The NYS Provider & Health Plan Look-Up will only provide information on the type of providers and services that participate with the plan. For example, there are no primary care physicians (PCPs) in managed long term care partial capitation plans, so you will not see any results if you search for PCPs for that plan type. Although a health plan may contract with a provider, the services covered by the health plan are limited to what is included in the member’s benefit package. To be on the safe side, members and prospective members should refer to their summary of benefits and coverage to determine costs and covered access to the providers in an issuer’s network.
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