Member FAQs
How do I change my address or phone number?
What should I do if I receive a bill from a Provider?
How do the premiums work for Child Health Plus?
How can I make a premium payment to Hudson Health Plan?
What should I do if I believe I have been treated unfairly by a Provider?
What happens if I get divorced, am I still covered?
How can I obtain a Provider Directory?
How do I disenroll from any Hudson Health Plan programs?
How do I pre-qualify for surgery?
How do co-payments work?
How do I know when I need to renew (re-certify) my coverage?
How do I find a specialist?
How do I qualify for transportation? (Westchester County residents only)
Do I need to contact Hudson Health Plan prior to going to the Emergency Room?
How can I contact my local department of social services (DSS) office?
Where can I find a current list of Durable Medical Equipment (DME) providers?
General FAQs
How do co-payments work?
Members enrolled in Family Health Plus or Medicaid Managed Care are required to make co-payments when receiving medical services. Members who cannot afford the co-payment may not be denied a service based on their inability to pay. Your Provider cannot refuse to give you care or services because you are unable to pay. However, you will still owe the unpaid co-pay amounts to the Provider. The Provider may ask you for payment later or send you a bill. If you have questions contact Customer Care or call 1.800.339.4557, or call the New York State Department of Health's Co-Pay Hotline at 1.800.541.2831.
| Members will be responsible for making co-payments to providers for these covered benefits | |
| Brand name prescription drugs | $6 for each prescription and each refill |
| Generic prescription drugs | $3 for each prescription and each refill |
| Clinic visits | $5 per visit |
| Physician visits | $5 per visit |
| Dental service visits | $5 per visit up to a total of $25 per year |
| Radiology services (diagnostic x-rays, ultrasound, nuclear medicine, and oncology services) | $1 per radiology service |
| Lab tests | 50¢ per test |
| Inpatient hospital stays | $25 per stay |
| Non-urgent emergency room visit | $3 per visit |
| Covered over-the-counter medications (stop smoking patches and gum, and insulin) | 50¢ per medication |
| Covered medical supplies (hearing aid batteries,enteral formula, and diabetes test strips, lancets, and syringes) | $1 per supply |
| Co-payments will not apply to these services | |
|
|
| You are not required to pay the co-payments if you: | |
|
|