Provider & Health Plan Look-Up
Assist consumers in shopping for a health plan to see which providers participate with which plans. If you are already enrolled in a health plan, use the NYS Provider & Health Plan Look-Up to see which providers your plan works with.
Data Accuracy
- If the information is current, why do you suggest that I call my hospital or doctor to confirm participation?
- What should I do if the data appears incorrect or if my provider says that they do not participate with my health plan, but the NYS Provider & Health Plan Look-Up tool says they do?
- How often in the data updated?
Provider & Speciality Information
- Why do two health plans show different locations for the same doctor?
- Why do two health plans show different specialties for the same doctor?
- How do I know who will speak my preferred language at the facility?
- How are provider specialties displayed?
- How does the NYS Provider & Health Plan Look-Up display networks for the plans?
Health Plan Details
- I am enrolled in Medicaid, but I am not in a managed care plan. Will the NYS Provider & Health Plan Look-Up show providers who accept Medicaid fee-for-service?
- Does the NYS Provider & Health Plan Look-Up include information for Medicare Advantage Plans?
- I get health insurance coverage through my employer. Will the provider networks for my health plan be available in the NYS Provider & Health Plan Look-Up Tool?
- What is the difference between ‘commercial’ and ‘self-insured’ health plans?