• It’s You First

  • Affinity cares about what you care about. That’s a fact now … and a promise for the future.

    It started in 1987 when, responding to the lack of health resources at the time, Affinity Health Plan founders banded together with local community health centers and medical practices to offer affordable healthcare coverage to the underserved in the Bronx.

    Over the last 32 years, Affinity has grown from that fledgling Bronx-based health plan to one serving nearly 300,000 members in New York City and neighboring counties. Affinity prides itself on remaining community-based and an integral part of families’ lives and well-being. By stressing the importance of primary care, we encourage our members to make smart life choices to ease the burden of illness and its associated costs. We approach health care holistically, by advocating prevention over cure, healthy foods and strong bodies for everyone in your family.

     

    Caring about what you care about — better health, stronger families, more vibrant communities.

    We work and live in your neighborhoods, so we understand that an engaged and vital community contributes to everyone’s physical and mental well-being. That’s why we have partnered with 40,000 providers and 83 hospitals, along with pharmacies and community health centers, to provide you with a network of accessible and economical healthcare coverage options as diverse as New York itself.

     

    Remaining independent, honest and transparent.

    At Affinity, we recognize the importance of our commitment to you and to the values we share, including:

    • Commitment to improving health and health care
    • Respect for all people
    • Partnership and collaboration
    • Integrity, honesty and transparency
    • Constructive change and innovation

    You are our members, our doctors, our partners, our employees. To us, it’s you first.

    Better Health: A healthy lifestyle has many benefits, including adding years to your life and reducing the risk of certain diseases. The key is making small changes to your everyday life like eating healthier food, sleeping better, and getting more exercise. Even small steps in the right direction can have a big impact on your well-being.

    Stronger Families: Whether it’s the family you have or the family you choose, Affinity believes that family environment and family relationships have the biggest impact on your life. Building strong, positive relationships that promote well-being and support children and young people’s mental health is something we should all strive to achieve.

    More Vibrant Communities: Healthy communities are not just the ones with access to medical care. Successful communities also ensure that residents benefit from access to education, housing, and jobs; safety and a life without fear of violence; and freedom from environmental hazards.

    Do you need health insurance? Affinity offers access to free and low-cost coverage for adults and children. Contact us today to find out if you qualify.

  • Please fill out the form below and a member of our team will contact you shortly. The inclusion of an email and/ or telephone number is considered implicit permission for Affinity to use this information to contact you. Thank you.

    Someone has submitted a Contact Us form regarding "Interested in Healthcare for a Family". Please review the content, follow up and document in the appropriate systems.

    For a Family

    Thank you for your interest in Affinity Health Plan. We have a team ready to assist; you may reach us at 866.731.8001. You may also submit your inquiry using the form below.

     

    Someone has submitted a Contact Us form regarding "Interested in Healthcare for an Individual". Please review the content, follow up and document in the appropriate systems.

    For an Individual

    Thank you for your interest in Affinity Health Plan. We have a team ready to assist; you may reach us at 866.731.8001. You may also submit your inquiry using the form below.

     

    Someone has submitted a Contact Us form regarding "Interested in Healthcare for a Couple". Please review the content, follow up and document in the appropriate systems.

    For a Couple

    Thank you for your interest in Affinity Health Plan. We have a team ready to assist; you may reach us at 866.731.8001. You may also submit your inquiry using the form below.

     

    Someone has submitted a Contact Us form regarding "Interested in Healthcare for a Senior/Parent". Please review the content, follow up and document in the appropriate systems.

    For a Senior/ Parent

    Thank you for your interest in Affinity Health Plan. We have a team ready to assist; you may reach us at 877.234.4499. You may also submit your inquiry using the form below.

     

    Someone has submitted a Contact Us form regarding "Interested in Healthcare for Mental Health". Please review the content, follow up and document in the appropriate systems.

    Regarding Mental Health

    Thank you for your interest in Affinity Health Plan. We have a team ready to assist; you may reach us at 866.731.8001. You may also submit your inquiry using the form below.

     

    Someone has submitted a Contact Us form regarding "Interested in Healthcare for a Benefits Question". Please review the content, follow up and document in the appropriate systems.

    I have a benefits question

    Thank you for your interest in Affinity Health Plan. We have a team ready to assist; you may reach us at 866.731.8001. You may also submit your inquiry using the form below.

     

    Someone has submitted a Contact Us form regarding "Interested in Healthcare for a Question". Please review the content, follow up and document in the appropriate systems.

    I have questions

    Thank you for your interest in Affinity Health Plan. We have a team ready to assist; you may reach us at 866.731.8001. You may also submit your inquiry using the form below.

