Insurance Information

No. New York State law says you are 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. That means as long as PPGNY is in your health plan, you can come to PPGNY directly for covered family planning and GYN services without getting a referral.

Yes. New York State law says you can go to any Medicaid provider in or out of the health plan for the GYN, family planning, and abortion services you need. Please see the list of those services below.  That means you can always come to PPGNY — it doesn't matter if PPGNY is in your Medicaid health plan or not. You don't need a referral from your regular doctor.

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

Yes. If you are enrolled in a Child Health Plus plan, you must use in-network plan providers only. If PPGNY is a provider in your plan’s network, you will be able to visit PPGNY for no charge. Please bring your health plan card to the visit. If we do not accept your health plan, you may still be able to come to PPGNY. 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.