 6 practices
- 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)
- 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)
- BronxCare Health System Women's Health (OB/GYN) 1650 Selwyn Ave, Fl 5, Bronx 10457 1 provider · (718) 960-2084 Source: bronxcare.org (BronxCare Health System network list)
Staten Island 17 practices
- Northwell Health Obstetrics & Gynecology 475 Seaview Ave, Staten Island 10305 34 providers · (212) 434-6980 Source: northwell.edu (Northwell Health network list)
- 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)
- Northwell Health Obstetrics & Gynecology 440 Seaview Ave, Staten Island 10305 13 providers · (718) 226-6791 Source: northwell.edu (Northwell Health 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)
- Northwell Health Obstetrics & Gynecology 256 Mason Ave, Staten Island 10305 5 providers · (718) 226-1293 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 1145 Targee St, Staten Island 10304 5 providers · (718) 668-6900 Source: northwell.edu (Northwell Health 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)
- Northwell Health Obstetrics & Gynecology 1110 S Ave, Staten Island 10314 2 providers · (718) 226-4645 Source: northwell.edu (Northwell Health network list)
See all 17 practices that take Medicaid in Staten Island →
Nassau County 45 practices
- Northwell Health Obstetrics & Gynecology 300 Community Dr, Manhasset 11030 118 providers · (516) 562-3058 Source: northwell.edu (Northwell Health network list)
- NYU Langone Health Obstetrics & Gynecology 259 1st St, Mineola 11501 59 providers · (516) 663-8660 Source: nyulangone.org (NYU Langone Health network list)
- Northwell Health Obstetrics & Gynecology 330 Community Dr, Manhasset 11030 51 providers · (516) 708-2550 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 27005 75th Ave, New Hyde Park 11040 51 providers · (718) 470-7000 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 300 Community Dr Ll, Manhasset 11030 48 providers · (516) 562-2229 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 350 Community Dr, Manhasset 11030 48 providers · (516) 562-3845 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 1111 Marcus Ave, New Hyde Park 11042 43 providers · (516) 601-7300 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 27005 76th Ave, New Hyde Park 11040 36 providers · (718) 470-7000 Source: northwell.edu (Northwell 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)
- Northwell Health Physician Partners Obstetrics & Gynecology at Garden City 877 Stewart Ave, Suite 7, Garden City 11530 28 providers · (516) 222-0722 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 865 Northern Blvd Ste 202, Great Neck 11021 19 providers · (516) 622-5070 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 1554 Northern Blvd Fl 5, Manhasset 11030 14 providers · (516) 390-9242 Source: northwell.edu (Northwell Health network list)
See all 45 practices that take Medicaid in Nassau County →
Suffolk County 37 practices
- Northwell Health Obstetrics & Gynecology 301 E Main St, Bay Shore 11706 17 providers · (631) 986-3308 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 270 Park Ave, Huntington 11743 16 providers · (631) 351-2219 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 376 E Main St, Bay Shore 11706 14 providers · (631) 396-7000 Source: northwell.edu (Northwell Health network list)
- 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)
- Northwell Health Obstetrics & Gynecology 3001 Expressway Dr N, Islandia 11749 10 providers · (631) 292-6747 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 752 Park Ave, Huntington 11743 8 providers · (631) 470-8940 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 1 Heroes Way, Riverhead 11901 8 providers · (631) 548-6000 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 971 Montauk Hwy, Oakdale 11769 6 providers · (631) 589-4344 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 222 E Middle Country Rd, Suite 114, Smithtown 11787 5 providers · (631) 470-8940 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 31 Main Rd, Riverhead 11901 5 providers · (631) 369-8539 Source: northwell.edu (Northwell Health 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)
- Northwell Health Obstetrics & Gynecology 1948 Deer Park Ave, Fl 1, Deer Park 11729 4 providers · (631) 337-1099 Source: northwell.edu (Northwell Health network list)
See all 37 practices that take Medicaid in Suffolk County →
Westchester County 19 practices
- WMCHealth Obstetrics & Gynecology 19 Bradhurst Ave Ste 2700, Hawthorne 10532 49 providers · (914) 493-2250 Source: wmchealth.org (Westchester Medical Center Health Network (WMCHealth) network list)
- WMCHealth Obstetrics & Gynecology 100 Woods Rd, Valhalla 10595 27 providers · (914) 909-9018 Source: wmchealth.org (Westchester Medical Center Health Network (WMCHealth) network list)
- WMCHealth Obstetrics & Gynecology 95 Grasslands Rd, Valhalla 10595 27 providers · (914) 493-6940 Source: wmchealth.org (Westchester Medical Center Health Network (WMCHealth) network list)
- Sun River Health 1037 Main St, Peekskill 10566 26 providers · (914) 734-8800 Source: sunriver.org (Sun River Health 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)
- Northwell Health Obstetrics & Gynecology 755 N Broadway Ste 560, Sleepy Hollow 10591 12 providers · (516) 734-8900 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 701 N Broadway, Sleepy Hollow 10591 9 providers · (914) 366-3000 Source: northwell.edu (Northwell Health network list)
