Shannon Wright
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Recent activity by Shannon Wright-
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?
No, the NYS Provider & Health Plan Look-Up will not display information about providers or facilities that accept Medicaid fee-for-service. You should ask the provider if they accept Medicaid fee-f...
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Does the NYS Provider & Health Plan Look-Up include information for Medicare Advantage Plans?
No. Medicare Advantage is administered by the federal Centers for Medicare and Medicaid Services. To get information about Medicare Advantage plans, contact the specific health plan(s) or visit the...
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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?
If you are enrolled in a commercial health insurance plan through your employer or New York State’s Empire plan you will be able to search for your network in the Look-Up. If you are in a self-insu...
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What is the difference between ‘commercial’ and ‘self-insured’ health plans?
A commercial health insurance plan is paid for by an individual or an organization other than the government and can take several different forms, including: health maintenance organizations (HMOs)...
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How is a Primary Care Provider defined in the NYS Provider & Health Plan Look-Up?
Primary Care Providers (PCPs) are Medical Doctors (MDs), Doctors of Osteopathy (DOs), or Nurse Practitioners (NPs) with a specialty of Family Practice, Family Medicine, Internal Medicine, General P...
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What information is included in the NYS Provider & Health Plan Look-Up?
The NYS Provider & Health Plan Look-Up displays provider network information submitted by NYS licensed health plans for Qualified Health Plans (QHPs), Medicaid Managed Care plans (including HIV Spe...
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What is a health plan network?
A health plan network is the group of providers, practices, and/or facilities that have entered into a contract with a specific health plan to provide covered health care services to the health pla...
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How should I use the information in the NYS Provider & Health Plan Look-Up?
Use the NYS Provider & Health Plan Look-Up when you are 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 Pro...
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Selecting My Providers
Adding providers to your list of "My Providers" allows you to compare their scores on various quality and utilization measures to each other and to the state average (where available). It also lets...
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Finding a Provider by Name
Enter the provider's name in the 'Find a provider by name' search box. All providers containing partial or full search term will be displayed in the search results. The less information is entered...