Insurance & Payment Options

Comprehensive Coverage for New York Patients

At Manhattan Restorative Health Sciences (MRHS) Primary Care, we believe that healthcare should be simple, transparent, and accessible. We partner with a wide network of insurance carriers to help patients throughout New York City receive quality care with minimal financial stress. Call us on (212) 750-5088 for more details or read on below.

Accepted Insurance Providers

We are in-network with most major insurance plans, including both national and regional carriers. Our accepted networks include:

• Aetna (Beech Street, Global Excel, Luminare Health, POS, PPO, EPO, and Medicare Advantage)

• Blue Cross Blue Shield (BCBS), including regional affiliates such as BCBS of California, Florida, Georgia, Illinois, New Jersey, and Texas

• Cigna (Open Access, Local Plus, PPO plans)

• UnitedHealthcare (Choice, Oxford, UMR)

• EmblemHealth / GHI / HIP and Health Insurance Plan of New York

• HealthEZ, Humana, Empire, and selected Medicare Advantage programs

If you do not see your plan listed, contact our patient-care team. Our network list is frequently updated as new partnerships are added.

Healthfirst Plans Accepted at MRHS Primary Care

If you are searching for Healthfirst near me, MRHS Primary Care is proud to serve patients with Healthfirst insurance across New York City. We accept most Healthfirst plan types, including Essential Plans, Medicaid Managed Care, and Medicare Advantage programs.

Our staff can verify your eligibility and explain any copay or deductible before your visit, ensuring a smooth and fully covered experience. Patients with Healthfirst can book primary care visits, annual physicals, and preventive screenings at in-network rates.

HealthPlus and EmblemHealth Coverage in NYC

MRHS partners with HealthPlus and EmblemHealth (GHI / HIP) to provide dependable, affordable care for New York residents.

If you carry HealthPlus NYC, you can access our entire range of primary care services—physical exams, chronic care management, same-day visits, and more—within your plan’s in-network benefits.

Our administrative team will confirm your benefits and any required referrals ahead of time so there are no surprises when you arrive.

Simply Blue PPO and Blue Cross Blue Shield Coverage

MRHS Primary Care is an in-network provider for Blue Cross Blue Shield, including Simply Blue PPO plans offered through Empire BlueCross BlueShield and other regional BCBS affiliates.

If you’re looking for Simply Blue PPO providers, MRHS offers comprehensive preventive and ongoing primary care, along with coordinated referrals to our in-house specialists when needed.

Members benefit from transparent, negotiated pricing and nationwide Blue Cross portability.

What Does “In-Network” Mean?

“In-network” means that MRHS has agreed upon rates with your insurance carrier.

This allows you to receive care at lower costs compared with out-of-network providers.

When you visit MRHS, you can expect your benefits to be applied directly, minimizing paperwork and out-of-pocket expenses.

Why We Verify Your Coverage

Before every appointment, our team confirms your insurance details.

Verification ensures you know exactly what your visit will cost and prevents billing issues.

We recommend submitting your insurance information at least 48 hours before your appointment for the fastest confirmation.

Preventive Care and Specialty Coverage

Most plans cover preventive care such as annual physicals, immunizations, and routine screenings at no additional cost.

Services like chronic condition management, diagnostic testing, or specialist referrals may require a copay or deductible.

MRHS coordinates closely with our in-house specialists in pain management, rehabilitation, and physical therapy, verifying coverage when referrals are needed.

Out-of-Network and Self-Pay Options

If your plan is out of network, MRHS will provide a detailed super-bill you can submit to your insurer for partial reimbursement.

For patients without insurance, we offer transparent self-pay pricing for all services, including:

• Primary care visits

• Annual and employment physicals

• Lab work and diagnostic testing

• Preventive care and vaccinations

Payment can be made via major credit cards, HSA/FSA cards, or flexible installment plans when applicable.

What to Bring to Your Appointment

To streamline your check-in:

• A valid photo ID and current insurance card

• Any referral or authorization if required by your plan

• Payment for copays or coinsurance

• For workers’ compensation or no-fault auto claims, please also bring your claim number or representative contact

Helpful Insurance Terms

FAQ

Resources:

• Aetna Coverage Lookup

• Blue Cross Blue Shield Provider Finder

• Cigna Plan Finder

• UnitedHealthcare Member Portal

• Healthfirst NY Coverage Information

Need Help Understanding Your Plan?

Our team is here to assist you with insurance verification, billing questions, and cost estimates.

Whether you’re covered by Healthfirst, HealthPlus, Simply Blue PPO, or any other major plan, MRHS makes accessing healthcare simple and stress-free.

📞 Call (212) 750-5088

📧 primarycare@mrhsclinics.com

⚕️139 E 57th St 8th Floor, New York, NY

Quality Care, Simplified Billing

At MRHS Primary Care, our mission is to combine exceptional medical care with clear communication about costs and coverage. We help you focus on what matters most—your health—while we handle the paperwork.