- Northwell Health Obstetrics & Gynecology 450 Mamaroneck Ave Ste 414, Harrison 10528 8 providers · (914) 421-1500 Source: northwell.edu (Northwell Health network list)
- Open Door Family Medical Centers (Open Door Care Network) 165 Main St, Ossining 10562 7 providers · (914) 941-1263 Source: opendoorcarenetwork.org, NYS Provider & Health Plan Look-Up
- WMCHealth Obstetrics & Gynecology 689 Mamaroneck Ave, Mamaroneck 10543 4 providers · (914) 253-1100 Source: wmchealth.org (Westchester Medical Center Health Network (WMCHealth) network list)
See all 19 practices that take Medicaid in Westchester County →
Rockland County 5 practices
- Refuah Health Center – OB/GYN 728 N Main St, Spring Valley 10977 19 providers · (845) 354-9300 Source: refuahhealth.org (Refuah Health Center network list)
- WMCHealth Obstetrics & Gynecology 134 Route 59, Suffern 10901 8 providers · (845) 357-5333 Source: wmchealth.org (Westchester Medical Center Health Network (WMCHealth) network list)
- Refuah Health Center – OB/GYN 408 Wilson Ave, New Square 10977 7 providers · (845) 354-9300 Source: refuahhealth.org (Refuah Health Center network list)
- Refuah Health Center – OB/GYN 5 Twin Ave, Spring Valley 10977 7 providers · (845) 354-9300 Source: refuahhealth.org (Refuah Health Center network list)
- Bon Secours Medical Group (WMCHealth) – Women's Health 257 Lafayette Ave Ste 200, Suffern 10901 6 providers · (914) 493-2181 Source: wmchealth.org (Westchester Medical Center Health Network (WMCHealth) network list)
Orange County 7 practices
- Cornerstone Family Healthcare 147 Lake St, Newburgh 12550 13 providers · (845) 563-8000 Source: cornerstonefamilyhealthcare.org (Cornerstone Family Healthcare network list)
- Cornerstone Family Healthcare 10 Benton Avenue, Middletown 10940 13 providers · (845) 563-8000 Source: cornerstonefamilyhealthcare.org (Cornerstone Family Healthcare network list)
- WMCHealth Obstetrics & Gynecology 745 State Route 17m, Suite 201, Monroe 10950 3 providers · (845) 782-9449 Source: wmchealth.org (Westchester Medical Center Health Network (WMCHealth) network list)
- WMCHealth Obstetrics & Gynecology 785 State Route 17m, Suite 17, Monroe 10950 3 providers · (845) 782-9449 Source: wmchealth.org (Westchester Medical Center Health Network (WMCHealth) network list)
- Bon Secours Medical Group (WMCHealth) – Women's Health 70 Hatfield Ln, Goshen 10924 1 provider · (845) 294-8888 Source: wmchealth.org (Westchester Medical Center Health Network (WMCHealth) network list)
- Cornerstone Family Healthcare 100 Broadway, Newburgh 12550 1 provider · (845) 569-8412 Source: cornerstonefamilyhealthcare.org (Cornerstone Family Healthcare network list)
- Cornerstone Family Healthcare 91 Blooming Grove Tpke, New Windsor 12553 1 provider · (845) 220-2074 Source: cornerstonefamilyhealthcare.org (Cornerstone Family Healthcare network list)
Putnam County 2 practices
- Nuvance Health (now part of Northwell Health) 670 Stoneleigh Ave, Carmel 10512 4 providers · (845) 278-5683 Source: nuvancehealth.org (Nuvance Health (now Northwell Health, Hudson Valley) network list)
- Nuvance Health (now part of Northwell Health) 672 Stoneleigh Ave, Suite C112, Carmel 10512 3 providers · (203) 739-7131 Source: nuvancehealth.org (Nuvance Health (now Northwell Health, Hudson Valley) network list)
Dutchess County 12 practices
- Nuvance Health (now part of Northwell Health) 45 Reade Pl, 3rd Floor, Poughkeepsie 12601 31 providers · (845) 454-8500 Source: nuvancehealth.org (Nuvance Health (now Northwell Health, Hudson Valley) network list)
- Nuvance Health (now part of Northwell Health) 6511 Spring Brook Ave Ste 201, Rhinebeck 12572 19 providers · (845) 871-4235 Source: nuvancehealth.org (Nuvance Health (now Northwell Health, Hudson Valley) network list)
- Nuvance Health (now part of Northwell Health) 21 Reade Pl, Suite 1000, Poughkeepsie 12601 14 providers · (845) 214-1900 Source: nuvancehealth.org (Nuvance Health (now Northwell Health, Hudson Valley) network list)
- Nuvance Health (now part of Northwell Health) 200 Westage Business Ctr Dr Ste 240, Mount Kisco Medical Group PC, Fishkill 12524 10 providers · (845) 790-1380 Source: nuvancehealth.org (Nuvance Health (now Northwell Health, Hudson Valley) network list)
- WMCHealth Obstetrics & Gynecology 19 Baker Ave, Suite 101, Poughkeepsie 12601 6 providers · (845) 483-5888 Source: wmchealth.org (Westchester Medical Center Health Network (WMCHealth) network list)
- 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
- Nuvance Health (now part of Northwell Health) 6525 Spring Brook Ave, Rhinebeck 12572 3 providers · (845) 871-3760 Source: nuvancehealth.org (Nuvance Health (now Northwell Health, Hudson Valley) network list)
- Nuvance Health (now part of Northwell Health) 1 Pine St, Poughkeepsie 12601 1 provider · (845) 483-0447 Source: nuvancehealth.org (Nuvance Health (now Northwell Health, Hudson Valley) network list)
- 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 Medicaid?
Call the office with the exact name of your Medicaid 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 Medicaid?
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 Medicaid fee-for-service?
Fee-for-service Medicaid pays enrolled providers directly instead of through a managed care plan. Many New Yorkers with Medicaid are enrolled in a managed care plan instead, and must use that plan's network. Your member card shows which applies to you.
What if my OB/GYN does not take Medicaid?
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 Medicaid 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.
