Protecting Access and Affordability for Our Members
Mount Sinai Hospitals and Doctors Have Left Our Network.
Here’s What You Need to Know.
UPDATE (March 4, 2026):
Despite our best efforts to keep Mount Sinai doctors and hospitals in our network, Mount Sinai executives have refused our offers to do so. Effective March 4, 2026, Mount Sinai hospitals have joined their physicians, specialists, and allied healthcare professionals as out-of-network providers.
We continue to talk with Mount Sinai leaders daily and we remain committed to returning their doctors and hospitals to our network as soon as possible.
Please continue to check this website for further updates.
We're Protecting Your Access to Care
- Our network includes every other hospital system in New York, giving you many affordable, in-network alternatives. We recommend scheduling and rescheduling elective care at one of our in-network care providers.
- If you’re in active treatment at Mount Sinai, we will continue covering your care through our Continuity of Care protections—so you aren’t forced to change doctors mid-treatment. See below for important information in How We're Helping.
- Anthem covers emergency care under your policy benefits at in-network cost shares, no matter where you go.
- Many physicians who admit patients to Mount Sinai have contracted directly with Anthem to avoid patient care disruption. You may contact your doctor’s office to find out if your physician was among them.
- We are actively working to reach an agreement with Mount Sinai and will continue updating this page.
Why We're Standing Up for Affordable Healthcare
Unaffordable healthcare is inaccessible healthcare. New Yorkers are already facing a healthcare affordability crisis, and we’re working to protect our members from price increases that would make care harder to afford. For the past 7 months, we have made good faith efforts to reach an agreement with Mount Sinai that keeps care from their doctors and hospitals as affordable as possible.
What Mount Sinai is Demanding—And Why It Matters to You
Despite reaching agreement on reasonable price increases and finding common ground on most issues, Mount Sinai sought additional changes to how employer-sponsored health coverage operates — including removing contractual safeguards that help protect patients and employers from billing errors and unnecessary costs. No other New York health system has made these demands. If accepted, these proposals would dramatically accelerate insurance premiums, out-of-pocket costs, and employer healthcare expenses.
We remain committed to reaching an agreement with Mount Sinai. In the meantime, our network includes every other health system in New York City, and our focus is helping our members access the care they need and supporting them through this transition.
Our goal is simple: to protect your access to high-quality care at prices that are as affordable as possible.
Direct Contracting for Care Providers
If you’re a Mount Sinai affiliated doctor, specialist, or allied healthcare professional who would like to keep your in-network status with us, we may be able to contract with you directly.
Setting the Record Straight on What Mount Sinai’s Demands Mean for Patients
Mount Sinai has been sharing misleading information about our work to keep them in our network—it’s time to clear things up.
Why This Happened
Unfortunately, Mount Sinai’s administration has a recent history of putting patients in the middle of health plan negotiations. In recent talks with other health plans, they have also used care disruption and patient fear as leverage to charge higher prices. Despite this, we remained committed to working collaboratively with Mount Sinai and negotiating in good faith to keep your healthcare accessible and affordable.
We made multiple fair offers to Mount Sinai that would align their price increases with other New York hospitals and with benchmarks such as general inflation and wage growth for New York workers. In fact, our offers were higher than Mount Sinai’s salary boosts for its own nurses.
But Mount Sinai executives demanded terms that are not in place with any other hospital in New York City, including elimination of basic consumer protections that help make sure care is appropriate and patients are not overcharged. These changes would hurt our members’ access to affordable care.
Our Members are Our First Priority – How We’re Helping
Every other hospital system in the Tri-State area participates in our network, which means our members still have many great options for affordable, in-network care. Whether it’s a serious medical condition, an elective procedure, or finding a new primary care physician, Anthem’s member service team is prepared to help you.
- If you’re currently in an ongoing course of treatment at Mount Sinai, Anthem will continue to provide in-network coverage under Continuity of Care guidelines. Examples of conditions that qualify for Continuity of Care include cancer, pregnancy, ongoing treatments for serious and complex conditions, including mental health and substance use disorders, urgent surgeries that are already scheduled, hospitalization, or treatment for terminal illness.
- If you’re not currently in treatment for a serious condition, we recommend scheduling or rescheduling elective care at one of our many high-quality in-network health systems. Every other hospital system in the Tri-State area participates in our network. For help, log in to Anthem.com or the Sydney Health® app or call our member service center.
We have worked closely with our other network partners—especially primary care providers—to ensure access to appointments. Our members still have broad access to high quality care from every other major health system in New York, including:
Provider networks vary by plan. We always recommend you log in to Anthem.com or the Sydney Health® app to find in-network care providers near you. You may also contact our Member Service Center at the number on your Anthem ID card for assistance.