     

    Submit a claim

    In an effort to provide prompt and accurate claims payment, Affinity encourages providers to submit claims electronically. We will also accept paper claims. Please review the information on the claim process page to assist you with process for both submission options.

     

    Check Claim Status

    No need to wait; get up-to-date status for up to ten claims at a time on the Provider Portal.

     

    Someone has submitted a Contact Us form regarding "A Provider to Check Appeals Status". Please review the content, follow up and document in the appropriate systems.

    Check Appeals Status

    Check Eligibility

    Get your answer faster; check your patient’s eligibility on the Provider Portal.

     

    Join the Network

    Thank you for your interest in joining our network of providers. To start the process, please visit our provider participation request form,to submit your organization to the Provider Networking department for an immediate review.

     

    Assist in PCP Change

    To help you in assisting your patient transfer care to your organization, please use the primary care physician change request form.

     

    Someone has submitted a Contact Us form regarding "A Provider regarding Provider Portal Issues". Please review the content, follow up and document in the appropriate systems.

    Provider Portal issues

    We apologize for an inconvenience you may have experienced in using the provider portal. We have a team ready to provide you with support regarding access and registration issues accessible at 866.247.5678. You may also submit your inquiry using the form below.

     

    I want to report fraud

    It is Affinity’s policy to detect and prevent any activity that may constitute a compliance concern including fraud, waste, or abuse. This includes violations of the federal False Claims Act or any federal or state Medicare or Medicare fraud laws. If you have knowledge or information that any such activity may be or has taken place, please follow the instruction on our Fraud, Waste and Abuse page, contact our Compliance Department.

     

    Someone has submitted a Contact Us form regarding "A Provider has Questions". Please review the content, follow up and document in the appropriate systems.

    I have questions

    Change Providers

    To start the process of transferring your care to a different provider, please use the Member Portal.

     

    Make a Payment

    You can set up recurring payments or make your regular monthly payments via check, credit or debit card 24 hours a day, 7 days a week on the Member Portal. For Alternative payment methods by mail or by phone visit our Make a Payment page.

     

    Someone has submitted a Contact Us form regarding "A Member checking a Claim Status". Please review the content, follow up and document in the appropriate systems.

    Check Claim Status

    File a Coverage Decision, Grievance (Complaint) or Appeal

    To start the process of a complaint or an appeal, please follow the steps outlined on the Coverage Decisions, Appeals and Grievances page.

     

    Check Procedure Eligibility

    No need to wait, get up-to-date status on procedure eligibility on the Member Portal.

     

    Print a Temporary ID

    Have not received your ID or misplaced it and can’t find it? It’s okay the Member Portal, allows you to printout a temporary ID while you wait for a replacement in the mail.

     

    Someone has submitted a Contact Us form regarding "A Member with a Member Portal Issue". Please review the content, follow up and document in the appropriate systems.

    Member Portal issues

    We apologize for an inconvenience you may have experienced in using the member portal. We have a team ready to provide you with support regarding access and registration issues accessible at 866.247.5678. You may also submit your inquiry using the form below.

     

    I want to report fraud

    It is Affinity’s policy to detect and prevent any activity that may constitute a compliance concern including fraud, waste, or abuse. This includes violations of the federal False Claims Act or any federal or state Medicare or Medicare fraud laws. If you have knowledge or information that any such activity may be or has taken place, please follow the instruction on our Fraud, Waste and Abuse page, contact our Compliance Department.

     

    Someone has submitted a Contact Us form regarding "A Member with Benefits Questions". Please review the content, follow up and document in the appropriate systems.

    I have a benefits question

    Someone has submitted a Contact Us form regarding "A Member with Questions". Please review the content, follow up and document in the appropriate systems.

    All other questions/inquiries

    Someone has submitted a Contact Us form regarding "A Vendor that wants to join our team". Please review the content, follow up and document in the appropriate systems.

    Join our Team

    Someone has submitted a Contact Us form regarding "A Vendor with a Question". Please review the content, follow up and document in the appropriate systems.

    I have questions

    Someone has submitted a Contact Us form regarding "A General Inquiry with a Question". Please review the content, follow up and document in the appropriate systems.

    I have questions

    Someone has submitted a Contact Us form regarding "A General Inquiry that wants to Speak to Someone". Please review the content, follow up and document in the appropriate systems.

    I want to speak to someone

    I want to report fraud

    It is Affinity’s policy to detect and prevent any activity that may constitute a compliance concern including fraud, waste, or abuse. This includes violations of the federal False Claims Act or any federal or state Medicare or Medicare fraud laws. If you have knowledge or information that any such activity may be or has taken place, please follow the instruction on our Fraud, Waste and Abuse page, contact our Compliance Department.

     

    * Required

    Thank you, your form has been submitted.

    There was an issue submitting the form. Please try again in a few minutes.