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Billing and Insurance

We accept a broad range of insurance plans, including Medicare and Medicaid.

Most insurance companies do cover urgent care visits, but we recommend you consult your insurance company for more information. Some companies ask that you get a referral from your physician before the visit. And many insurance companies require co-pays, which should be listed on your insurance card.

If your co-pay is not listed, our urgent care staff will not collect a payment, and you'll receive a bill from SUNY Downstate . If you have billing questions, please contact our Billing Office at 718-826-4918 or 718-826-4990.

If you don't see your insurance on the list, please give us a call. We are continually negotiating contracts with insurance companies to serve our patients better.

For more information regarding insurance coverage, please call the Managed Care Office at 718-270-8834.


The Department of Managed Care and Clinical Business
Top Contracted Health Insurance Plans:
PLAN NAME PRODUCT
1199 National Benefit Fund PPO / Member Choice
Aetna HMO / PPO / POS / EPO / Indemnity / MCR HMO /MCR PPO
Affinity Health Plan MCAID / CH+ / FH+ / MCR
Amida Care SNP
Amerigroup MCD / FHP / CHP / MCR
Atlantis PPO / MCR HMO / MCR PPO
BEECH ST PPO
Cigna HMO / PPO
DentaQuest (Doral Dental) MCD / CHP / FHP / MCR
Elderplan Medicare
Empire Blue Cross / Blue Shield HMO / EPO / PPO / POS (NYS/NYC) IND Medicare/CH+
Fidelis Care New York Medicaid / CH+ / FH+ / Medicare
The first Health Network PPO
Great-West Healthcare PPO
Group Health Inc. (GHI) PPO / POS / MCD / FHP / CHP / MCR PPO
Healthnet (PHS) HMO / POS / PPO
HealthFirst, Inc. HMO / Medicare / Medicaid
PPO / CH+ / FH+ / HIV SNP
HealthPlus Prepaid Health Services Medicaid CH+
HIP (Health Insurance Plan of GNY HMO / Choice / POS / PPO
Medicaid / Medicare / CH+ / FH+
MagnaCare HMO / PPO
Metroplus Health Plan (HHC) Medicaid / CH+ / FHP / Medicare
Multiplan PPO / Workers Comp/PPO
Neighborhood Health Providers Medicaid / CH+ /FHP / MCR
Oxford Health Plans, Inc. HMO / POS/Medicare
PHCS PPO
Tricare HMO /PPO / POS
Touchstone Health HMO/PPO/POS
United Healthcare HMO / NPP / POS/ EPO
PPO / Medicare / IND
United Healthcare Community Plan (Americhoice) MCD / FHP / CHP / MCR HMO
United Healthcare Empire PLan PPO
WellCare MCD / CHP / FHP / MCR HMO


SUNY Downstate is a participating provider for the following
Child Health Plus and Family Health Plus insurance plans:
PLAN NAME TELEPHONE NUMBER
Affinity Health Plan 1-866-247-5678
Amerigroup Community Care 1-888-707-5570
Empire BC/BS 1-800-431-1914
only Child Health Plus
Fidelis Care New York 1-888-343-3547
HIP 1-800-447-8255
HealthFirst PHSP 1-866-463-6743
HealthPlus 1-800-300-8181
Metroplus
(specialty services only)
1-800-303-9626
Neighborhood Health Providers 1-800-826-6240
UnitedHealthcare Community Plan
(AmeriChoice)
1-800-493-4647
WellCare 1-800-288-5441

The information on this site is provided as a courtesy by SUNY Downstate Medical Center Department of Managed Care and Clinical Business. Persons accessing this information assume full responsibility for the use of the information and understand and agree that SUNY Downstate Medical Center is not responsible or liable for any claim, loss or damage arising from the use of the information. Reference to specific products, processes, or services does not constitute or imply recommendation or endorsement by SUNY Downstate Medical Center.