• Medicaid Claim Coverage Rules

  • Affinity Health Plan follows Medicaid guidelines for our Medicaid and HARP members, as set by the New York State Department of Health (DOH). Those guidelines include rules on what is covered as well as rules on what is medically necessary. The DOH updates Medicaid covered services on a periodic basis. For example, viscosupplementation of the knee for osteoarthritis has been eliminated, so Affinity will not cover this procedure or the drugs used for Medicaid and HARP members.

    For information, please visit https://www.health.ny.gov/health_care/medicaid/program/update/main.htm.

    Affinity Health Plan will not pay claims for services/treatments that Medicaid does not cover.

Company Name Affinity Health Plan


The mission of Affinity Health Plan is to improve the health and well-being of its Members, their families, and their communities in collaboration with primary care providers.

Affinity strives to be the health plan of choice for its Members and its providers -- known for assuring access to high quality, cost-effective care; delivering the best customer experience; and contributing significantly to achieving a patient-centered health care system.

Contact Us

Affinity Health Plan
1776 Eastchester Road
Bronx, New York, 10461
TTY/TDD users:711