Frequently Asked Questions

This expiration date was built into our current agreement. Negotiations like these are a normal part of our business relationships with all insurance companies. We fully intend to reach an agreement before our contract expires, but we want you to be prepared in case our agreement does expire.

This will affect patients with Anthem Blue Cross Blue Shield health insurance plans, as well as all out-of-state Blue Cross Blue Shield plans. To view the list of impacted plans, click here. A network change could cause you to pay more out of pocket to continue receiving health care from the Mount Sinai providers you trust.

Yes. All insurance companies are required to process emergency claims as if you were in network, so rest assured that you can always receive emergency care in Mount Sinai’s emergency rooms.

Call one of Mount Sinai’s dedicated community information lines:
• Anthem Commercial patients: 833-912-3558
• Anthem Medicaid and Essential Plan patients: 833-912-5604

You have a number of options available to you:

• Keep all scheduled appointments and procedures with Mount Sinai, and don’t delay routine health screenings, procedures, or tests important to your health.
• Call Anthem at the number on the back of your insurance card and let them know you want to keep insurance coverage for the Mount Sinai providers and services you know and trust.
• If you receive your Anthem insurance through your employer, talk to your Human Resources or Benefits Department and urge them to contact Anthem.
• Go to mountsinai.org/about/insurance to view the list of other insurance companies with which Mount Sinai contracts.
• For New York State Individual Marketplace Plans: You have the opportunity to change to a health plan Mount Sinai participates with during the Marketplace Open Enrollment period, which begins Saturday, November 1, and continues through Thursday, January 15.
• For Medicaid Plans: You have the option to change your Medicaid plan at any time during your first 90 days with a new plan. You can also change your plan after your first 12 months with your plan.
• For Essential Plans: Consider changing your Essential Plan to one that Mount Sinai participates with. You have the option to change your plan any time during the year.

It will be up to Anthem to determine what portion of your bill they will cover and what portion they will ask you to pay out of pocket. Anthem will likely choose to cover a smaller portion of your bill once they no longer consider Mount Sinai part of their network.

To learn more about how your costs might be impacted, we encourage you to call Anthem at the number on the back of your insurance card.

Remember that, under federal law, your out-of-pocket costs for emergency services must be no different than if you had been treated at an in-network facility.

We encourage you to look at other plans now, well ahead of January 1, to help prevent any gaps in your ability to access care from Mount Sinai. We want to continue caring for you at our Mount Sinai locations. Click here to view a list of the insurance plans we will participate with in 2026.

Yes. This negotiation impacts all Blue Cross Blue Shield plans that patients get through their employer, including all out-of-state plans. In the event we go out of network, Mount Sinai physicians, facilities, and services will be impacted beginning January 1.