"When there’s a health crisis, the last thing you need to hear is that you don’t have the right coverage to protect you or your loved ones."
Kim Sweeney
Nurse & Medical Concierge
Roswell Park Comprehensive Cancer Center
When is Open Enrollment?
Depending on your type of health insurance, there are rules about when you can enroll in another health insurance plan.
Medicare
Open enrollment period runs from October 15th through December 7th.
Job-based Plans
Open enrollment periods are determined by your employer, but are typically in the fall.
Medicaid, Essential Plan, & Child Health Plus
Enroll at any time.
NY State of Health Marketplace
Open enrollment period runs from November 1st through January 31st.
Why Roswell?
Roswell Park is the only cancer hospital in New York State outside of New York City to be among the U.S. News and World Report’s list of top 50 best hospitals for cancer care. Ranked among the top 1.5% of the nation’s cancer centers, Roswell Park helps to set the standards for cancer care around the nation. Read more about why you need Roswell Park in your network.
What type of insurance does Roswell Park accept?
Each insurance company offers many different type of plans, and Roswell Park may not accept all of these plans.
As an example, Roswell Park may participate with an insurance company's Medicaid Managed Care and Essential Plans, but does not participate with that company's Medicare Advantage or Metal-Level Products purchased through the Marketplace.
All Health Plans and Networks
Insurance Company | Insurance Product | Hospital Participation Status | Physician Participation Status |
---|---|---|---|
Aetna | Commercial/Self Funded | Yes if accessed through Magnacare** | Yes if accessed through Magnacare** |
Aetna Dental | Dental Network | n/a | Yes |
Allegany/Cattaraugus County Cancer Services Program | Other | Yes | Yes |
American Indian Health Program (AIHP) | NYSDOH | Yes | Yes |
Amerigroup (Blue Cross Blue Shield of Western New York HealthNow) | Child Health Plus | Yes | Yes |
Medicaid | Yes | Yes | |
Azeros Health Plan (Nova Dentalcare) | Dental Network | n/a | Yes |
BDCT (Blue Distinction Centers) - Transplant Network | Other | Yes | Yes |
Carelon Behavioral Health (formerly Beacon Health) | Other | Yes | Yes |
Chautauqua County Cancer Services Program | Other | Yes | Yes |
Cigna* | Commercial/Self Funded | Yes if accessed through MVP** | Yes if accessed through MVP** |
Cigna LifeSource - Transplant Network | Other | Yes | Yes |
Contigo Health (formally Three Rivers Provider Network) | Other | Yes | Yes |
Coventry | Other | Yes | Yes |
Delta Dental | Dental Network | Yes | Yes |
Dentaquest | Dental Network | Yes | Yes |
Emblem Health/GHI | Commercial/Self Funded | Yes | Yes |
Medicare | Yes | Yes | |
EmpirePlan (UHC) | Commercial/Self Funded | Yes | *Physicians covered by United, Hospital services covered by BCBS |
Erie County Cancer Services Program | Other | Yes | Yes |
Fidelis | EPP | Yes | Yes |
HARP | Yes | Yes | |
Medicaid | Yes | Yes | |
Child Health Plus | Yes | Yes | |
Medicare | Yes | Yes | |
Exchange | Yes | Yes | |
First Health | Other | Yes | Yes |
Genesee, Orleans, Wyoming and Niagara Counties - Cancer Services Program | Other | Yes | Yes |
HealthPlex | Dental Network | n/a | Yes |
Highmark Western and Northeastern New York (formally Blue Cross Blue Shield of Western New York) | Commercial/Self Funded | Yes | Yes |
Medicare | Yes | Yes | |
EPP | Yes | Yes | |
Exchange | Yes | Yes | |
Child Health Plus | Yes | Yes | |
Medicaid | Yes | Yes | |
Humana ChoiceCare | Commercial/Self Funded | Yes | Yes |
Humana Military | Tricare East Prime | Yes | Yes |
Tricare East Select | Yes | Yes | |
Independent Health | Commercial/Self Funded | Yes | Yes |
Health Benefit Exchange | Yes | Yes | |
Medicare | Yes | Yes | |
Medicaid | Yes | Yes | |
Essential Plans | Yes | Yes | |
Child Health Plus | Yes | Yes | |
Exchange | Yes | Yes | |
Indian Health Services (IHS): Including - a)Tuscarora, Tonawanda Seneca b) Seneca Nation Allegany/Salamanca, Seneca Nation Cattaraugus/Irving c) St. Regis Mohawk |
DHHS Purchased/Referred Care | Yes | Yes |
Interlink - Transplant Network | Other | No | No |
Liberty Dental | Dental Network | n/a | Yes |
LifeTrac - Transplant Network | Other | Yes | Yes |
Lifetime Benefit Solutions (EBS-RMSCO) | Commercial/Self Funded | Yes | Yes |
Magnacare | Commercial/Self Funded | Yes | Yes |
Medicare | No | No | |
Medicaid | No | No | |
Martin's Point Healthcare (US Family Health Plan) | Other | Yes | Yes |
MedCal | Other | Yes | Yes |
Medicaid (New York) | Medicaid | Yes | Yes |
Medicare | Medicare | Yes |
Yes |
Molina HealthCare (formally YourCare Healthplan)
|
EPP | Yes | Yes |
Medicaid | Yes | Yes | |
Child Health Plus | Yes | Yes | |
Multi Plan (PHCS - Private HealthCare Systems Inc) | Other | Yes | Yes |
MVP (Preferred Care) | Commercial/Self Funded | Yes | Yes |
Medicare | Yes | Yes | |
Exchange | Yes | Yes | |
EPP | Yes | Yes | |
HARP | Yes | Yes | |
Medicaid | Yes | Yes | |
