Find A Doctor
It is important for you to know which providers are a part of the VNSNY CHOICE Medicare network. In most circumstances, if you are a member of CHOICE Classic
, or Maximum
, you must use network providers to get your medical care and services. The only exceptions are emergencies, urgently needed care when the network is not available (generally, when you are out of the area), out-of-area dialysis services, and cases in which VNSNY CHOICE Medicare authorizes use of out-of-network providers. Please see your Handbook/Evidence of Coverage
for more information about situations where out-of-network coverage is available.
How can I find out a doctor is in the VNSNY CHOICE Medicare network?
CHOICE has an extensive network of physicians that includes thousands of primary care doctors and other specialists. It’s easy to find out if a particular doctor is in our network:
Getting Care During a Disaster
If the Governor of New York, the U.S. Secretary of Health and Human Services, or the President of the United States declares a state of disaster or emergency in your geographic area, you are still entitled to care from your plan. Generally, during a disaster, you can obtain care from out-of-network providers at in-network cost-sharing. If you cannot use a network pharmacy during a disaster, you may be able to fill your prescription drugs at an out-of-network pharmacy. Please call Member Services for more information.
For members of CHOICE Medicare Classic, Preferred, and Maximum
What if my doctor is not part of the VNSNY CHOICE network?
You may be able to continue to use your current provider until you complete your course of treatment. For more information about our process for helping members, please call Member Services at: 1-866-783-1444, Monday – Friday, 8 am – 8 pm (TTY for the hearing impaired: 711).
Do I have to get a referral from my primary care doctor to see a specialist?
No, with any of our VNSNY CHOICE Medicare plans you can see a specialist without a referral from your primary care physician. (Remember, these CHOICE Medicare plans cover services only from specialists who are part of our provider network.)
This is a Medicare-related page; some of the links will take you to non-Medicare information or to a different website.
This information is not a complete description of benefits. Contact the plan for more information.
Limitations, co-payments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. Some plans are available to anyone who has both Medical Assistance from the State and Medicare. Premium, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
The provider and pharmacy network may change at any time. You will receive notice when necessary.
Last updated 2/15/2017