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Insurances Accepted

At Crystal Run Healthcare, we strive to eliminate every barrier between you and good health. That’s why we accept a long list of insurance plans.

If you do not see your insurance listed or if you have a question about insurance coverage, please call us at 845.703.6363 or to email your question and someone will get back to you.

If you are an uninsured or a self-pay patient, you have the right to request a good faith estimate of expected charges prior to receiving services.

IMPORTANT NOTES-

Effective January 1, 2023, we will no longer participate with Healthfirst. This includes all Healthfirst Plans. Current Healthfirst patients who wish to continue to receive services should switch to another health plan.  **In some circumstances—for example, if you are being treated for cancer or if you are pregnant— you can continue to see your Crystal Run provider under Healthfirst, after December 31, 2022, for a limited time.  If this applies to you, please contact us at 844.259.5944 or healthfirsttransitionteam@crystalrunhealthcare.com.** A listing of plans Crystal Run participates with is located below.

As of January 31, 2021, we no longer accept Fidelis Care health plans.
Members can change to a different plan by calling the New York State Medicaid Choice, New York State's managed care enrollment program, at 1-800-505-5678.

As of January 31, 2021, we no longer participate in Workers’ Compensation.
To find a new Workers’ Compensation provider for a work-related condition, please visit http://www.wcb.ny.gov/health-care-provider-search/

Insurance Plans:


AARP:   All Products (Excludes: Medicare Complete Mosiac (HMO))

Aetna:  All Products (Excludes: Health Fund, Whole Health Plans, State Based Plans, Aetna Employee Assistance Plan)

Affinity: All Products

Blue Cross/Blue Shield Empire and Empire HealthPlus: All Products (Excludes: Connections Network Plans, HPN Network Plans, Out-of-State EPO/HMO and Medicare Advantage Plans)

CHAMPVA

Cigna: All Products (Excludes: Cigna Medicaid, Cigna Medicare, Cigna Local Plus, Cigna of NJ, Cigna of Florida, Inc. South Florida Select)

Connecticare: (Through Emblem Health Network) All Products

Crossroads / Local 812

Department of Veterans Affairs (VA) Community Care Network (CCN)

EmblemHealth: All Products (Excludes: EmblemHealth Millennium Network and Enhanced Care Prime Network Plans) IMPORTANT NOTE - As of March 10, 2020, we will no longer be accepting EmblemHealth Enhanced Care (Medicaid), EmblemHealth Enhanced Care Plus (HARP), or EmblemHealth Essential Plan (BHP)

Empire Plan (NYSHIP)

FDNY / FDNY 911 Victims:  For gastroenterology, pathology, and oncology only. MUST bring referral with them. 

Fidelis: IMPORTANT NOTE - (No New Patients) Effective January 31, 2021, we no longer accept Fidelis Care health plans

Geisinger Health Plan: (Excludes: GHP Family (Medicaid) and GHP Kids (CHP))

GHI:  All Products

Golden Rule UnitedHealthcare

Great West(GWH)-Cigna

Hamaspik Medicare Select (MA Dual-SNP) and Medicaid

Health Partners (through the Cigna OAP network)

Healthfirst: All products (Excludes: Small Group Plans including Gold Pro Plus EPO) IMPORTANT NOTE - Effective January 1, 2023, we will no longer accept Healthfirst plans.

HIP:  All Products (Excludes: HIP Classic and Comprehealth, Enhanced Care Prime Network Plans) IMPORTANT NOTE - As of March 10, 2020, we will no longer be accepting EmblemHealth Enhanced Care (Medicaid), EmblemHealth Enhanced Care Plus (HARP), or EmblemHealth Essential Plan (BHP)

Horizon BCBS of NJ PPO (Excludes: HMO)

Hospice

Humana Commercial Plans (PPO and POS): Only PAR if Card has GHI Network Access Plan Logo

Humana Medicare: IMPORTANT NOTE - As of January 1, 2021, we will no longer accept Humana Medicare Plans. Some patients with PPO Plans may have out-of-network benefits but will incur higher out-of-pocket costs.

Indecs

Local 1199

Local 812 / Crossroads

Local 825

Magnacare (Excludes Oscar Health Plan Commercial Plans)

Multiplan

MVP:  All Products (Medicaid product was former Hudson Health Plan) (Excludes: HQNet plans, VT and NH Plans)

Medicaid (NY) IMPORTANT NOTE - (No New Patients) As of May 27, 2021 we will no longer be accepting new patients with straight Medicaid

Medicare: (NY and NJ Medicare Part B)

NYC Medicare Advantage Plus Plan

Oscar Health Plan Medicare Advantage

Oxford:  All Products  (Excludes: Out of State Plans including EPO Garden State Network)

Partners Health Plan

PHCS

Pomco

Railroad Medicare

RMSCO (Par through Excellus BCBS) a.k.a Lifetime Benefit Solutions

Secure Horizons/Evercare Medicare Advantage Plans

Tricare

US Family Health Plan

UnitedHealthcare: All Products (Excludes: Mosaic Plans, Private FFS and Savings Account Plans, Medicaid Community Plan, CHP, Essential Plan, HARP; Out of State Plans)

United Medical Resources  (Excludes: UMR Health Quest)

Univera Healthcare/ Beacon (Only PAR if Card has UHC Logo)

Veterans Choice Program

VYTRA (HIP)

WTC 911 Victims For gastroenterology, pathology, and oncology only. MUST bring referral with them.