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Since May 2023, we have been working hard to reach a new agreement with UnitedHealthcare, which also owns Oxford Health Plans, that protects your in-network access to care. However, United still has not engaged with our good-faith offer for reasonable reimbursement rates.

This has already resulted in some Mount Sinai locations being removed from United’s network on January 1. Should United continue to refuse to reach an agreement, all Mount Sinai hospitals and related hospital outpatient facilities will be out of network on Friday, March 1. This will affect patients with United and Oxford plans who obtain their health insurance through their employer.

Additionally, for months, United refused to confirm whether or not providers would be impacted by this negotiation. This deliberate delay has made it difficult for you, your employer, and Mount Sinai to make long-term plans to provide and receive needed care. United has now informed us they intend to remove Mount Sinai providers from their network on Friday, March 22 — leaving you and your doctors scrambling when they could have notified you months ago. If that happens and you are not receiving continuity of care benefits, you will no longer have in-network access to any Mount Sinai services or providers. The only exception is emergency room care, which is always covered.

Here's what has been out of network for United patients and Oxford fully insured plans since January 1:

The following locations and their related hospital outpatient locations are impacted.

  • Mount Sinai Beth Israel
  • Mount Sinai Brooklyn
  • Mount Sinai Morningside
  • Mount Sinai South Nassau
  • Mount Sinai West
  • New York Eye and Ear Infirmary of Mount Sinai

Note: If you have an Oxford self-insured plan, all Mount Sinai hospitals and associated hospital outpatient locations have been of network since January 1.

Here’s what will be out of network for all United and Oxford patients beginning Friday, March 1:

  • Mount Sinai Beth Israel
  • Mount Sinai Brooklyn
  • The Mount Sinai Hospital
  • Mount Sinai Morningside
  • Mount Sinai Queens
  • Mount Sinai South Nassau
  • Mount Sinai West
  • New York Eye and Ear Infirmary of Mount Sinai

Here’s what will be out of network for all United and Oxford patients beginning Friday, March 22:

All Mount Sinai facilities and physicians will be out of network unless you are receiving continuity of care benefits.

Emergency care is always covered, no matter our contract status with United. United will be required by law to cover the emergency care we provide, and Mount Sinai stands ready to provide that care. 

Impacted Plans

The following United plans are impacted:

  • Core Networks 
  • Charter 
  • Doctors HMO 
  • Choice EPO 
  • Choice Plus 
  • Select HMO 
  • Select EPO 
  • Protect Plus 
  • PPO 
  • Nexus ACO 
  • All Savers (an affiliate plan) 
  • Golden Rule (an affiliate plan) 
  • Student Resources (an affiliate plan) 
  • UMR  
    • Please know that Mount Sinai employees with UMR through Mount Sinai are not impacted 

The following Oxford plans are impacted:

  • Oxford Freedom 
  • Oxford Liberty 
  • Oxford Metro 

The current negotiation has no impact on Medicare Advantage plans. We will remain in network with United’s Medicare Advantage plans, including AARP Medicare Advantage, AARP Medicare Supplement, and United Medicare Advantage plans. Please note that Mount Sinai does not participate with United’s RPPO (regional PPO) Medicare Advantage plans. The Empire Plan (New York State Health Insurance Plan – NYSHIP) is also not affected by this negotiation.

To find out if you receive health insurance through United or Oxford Health Plans, check the insurance provider name on your health insurance card, talk to your employer’s HR or benefits department, or call our community information line at 833-623-1258.

Continuity of Care

If you are being treated for certain health conditions, United and Oxford are legally required to continue to cover your treatment for that condition for a period of time through continuity of care benefits, even at an out-of-network location. This benefit is guaranteed by federal and state law for those who are eligible. United and Oxford, like all licensed health plans, must follow these requirements. It’s important to us that everyone who is entitled to this benefit receives it. If you believe that you are eligible for continuity of care benefits and have not been contacted by United or Oxford, please call them at the number on the back of your insurance card.

Health conditions or treatments that may be covered by continuity of care include but are not limited to:

  • Pregnancy
  • Newly diagnosed cancer and current treatment including chemotherapy, radiation therapy, or reconstruction
  • Relapsed cancer and currently receiving chemotherapy, radiation therapy, or reconstruction
  • Transplant candidates or recipients who need ongoing care due to complications
  • Recent major surgeries in the acute phase
  • Serious acute conditions in active treatment (e.g., heart attacks or strokes)
  • Other serious chronic conditions that require active treatment

For more information about health conditions that may qualify for continuity of care benefits, call United or Oxford at the number on the back of your insurance card.

Scheduling an Appointment at Mount Sinai

While we want to make sure you can receive the care you need now and in the future from a provider within your insurance network. Unfortunately, we are unable to schedule appointments with new patients who have United/Oxford insurance at this time.

If you are a patient with United or Oxford insurance and have been treated by a Mount Sinai provider in the past, you can continue to schedule an appointment with your existing provider; however, you may have to pay an out-of-network charge.

What You Can Do Today

We continue to work with United and Oxford to come to a new, reasonable agreement. Take the actions below to help protect your in-network access to Mount Sinai:

  • Call United or Oxford at the number on the back of your insurance card to tell them that keeping access to Mount Sinai is important to you.
  • Check your out-of-network benefits by reviewing your insurance plan. If you have out-of-network benefits and wish to use them, Mount Sinai can provide a good-faith estimate of your out-of-pocket expenses for the services you need. You can find more information by checking your MyMountSinai account prior to your appointment.
  • Contact United/Oxford to determine your out-of-pocket expenses if you do not have out-of-network benefits but prefer to continue receiving care from Mount Sinai.
  • If you are being treated for certain conditions, United is legally required to continue covering your care at an in-network rate for a period of time. United is responsible for contacting patients who qualify for this continuity of care benefit. If you believe you are eligible and have not yet been informed by United, or if you have questions about what conditions might qualify, we urge you to call them at the number on the back of your insurance card.

For any other questions, call Mount Sinai’s dedicated community information line at 833-623-1258.