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Important Numbers and Contacts

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

Operations

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

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

Medical Services

Medical Emergency
Phone: 911

Hospitalizations
Phone: 888.543.9074

Behavioral Health Benefits
Phone:800.223.7242

Dental
Phone: 866.731.8004
dentaquest.com

Superior Vision
Phone: 866.810.3312
superiorvision.com

CVS Caremark Pharmacy
Phone: 855.722.6228
caremark.com

  • 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

LabCorp
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

Additional Resources

Interested in learning more about the Health Care Reform Law? Check out these additional resources:

  • New York State of Health, The Official Health Plan Marketplace
  • Healthcare.gov
  • CuidadoDeSalud.gov
  • Get Covered Calculator (estimated monthly health insurance cost)
  • Kaiser Family Foundation

 

Plan Assistance

Research or Get 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 (Coming Soon) 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) (Coming Soon)

Online Access

Set up and manage your personal account options, including:

  • Select/change your PCP
  • Print a temporary ID card
  • Review your benefits

Log in or create an account (Coming Soon)

Claims

Phone: 866.247.5678
Fax: 718.794.7809
Monday - Friday, 8:30 AM – 6:00 PM (ET)

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

Documents and Forms

  • Patient Health Information Release Notification: English (Coming Soon) | Spanish (Coming Soon) | Chinese (Coming Soon)
  • Surprise Bill - Assignment of Benefits (Coming Soon)
  • Claim Form (Coming Soon)
  • Prior Authorization form (Coming Soon)
  • Pharmacy Mail Order Form (Coming Soon)
  • Pharmacy Reimbursement Claim Form (Coming Soon)
  • Nursing Home Benefit Update: English (Coming Soon)
  • Behavioral Health Care Update: English (Coming Soon) | Spanish (Coming Soon) | Chinese (Coming Soon) | Russian (Coming Soon) | Yiddish (Coming Soon)
  • New dental care provider insert: English (Coming Soon) | Spanish (Coming Soon) | Chinese (Coming Soon)
  • Disclosures (Coming Soon)