Explore New York plans
Accepted primary & specialty care plans
- Non-participating with Aetna Better Health and Aetna Medicare Individual plans at locations in the Bronx, New York, Dutchess, Putnam, Ulster and Westchester Counties
- PCP's are non-participating with Aetna Medicare Signature Care (HMO)
- Non-participating with Molina Healthcare Plus-HARP
- Non-participating with Blue Priority Network
- Non-participating with Medicare, Essential, Child /Family Health Plus and Medicaid Plans. No plans accepted at locations in Manhattan, Queens, the Bronx, Brooklyn, Staten Island and Long Island.
- Optum accepts most Centivo insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Non-participating with Cigna Local Plus and Medicare Plans (now known as Healthspring) as of February 1, 2026
- Optum accepts most Consumer Health Network (CHN) insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
Optum accepts most Coventry insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Non-participating with Medicare Plans (known as VIP), Select Care and Millenium Networks
- Optum accepts most Empire Plan (NYSHIP) insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Non-participating as of January 1, 2026
- Optum accepts most First Health Network insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Not accepted at locations in Manhattan, Queens, Bronx, Brooklyn, Staten Island, and Long Island, except for radiology and imaging services in Brooklyn, NY.
- Optum accepts most Humana insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Not accepted at Manhattan locations
- Optum accepts most MagnaCare insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Effective January 1, 2026, we no longer accept new Medicaid patients
- Optum accepts most Medicare (Traditional Medicare & Railroad Medicare) insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Accepted only by limited providers at locations in Brooklyn, Queens and Manhattan. Contact your plan to confirm individual provider participation.
- Optum accepts most Mutliplan PPO insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Non-participating with Essential and Premier Plans
- Not accepted at locations in Brooklyn, Queens and Long Island
- Optum accepts most Northwell Direct insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Optum accepts most Oscar insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Non-participating with Metro Plan Non-AARP Medicare at locations in the Bronx, New York, Dutchess, Putnam, Ulster and Westchester Counties
- Non-network provider
- Optum accepts most UMR insurance products. Please confirm with your insurance company that your plan is active and that your chosen provider is in-network.
- Excludes Mosaic & Community Plan. Charter, Compass, and Core Plans are not accepted at locations in the Bronx, Manhattan, Dutchess, Putnam, Ulster and Westchester Counties
Accepted plans for urgent care
In Dutchess, Putnam, Ulster and Westchester Counties, urgent care visits are billed at specialist rates, which may affect the copay or coinsurance collected at the time of your visit.
- Optum accepts most Aetna plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Optum accepts most Affinity by Molina Healthcare plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Non-participating with Connection Networks, Medicare Advantage Select Plans and Healthplus Plans
- Optum accepts most Centivo plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Non-participating with Cigna Local Plus and Cigna Medicare
- Optum accepts most Coventry plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Non-participating with HIPIC Select Care and Millenium, VIP and Enhanced Care Prime Network Medicaid plans
- Optum accepts most Fidelis plans for urgent care service. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Optum accepts most First Health plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Optum accepts most Healthfirst plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Not accepted at locations in Manhattan, Queens, Bronx, Brooklyn and Staten Island
- Optum accepts most MagnaCare plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Optum accepts most Medicare (Traditional Medicare & Railroad Medicare) plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Optum accepts most Multiplan plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Optum accepts most Northwell Direct plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Optum accepts most NYSHIP (Empire Plan) plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Optum accepts most Oscar plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Optum accepts most Oxford plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Optum accepts most Private Healthcare Systems (PHCS) plans for urgent care services. Please confirm with your insurance company that your plan is active and that your chosen provider is in‑network.
- Non-participating with Mosaic, UHC Community Plans, Medicaid Plans and UHC Medicare advantage Regional Plans
Frequently asked questions about health plans
Optum accepts most major health insurance plans. Before selecting a provider, please check with your insurance company to verify your eligibility and coverage to ensure the provider participates in your plan.
If your health insurance provider is not listed among our accepted plans, the services are likely considered “out-of-network” and you may be responsible for a greater out-of-pocket expense. If you do not currently have insurance coverage, your visit will be considered self-pay.
Self-pay means you are financially responsible for the full cost of your medical services at the time of your visit. This applies to patients who are uninsured or whose insurance is considered out-of-network – meaning we do not have a billing agreement with your insurance company.
A self-pay waiver will be required if your insurance does not participate with Optum. Following your visit, you will also need to submit the claim to your insurance company for potential reimbursement.
We strive to provide transparent pricing and will work with you to ensure you understand the costs associated with your care. If you have any questions about self-pay rates or need assistance, please contact our front desk or billing department prior to your appointment.
If you are out-of-network or choosing to pay out of pocket, services are still available. Here’s what you need to know:
You have the right to request a good faith estimate of expected charges prior to receiving services.
In compliance with the “No Surprise Act,” a patient is held harmless from the cost of unanticipated out-of-network bills.
Contact us if you have questions or need more information about participating plans, billing or the “No Surprise Act.”
Optum Medical Care, P.C., Optum Medical Care of New Jersey, P.C. and Optum Urgent Care, PLLC (collectively “Optum Medical Care”) are physician-led organizations (the “Practice”). The Practice retains full authority over all medical decision-making and patient care. Optum provides administrative and clinical support services to the Practice. Optum does not control or direct the clinical judgment, methods, or standards of physicians or other licensed professionals. Where indicated, “Part of Optum” means the Practice is managed or owned, where permitted by law, by Optum and participates in Optum’s efforts to support physician practices in helping patients live healthier lives.
Optum is a registered trademark of Optum, Inc. in the U.S. and other jurisdictions. All other trademarks are the property of their respective owners. Optum is an equal opportunity employer.