NYS Provider & Health Plan Look-Up Tool

The NYS Provider & Health Plan Look-Up, launched in May 2017, is an on-line tool that can be used by consumers to research provider networks and health plans. By using this tool, consumers can search for their preferred providers, including doctors and hospitals to see which health plans have those providers in their network.

The NYS Provider & Health Plan Look-Up includes information about the health care providers that participate with health plans offered through the NY State of Health Marketplace, including Qualified Health Plans, the Essential Plan, Child Health Plus and Medicaid Managed Care. The Look-Up Tool also includes provider information for other NYS Medicaid programs including Managed Long Term Care Plans, Health and Recovery Plans, Fully Integrated Dual Advantage Plans, as well as, Commercial, Commercial Non-MCO Medical plans, Commercial Non-MCO Dental plans and Commercial Non-MCO Vision plans. Data in the NYS Provider & Health Plan Look-Up is updated at least every three months, or whenever health plans report a significant change in their network.