Recently, UHC/Oxford and Montefiore Health System had split effective January 1, 2021. Since that time there have been state-required cooling-off period and ongoing talks on resolution but that has not yielded a positive outcome yet.
According to Oxford, Montefiore patient claims are deemed as out-of-network.
Montefiore’s physicians will be out-of-network for all employer-sponsored and individual plans, including Oxford, as well as our Medicaid plan, effective January 1, 2021.
Montefiore’s hospitals will be out-of-network for all self-insured commercial plans, effective January 1, 2021.
Our members enrolled in fully insured commercial plans as well as our Medicaid plan will continue to have in-network access to Montefiore’s hospitals until March 1, 2021.
Montefiore Hospitals & Health System
| Facility Name | County |
| Montefiore Hospital (Moses Campus) | Bronx |
| Children’s Hospital at Montefiore | Bronx |
| Garnet Health MedJack D. Weiler Hospital (Einstein Campus)ical Center | Bronx |
| Montefiore Wakefield Hospital (Wakefield Campus) | Bronx |
| Burke Rehabilitation Hospital | Westchester |
| Montefiore Mount Vernon Hospital | Westchester |
| Montefiore New Rochelle Hospital | Westchester |
| Montefiore Nyack Hospital | Rockland |
| Montefiore St Luke’s Cornwall Hospital | Orange |
| White Plains Hospital | Bronx |
| Montefiore Hutchinson Campus | Bronx |
| Montefiore Medical Group | Westchester |
| Montefiore Medical Specialists of Westchester | Westchester |
Neighboring Hospitals
| Facility Name | County |
| Bon Secours Community Hospital BronxCare Hospital Center Garnet Health Medical Center Good Samaritan Hospital of Suffern New York Presbyterian Hudson Valley Hospital New York Presbyterian Lawrence Hospital NYC Health + Hospitals Jacobi NYC Health + Hospitals Lincoln NYC Health + Hospitals North Central Bronx St. Anthony Community Hospital St. Barnabas Hospital St. John’s Riverside Hospital Westchester Medical Center | Orange Bronx Orange Rockland Westchester Westchester Bronx Bronx Bronx Orange Bronx Westchester Westchester |
Leading Health Insurers
| 2021 Empire Blue Cross Blue Shield |
| 2021 EmblemHealth |
| 2021 Healthfirst Plans |
| 2021 New Oscar Circle Plus |
Both sides need each other as both are market leaders in their fields. It is our hope and most of our clients that they get this resolved soon. In the meantime, please bookmark our site for the latest updates. And do reach out to us and learn the steps that you can take to smoothen this temporary roadblock.
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