PARTICIPATING / IN-NETWORK Insurance Plans Accepted by CNY Family Care as of 10.1.2025

• Aetna (We do not accept Aetna Medicaid, Aetna CHP plans, Aetna Signature Administrators PPO, Aetna rental network plans)
• Blue Cross Blue Shield (ALL PLANS)
• CIGNA (ALL PLANS)
• Excellus (ALL PLANS, including Excellus Medicaid, CHP plans, NYS Health Exchange metal level plans)
• Fidelis – see below
  • Ambetter/Fidelis NYS Health Exchange metal Level plans (NOT ACCEPTED)
  • Fidelis Dual Advantage (current patients only)
  • Fidelis Essential plans 1,2,3,4, and 5 (200–250 plan) (current patients only)
  • Medicaid (current patients only)
  • Medicare Advantage plans / Wellcare by Fidelis (current patients only)
• GEHA
• Humana Medicare Supplement plans (Supplement plans only; as long as a Medicare plan is the primary insurance carrier)
• Martin’s Point
• Medicaid – New York State Medicaid (Current patients only. We are not accepting any NEW patients with NYS Medicaid as primary or only insurance.)
• Medicare
  • Medicare Advantage plans: Aetna Medicare, BCBS Medicare, Excellus Medicare, UHC Medicare, and MVP Medicare (UHC Dual Advantage plans NOT accepted)
  • Traditional Medicare and Traditional Medicare Railroad
• Medicare supplement plans (We accept Medigap insurance plans and Retiree Medicare supplement plans as long as Medicare (Parts A and B) is primary insurance. We do not accept Empire Plan UHC, however, even if it is a secondary or tertiary plan)
• Meritain
• MVP
  • MVP commercial plans through an employer
  • MVP Medicare Advantage plans
  • MVP NYS Health Exchange Plans, MVP Managed Medicaid, or MVP CHP plans (NOT ACCEPTED)
• No-Fault Auto (Provided to our existing patients only. Prior to the initial appointment for an automobile accident, you must: report the accident to your insurance carrier, get a claim number for billing, obtain the billing claims address for your automobile insurance carrier, and provide this information to CNY Family Care. Without this information, we are unable to bill your automobile insurance carrier, and you will be personally responsible for payment for these visits.)
• UMR (United Medical Resources)
• United Healthcare Commercial plans
• United Healthcare Medicare Advantage plans (We do not accept UHC Dual Advantage plans)
• Univera (ALL PLANS)

OUT-OF-NETWORK Insurance Plans Accepted by CNY Family Care as of 10.1.2025

IMPORTANT! – Please note that we are not in network with CHAMPVA, Tricare SELECT / STANDARD, or Tricare for Life. However, we will see patients with these plans and bill as a courtesy. Patients with these plans are subject to out-of-network rates.

• CHAMPVA (VHA Office Community Care)
• Tricare for Life (for retired military)
• Tricare SELECT / STANDARD (select or standard plan only)

NON-PARTICIPATING Insurance Plans NOT accepted by CNY Family Care as of 10.1.2025

IMPORTANT! – Please note that due to authorization and referral requirements, CNY Family Care does not offer a self-pay option for patients who have insurance plans with which we do not contract with or insurance plans in which we are out-of-network. Unfortunately, if you have a non-participating plan, you will have to seek care elsewhere.

• Aetna CHP plans
• Aetna Medicaid
• Aetna Signature Administrators PPO (or any Aetna rental network plan)
• CDPHP
• Emblem Health / GHI (No longer accepted as of 12.31.2025)
• Empire Plan UHC (No longer accepted as of 1.1.2024, even if it is a secondary or tertiary insurance plan)
• Fidelis Ambetter
• Fidelis Medicaid, Medicare Advantage plans – Wellcare by Fidelis, Fidelis Dual Advantage, Fidelis Essential plans 1,2,3,4,5 (200–250 plan) (NO NEW PATIENTS; current patients only)
• Fidelis Metal Level plans (NYS Health Exchange plans)
• First Health Network (No longer accepted as of 12.31.2025, even if it is a secondary or tertiary insurance plan)
• Humana commercial insurance plans
• Humana Medicare Advantage plans (No longer accepted as of 2.15.2026)
• Medicaid – New York State (We are not accepting any NEW patients with Medicaid as primary or only insurance)
• Medicaid – other than the state of New York
• Medicare Advantage plan through Trinity Health
• Multi Plan Network Plans / PHCS Network Plans (No longer accepted as of 12.31.2025)
  • Innovative Partners
  • MagnaCare
  • Manhattan Life Group Affordable Choice
• MVP Essential Plan or metal level plans (NYS Health Exchange plans)
• MVP Medicaid or CHP plans
• Sieba, LTD
• Tricare PRIME for active military (as primary, secondary, or tertiary insurance carrier)
• Tricare PRIME REMOTE for active National Guard (as primary, secondary, or tertiary insurance carrier)
• United Healthcare Dual Advantage plans
• United Healthcare Medicaid / UHC Community Plan or UHC Dual Advantage plans
• Wellcare (No longer accepted as of 1.1.2024)