Understand your plan before you book.
Medicaid plans and provider participation vary. Let’s start with your specific plan, the service you need, and where you’ll attend your online appointment.
Make your coverage inquiry easier.
You don’t need to describe your full medical history to ask a coverage question. Start with the information needed to identify your plan and contact you.
Submitting a form does not confirm eligibility, a covered service, a provider’s participation, or an appointment. Ask for those details before receiving care.
- Your name and a phone number where you can be reached.
- Your Medicaid plan name, as shown on your card.
- Your Medicaid ID number, entered in the inquiry form.
- Your current state and the type of service you are asking about.
Clear answers before your first visit.
Is my plan accepted?
Ask whether the specific provider participates in your exact Medicaid plan. Do not assume that every provider accepts every Medicaid plan.
Will I have any costs?
Ask about any patient costs for the service before scheduling. Coverage and benefits should be confirmed for your individual situation.
Do I need a referral?
Ask whether your plan or the requested service requires a referral, authorization, or additional paperwork.
What if I’m outside New York?
Tell us where you are located. Do not assume that a New York service or plan applies in another state; confirm availability before booking.