Which Medicaid is best in NYC?

Asked by: Dina Pollich  |  Last update: January 2, 2026
Score: 4.8/5 (41 votes)

Medicaid NY Aetna is one of the top-rated Medicaid providers in the state with a 4.5 out of 5 overall rating according to NCQA. The Aetna Medicaid plan offers not only regular healthcare coverage, but also has the option for managed long-term care under Medicaid coverage.

Who has the best Medicaid coverage?

The top states—ranked from 1 to 10—are Massachusetts, Nebraska, Vermont, Alaska, Wisconsin, Rhode Island, Minnesota, New York, Washington, and New Hampshire.

Are there different types of Medicaid in New York?

New York offers several types of Medicaid plans, including Medicaid Managed Care, Medicaid Fee-for-Service, and Medicaid Advantage. It's important to understand the differences between these plans and choose the one that best fits your needs.

Is Healthfirst Medicaid in NY good?

2025 Star Ratings are posted at Medicare.gov. This recognition comes on the heels of other notable rankings, including Healthfirst consistently being one of the top-rated Medicaid and Essential Plans in New York state.

Is Healthfirst the same as Medicaid?

Healthfirst is an insurance company that offers Medicare Advantage plans in specific areas of New York state. Healthfirst has been in operation for more than 25 years. It offers various healthcare plans, including Medicare Advantage and Medicaid plans, as well as individual and group plans.

Is Medicaid Coverage Better or Worse than Private Insurance?

20 related questions found

What is the best HealthCare system in New York?

Newsweek/Statista recognized 600 leading hospitals across the nation, identifying the best of the best in each state. In New York State, The Mount Sinai Hospital earned a higher ranking than NYU Langone (No. 2), NewYork-Presbyterian (No. 3), and Montefiore Medical Center (No.

What are the four types of Medicaid?

There are four types of Medicaid delivery systems:
  • State-operated fee-for-service (FFS)
  • Primary care case management (PCCM)
  • Comprehensive risk-based managed care (MCO model)
  • Limited-benefit plans.

What is the best health insurance in NYC?

Anthem has the best health insurance for most New Yorkers. Anthem has a rating of 4 out of 5 stars from HealthCare.gov, which is among the best in the state.

Why do most doctors not accept Medicaid?

One reason is that reimbursement rates for Medicaid are lower than for Medicare or commercial insurance. Another (often overlooked) factor, however, is physician's risk of payment denials and the administrative hassle they face trying to get reimbursed by Medicaid.

Who uses Medicaid the most?

In 2020, Medicaid and CHIP provided coverage for nearly 55 million people of color. These programs provide essential coverage for a population that is more diverse than the broader U.S. population—especially among children, with 61 percent of Medicaid and CHIP enrollees under age 19 being children of color.

What does Medicaid not cover?

Though Medicaid covers a wide range of services, there are limitations on certain types of care, such as infertility treatments, elective abortions, and some types of alternative medicine. For example, the federal government lists family planning as a mandatory service benefit, but states interpret this differently.

How much is Medicaid a month in New York?

There is no monthly premium for Medicaid. Some services may have small co-payments, which can be waived if you cannot afford them. You can enroll in Medicaid at any time during the year through NY State of Health.

Does NYU Langone accept Medicaid?

We accept Medicare, Medicaid, and other major insurances. Patients without insurance or whose insurance is limited can apply for the sliding scale fee program. Please note that applying for and/or being turned down for insurance is not a prerequisite for a sliding scale fee or other discount.

What is NY Medicaid choice?

New York Medicaid Choice is New York State's Medicaid managed care enrollment program. New York State of Health is New York's health plan marketplace. People can go to the marketplace to get affordable health insurance or learn if they qualify for Medicaid or other health programs.

Does Medicaid cover hospital bills?

Certain services are covered in every state, including:

Inpatient hospital services. Outpatient hospital services. Physician services. Skilled nursing facility services.

Is EmblemHealth New York Medicaid?

Enhanced Care is our state-sponsored Medicaid Managed Care plan. There is no monthly premium payment for this plan. However, pharmacy copays may be required in some instances. To be eligible, individuals must reside in the Bronx, Kings, Nassau, New York, Queens, Richmond, Suffolk or Westchester county.

Is all Medicaid the same?

Medicaid programs must follow federal guidelines, but coverage and costs may be different from state to state. Some Medicaid programs pay for your care directly. Others use private insurance companies to provide Medicaid coverage.

How often does Medicaid check your bank account?

Medicaid agencies can check your account balances for bank accounts at any financial institution you've used in the past five years. They will check when you submit an application and on an annual basis, but checks can occur at any time.

What hospital is number 1 in NYC?

U.S. News & World Report recognizes NewYork-Presbyterian Hospital for its excellence in numerous specialties. NewYork-Presbyterian Hospital has once again been recognized as one of the best hospitals in the nation and a #1 hospital in New York by U.S. News & World Report.

Is Mount Sinai or NYU Langone better?

Highlights from the rankings

In cardiology, heart and vascular surgery services, NYU Langone Hospitals is No. 2 in the country, followed by Mount Sinai Hospital at No. 4 and NewYork-Presbyterian Hospital-Columbia and Cornell at No. 5.

Who is number 1 in healthcare?

According to the 2024 edition of the CEOWORLD Magazine Health Care Index, Taiwan ranks as the country with the best healthcare system globally, with an overall score of 78.72. South Korea (77.7) and Australia (74.11) follow closely behind.