• Plan Resources

  • With a year long rolling enrollment period, you don't have to wait. You can sign up for an Essential Plan at any time of the year.

  • Plan Resources

    Member Handbooks

    Click below for information on how your Essential Plan works. Find out how to get care when you need it, what services are covered, or who to talk to when you have a question, so you can get the most out of your coverage.

    Schedule of Benefits
  • Plan Assistance

    Research or Buy a Plan

    Phone: 866.731.8001
    TTY: 711
    Monday - Friday, 8:30 AM - 6:00 PM (ET)

    Visit the New York State of Health website and select Affinity Health Plan

    Customer Service

    Have a question about how your plan works? Don’t see what you’re looking for? We’re here to help!
    Call Us (Monday - Friday, 8:30 AM - 6:00 PM ET):

    • Phone: 866.247.5678
    • TTY: 711

    Visit a Community Service Center (CSC)

    Online Access

    Set up and manage your personal account options, including:

    • View/pay your monthly bill
    • Schedule automatic payments
    • Select/change your PCP
    • Print a temporary ID card
    • Review your benefits

    Log in or create an account

    Payment Options


    Phone: 866.247.5678
    Monday - Friday, 8:30 AM – 6:00 PM (ET)

    By Mail:
    Affinity Health Plan
    Metro Center Atrium
    1776 Eastchester Road
    Bronx, NY 10461

  • Benefits Assistance

    Important Numbers and Contacts

    Call, write, fax or follow the Web links to get answers:


    Grievance and Appeals (GA), including expedition
    Fax: 718.536.3358

    Phone: 888.543.9074
    Monday - Friday, 8:00 A.M. – 6:00 P.M. (ET)

    Medical Services

    Medical Emergency
    Phone: 911

    Phone: 888.543.9074

    Beacon Health Options (Mental Health program)
    Phone: 888.438.1914

    Phone: 866.731.8004

    Superior Vision
    Phone: 866.810.3312

    CVS Caremark Pharmacy
    Phone: 855.722.6228

    • Authorization: 800.294.5979
    • Appeals: 888.543.9069

    Laboratory Services

    BioReference Laboratories
    Phone: 800.229.5227

    • GeneDX: 888.729.1206
    • GenPath Women’s Health: 800.633.4522
    • GenPath Oncology: 800.627.1479

    Empire City Laboratories, Inc.
    Phone: 718.788.3840

    Phone: 888.522.2677

    • Integrated Oncology: 800.710.1800
    • Dianon Systems, Inc.: 800.328.2666
    • Integrated Genetics: 800.848.4436
    • Litholink Corporation: 800.338.4333
    • MedTox Laboratories, Inc.: 800.832.3244
    • Monogram Biosciences, Inc.: 800.777.0177

    Lenco Diagnostic Lab
    Phone: 855.870.0097

    Spectra (including Shiel Medical Lab)
    Phone: 800.553.0873

    Sunrise Medical Laboratories
    Phone: 800.782.0282

    Xeron Clinical Laboratories
    Phone: 718.762.3310

    Quest Diagnostics, Inc.
    Phone: 866.697.8378

  • Fitness Rewards Program

    We know that staying with an exercise routine isn’t always easy. To encourage you to get fit and stay healthy, Affinity Health Plan provides partial reimbursement to subscribers for exercise facility fees or membership fees. It’s simple! Learn more about Affinity Health Plan Fitness Rewards.

  • Programs

    Behavioral Health and Substance Abuse Services

    Beacon Health Strategies provides behavioral health and substance abuse services. Beacon’s network specialists develop and deliver services for our Members. Visit beaconhealthstrategies.com for a listing of providers, to research community resources or to access the Beacon Healthwise Knowledge Base.

    • Member Contact Information
      • 24 Hour Clinical Access: 800.974.6831
      • Main Number: 781.994.7500
      • Fax Number: 781.994.7600
      • TTY Number [For Hearing Impaired]: 781.994.7660
      • Feedback Survey

    Visit their Web site at www.beaconhealthstrategies.com or contact them at 888.438.1914. To view your claims, visit MyBeacon portal. Additionally, there are resources available to access information regarding Transition Age Youth (TAY) and members with First Episode Psychosis (FEP), community forums, volunteer activities, and community organizations.


    Superior Vision is a national vision benefits manager. Superior Vision’s network of optometrists provides routine vision care for all Affinity Members. Visit their Web site at www.superiorvision.com or contact them at 866.810.3312.


    CVS Caremark is Affinity's pharmacy benefits manager for Medicaid. Members in these programs can get prescription drugs not only at CVS pharmacies, but all the other chain and independent pharmacies that participate in their network. Visit their Web site at www.caremark.com, or contact them at:

    CVS Caremark Pharmacy
    Phone: 855.722.6228
    877.775.5623 (Customer Care)
    800.294.5979 (Authorization)
    888.543.9069 (Appeals)


    DentaQuest provides dental services to Members in the Essential Plan through their network of contracted providers. Visit their Web site at www.dentaquest.com or contact them at 866.731.8004.


    Chiropractic services are not covered by Medicaid.

    Transportation Services

    Non-emergency transportation services which includes personal vehicle, bus, taxi, ambulete, and public transportation to medical appointments are now administered through New York State. You or your provider must call the vendor listed below to arrange transportation:

    • NYC (Bronx, Brooklyn, Manhattan, Queens, Staten Island): Logisticare - 877.564.5922
    • Long Island (Nassau and Suffolk): Logisticare - 844.678.1103
    • All other counties: Medical Answering Services - 800.850.5340

    You can access this information online.

    If possible, you or your provider should call the vendor at least three days before your medical appointment and provide your appointment date and time, its address, and the doctor you are seeing.

  • Treatment Cost Calculator

    This Treatment Cost Calculator will help you better understand the potential costs of obtaining health care services when you need treatment. English | Español