Optum Health | URN CRS - Transplant Network | Yes | Yes |
VA Community Care Network (VACCN) | Yes | Yes | |
Prime Health Services (World Trade Center) | Other | Yes | Yes |
UHC Dental | Dental Network | n/a | Yes |
United (UHC)* | Commercial/Self Funded | Yes if accessed through Multiplan or CRS** | Yes |
Medicare | No | No | |
Exchange | No | No | |
Medicaid | No | No | |
Univera HealthCare | Commercial/Self Funded | Yes | Yes |
Medicare | Yes | Yes | |
Exchange | Yes | Yes | |
EPP | Yes | Yes | |
Medicaid | Yes | Yes | |
Child Health Plus | Yes | Yes | |
*If you are accessing Roswell Park Comprehensive Cancer Center with one of these health plans, please be advised that you may be subject to higher out of pocket costs. ** Although Roswell Park Comprehensive Cancer Center is not directly participating with the health plan, please call us at 1-800-ROSWELL to determine if your plan allows for out of network benefits. **Updated Health Plan Partnerships 3/1/23 |
Questions about open enrollment?
Download our free guide.
Hear From Our Experts
Our experts are here to help you make sense of your health insurance, network access or your medical bills.
If tragedy strikes, you want to be prepared. Kim Sweeney, Director of Patient Access, explains why it’s important to plan ahead.
Ask an Expert
Open enrollment period is the time to take action if your plan does not provide adequate in-network coverage of Roswell Park services. Our financial counselors are ready to assist you with any of your open enrollment, health insurance and billing questions. We'll contact you if you fill out the form below or you can call us at 1-800-ROSWELL (1-800-767-9355).
Open Enrollment FAQs
Here are some answers to some of the most common questions about open enrollment
- Medicare’s open enrollment period runs from October 15th through December 7th.
- NY State of Health Marketplace’s open enrollment period runs from November 1st through January 31st.
- Job-based plans’ open enrollment period is determined by your employer, but are typically in the fall.
- Medicaid, the Essential Plan, and Child Health Plus allow you to enroll at any time.
- If you are enrolling in a Medicare Managed Care Plan, please consider enrolling in a plan that is in-network with Roswell Park (BlueCross Blue Shield of WNY, Independent Health, MVP, and Univera Healthcare). Otherwise, if you choose a plan that is out-of-network, your plan may not cover your services at Roswell Park and/or you may have higher out-of-pocket costs.
- If you are enrolling in a Medicaid Managed Care Plan, you should select a plan that is in-network with Roswell Park (BlueCross BlueShield of WNY, Fidelis, Independent Health, and Yourcare). Otherwise, if you choose a plan that is out-of-network, all services will require prior authorization and/or you may not be able to receive services at Roswell Park.
If you have out-of-network benefits, you may be able to still receive services at Roswell Park. However, an out-of-network authorization may be required – this means we would need a prior approval by your insurance plan for you to have services at Roswell Park. Another important factor to consider when deciding to go to an out-of-network provider is the financial responsibility. Typically an insurance plan will pay less when you receive services out-of-network and will hold you responsible for a larger portion of the bill. For example, you may have 20% coinsurance for in-network services, but 40% coinsurance when you go out-of-network. In addition, you may be responsible for paying the difference between Roswell Park's charges and your insurance plan’s usual and customary rates.
There are many factors to consider and compare when picking an insurance plan, but two key components are coverage and cost. First, you want to make sure the providers (your primary care doctor, specialists, hospitals, etc.) that you use are in-network and participating with the plan you choose. Second, you should consider the total health care costs (monthly premium, deductible, copays and coinsurance, and out-of-pocket maximum). Generally, plans with higher premiums have better coverage and lower out-of-pocket expenses.
Is Roswell Park and its providers in-network with my plan? (You may need to provide our Tax ID number 161552370 and our NPI numbers: Roswell Park (Hospital) 1548315401 and Roswell Park (Physicians - RPCI CPP) 1720036593)
If yes:
- What are my co-pays for specialist office visits, ambulatory surgery, chemotherapy, radiation, radiology, and inpatient admissions?
- What is my maximum out-of-pocket cost (MOOP)?
If no:
- Do I have out-of-network benefits?
- Does my plan require out-of-network authorizations?
- What are my out-of-network benefits (deductible, coinsurance, out-of-pocket maximum)?
- Does my insurance plan access any special networks (such as Cancer Resource Services, MultiPlan, or MagnaCare) for which Roswell Park is an in-network provider?
- Will I be balance billed for the difference between the usual and customary rates and Roswell Park’s charges?