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Planned Parenthood

New York City

Payment and Insurance Information

I have private insurance/am enrolled in a managed care (HMO) plan. Will my insurance pay for services at PPNYC?

PPNYC accepts most private insurance and participates inmany managed care health plans. Call (212) 965-7000 or 1 (800) 230-PLAN to find out if we are in your health plan and what services are included in your coverage.

Do I need to get a referral from my primary care provider or health plan before coming to PPNYC?

No. New York State law says you have Direct Access to family planning and reproductive health services. As long as PPNYC is in your health plan, you can come to PPNYC directly for covered family planning and GYN services without getting a referral.

You can use Direct Access twice a year. All necessary follow-up appointments for those two visits are also allowed.

I have Medicaid. Will it pay for services at PPNYC?

Yes. PPNYC accepts Medicaid for all of our services. Bring your Medicaid card to the visit. Call (212) 965-7000 or 1 (800) 230-PLAN for an appointment.

I am enrolled in a Medicaid health plan. Can I come to PPNYC?

Yes. New York State law says you have Free Access to the family planning and GYN services you need. That means you can always come to PPNYC it doesn't matter if PPNYC is in your Medicaid health plan or not. You don't need a referral from your regular doctor.

If PPNYC is not in your health plan or if your health plan does not cover the services you need, you can use your Medicaid card. Bring your health plan card and your Medicaid card to the visit. You will not be turned away.

What services does PPNYC provide if I am in a Medicaid health plan?

If you have Medicaid or Medicaid managed care, you can come to Planned Parenthood for:

  • Birth control pills, condoms, foams, diaphragms, IUDs, and Depo-Provera
  • Abortion (medical and surgical)
  • Pelvic and breast exams, including Pap tests
  • Pregnancy testing and counseling
  • Emergency contraception
  • Colposcopy, cryotherapy, and loop electrosurgical excision procedures (LEEP)
  • STD testing and treatment HIV testing and counseling, when part of a family planning visit

I am enrolled in a Child Health Plus or Family Health Plus health plan. Can I come to PPNYC?

Yes. If you are enrolled in a Child Health Plus or Family Health Plus plan, you must use in-network plan providers only. If PPNYC is a provider in your plan's network, you will be able to visit PPNYC for no charge. Please bring your health plan card to the visit. Call PPNYC at (212)965-7000 or 1 (800) 230-PLAN to see if we accept your health plan for the services you need.

If we do not accept your health plan, you may still be able to come to PPNYC. For family planning services, our centers may be able to offer you a lower fee, depending on your income and the services that you need.

For more information, or to make an appointment, call (212) 965-7000 or 1 (800) 230-PLAN.

What is the New York State Direct Access law?

Under New York State law, any person enrolled in a managed care plan (Medicaid, Child Health Plus B, Family Health Plus, or commercial) is entitled to at least two visits annually to any family planning and reproductive health provider within the plan's network, without a referral from your primary care provider. All necessary follow-up visits are also included.

What is the New York State Free Access law?

Under New York State law, any person in a Medicaid health plan is entitled to free access to family planning and reproductive health services, including:

  • Birth control pills, condoms, diaphragms, IUDs, Depo Provera, and foams
  • Abortions
  • Pelvic and breast exams
  • Pap tests
  • Pregnancy testing and counseling
  • Emergency contraception
  • Colposcopy, cryotherapy, and loop electrosurgical excision procedures (LEEP)
  • STD testing and treatment
  • HIV testing and counseling, when part of a family planning visit
  • Testing for high blood pressure and anemia
  • Tubal ligation and vasectomy

If you are in a Medicaid health plan, you can go to any Medicaid provider in or out of the health plan for the above family planning and GYN services.

I don't have any health insurance. Will PPNYC still see me?

Yes. If you do not have health insurance, you can still come to PPNYC. PPNYC has Entitlement Counselors at each of our three health centers. This counselor can help you find out if you can get Medicaid, Child Health Plus, or the Medicaid Family Planning Benefit Program. If you do not qualify for these health insurance programs, our centers may still be able to offer you a lower fee, depending on your income and the services that you need. In order to see a counselor, please call (212) 965-7000 or 1 (800) 230-PLAN to make an appointment.

What is the Medicaid Family Planning Benefit Program?

The Medicaid Family Planning Benefit Program is a health insurance program that provides family planning and GYN benefits to men and women aged 10 - 64. If you qualify, you will not have to pay when you visit PPNYC and other providers. You will not have to pay here or at the pharmacy for your birth control. Learn more about the Medicaid Family Planning Benefit Program.

How can I find out if I can get Medicaid, Child Health Plus, or the Medicaid Family Planning Benefit Program?

PPNYC's Entitlement Counselors can help determine if you are eligible for one of these programs, and can help you fill out an application. To find out more, please call (212) 965-7000 or 1 (800) 230-PLANto make an appointment with an Entitlement Counselor.

What if I cannot get Medicaid, Child Health Plus, or the Medicaid Family Planning Benefit Program? Can I still come to PPNYC?

Yes. If we find out that you may not be able to get Medicaid, Child Health Plus, or the Medicaid Family Planning Benefit Program, PPNYC may be able to offer you a lower fee for your visit, depending on your income. Please ask about our lower fees when you make an appointment, by calling (212) 965-7000 or 1 (800) 230-PLAN.

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Payment and Insurance Information