At Health Plus, our mission is to work to ensure that every child and adult in New York City and Nassau County has access to free and low cost healthcare.
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Providers
Welcome Providers

At Health Plus, we’re proud of our extensive provider network serving the five boroughs and Nassau County. Our focus is on streamlining administrative processes so you can focus on what’s important—caring for our members.

The links below will give you quick access to the information you need...

Health Plus has great news! Effective September 1st, authorizations are NO longer required for Specialty Visits for participating providers with the exception of Physical Therapy, Occupational Therapy and Speech Therapy visits.  All other prior authorization policies remain in effect including referrals to non-participating specialists.

Referrals from the PCP will continue to be required in one of the following three forms:

 1. Standard referral forms
 2. Prescription pad or
 3. Letterhead

Behavioral Health authorization requirements will also remain the same.

Click the following link to check member eligibility, generate or check status of referrals, review claims status or check member optometry benefits:

Health Plus Online Provider Service Center


The INFO PLUS Outpatient and Inpatient Authorization Request (Submission) function is under construction until further notice.

  • Quest Diagnostics - schedule an appointment for a patient with Quest Diagnostics for a lab session
  • NEED HELP WITH HIGH RISK MEMBERS? CLICK HERE - ( PDF, 46.5KB)
  • INFO PLUS - Member Eligibility, Claims Status, Authorization Requests - Online
  • FIND A PROVIDER Online Search Tool for Health Plus Participating Providers
  • MEDICARE PROVIDER DIRECTORY - ( PDF, 4874KB)
  • MAMMOGRAPHY PROVIDER DIRECTORY - ( PDF, 49KB)
  • OPTOMETRY PROVIDER DIRECTORY - ( PDF, 51KB)
  • HEALTH PLUS FORMULARY AND PHARMACY BENEFIT INFORMATION  - Health Plus Choice and Medicare Part D Formularies; Medicare OTC Benefit
  • PROVIDER NEWS AND NOTICES  - Latest news: January 1, 2010 - Statutory Changes
  • NEW PROGRAM FOR DIABETIC MEMBERS!

  • Child Health Plus Family Health Plus Medicaid Medicare
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