I have private insurance/am enrolled in a managed care (HMO) plan. Will my insurance pay for services at PPRSR?PPRSR accepts most private insurance and participates in many managed care health plans. Call 1-866-600-6886 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 PPRSR?
No. A referral is not necessary.
I have Medicaid. Will it pay for services at PPRSR?
Yes. PPRSR accepts Medicaid for all of our services. Bring your Medicaid card to the visit.
I am enrolled in a Medicaid health plan. Can I come to PPRSR?
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 PPRSR; it doesn't matter if PPRSR is in your Medicaid health plan or not. You don't need a referral from your regular doctor.
If PPRSR 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 PPRSR 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 and cryotherapy
- 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 PPRSR?
Yes. If you are enrolled in a Child Health Plus or Family Health Plus (non-family planning visits require a co-pay) plan, you must use in-network plan providers only. If PPRSR is a provider in your plan’s network, you will be able to visit PPRSR for no charge. Please bring your health plan card to the visit. Call us at 1-866-600-6886 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 PPRSR. 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 1-866-600-6886
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 PPRSR still see me?
Yes. If you do not have health insurance, you can still come to PPRSR. We will screen you for programs that you may be eligible for. 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. Please call 1-866-600-6886 for more information.
What is the Family Planning Benefit Program?
The Family Planning Benefit Program is a health insurance program that provides family planning and GYN benefits to women and men aged 10 - 64. If you qualify, you will not have to pay when you visit PPRSR and other providers. You will not have to pay here or at the pharmacy for your birth control. Learn more about the Family Planning Benefit Program.
