As we approach the new year, there are key changes in healthcare networks that might affect how you access care. Here’s a practical breakdown of what’s happening with Mount Sinai and Anthem, as well as United Healthcare and NewYork-Presbyterian.
Mount Sinai and Anthem
Effective January 1, 2026, Mount Sinai Physician Groups will no longer be part of the Anthem network. This change means that ongoing treatments will still be covered at in-network rates for up to 90 days or through pregnancy and post-partum care. After this period, services will be out-of-network, potentially increasing costs.
In-network coverage for Mount Sinai hospitals and facilities will continue until March 1, 2026. This gives you some time to make necessary adjustments. Non-emergency services may require upfront payments, and you might need to file claims directly with Anthem. To reduce costs, consider using Anthem network physicians. For more details, visit anthem.com.
United Healthcare and NewYork-Presbyterian
United Healthcare has extended its network agreement with NewYork-Presbyterian through January 31. This extension suggests ongoing negotiations, offering hope for a longer-term agreement. Meanwhile, verify your doctor's network status to ensure continued access to care.
Final Thoughts
Approach these changes like adjusting a garden in different seasons: stay informed, make necessary tweaks, and ensure your healthcare needs are met efficiently. For any questions, reach out to your healthcare provider or insurance company.