Which Medicare Advantage plans do Capital Region hospitals accept?
The question behind most Medicare Advantage regrets in Albany, Schenectady, Troy and Saratoga: is my hospital in the network? The hospitals publish the answer, but on three different websites in three formats, and the lists have changed twice in three years. This page puts the 2026 lists side by side, quotes the changes with dates, and explains the one route that works at every hospital regardless.
As of October 15, 2026, from the hospitals' own accepted-insurance lists: Albany Med Health System (Albany Medical Center, Saratoga Hospital, Glens Falls Hospital) names Aetna, CDPHP, Emblem, Anthem, Devoted Health, Empire Blue Cross, Fidelis, Hamaspik, Highmark, MVP, Nascentia, UHC and VNS Choice among its participating Medicare Advantage plans (Devoted effective October 15, 2026), accepts UnitedHealthcare at Albany Medical Center since December 15, 2025, and has not accepted Humana Medicare for non-emergency care since June 30, 2024; Wellcare is not on its list. St. Peter's Health Partners (St. Peter's, Samaritan, Sunnyview) participates with Aetna, CDPHP, Highmark, MVP, Empire, Fidelis, UnitedHealthcare, Wellcare, Nascentia, VNSNY Choice and its own Trinity Health Plan of New York, and dropped Humana Medicare on January 1, 2025. Ellis Medicine lists Aetna, CDPHP, Highmark (Blue Shield of NENY), MVP, Humana, Empire, Fidelis, UnitedHealthcare and Wellcare. A carrier on a hospital's list does not mean every plan that carrier sells is in network; a carrier missing from a list is unverified, not confirmed excluded. Original Medicare with a Medigap policy is accepted at every one of these hospitals. New York lets you apply for Medigap in any month, but leaving an Advantage plan for Original Medicare still needs an enrollment period (October 15 to December 7, January 1 to March 31, or a special enrollment period) with a Part D plan and effective dates lined up.
One page per hospital
Each hospital has its own page with the hospital's list quoted with dates and every 2027 Medicare Advantage plan sold in its county placed against it: Albany Medical Center, St. Peter's Hospital, Ellis Hospital, Saratoga Hospital, Samaritan Hospital, Glens Falls Hospital. The matrix below is the three systems side by side.
The 2026 lists, side by side
Each hospital system publishes which insurers it participates with. The table condenses those lists to the Medicare Advantage carriers sold in the Capital Region; the wording under each column comes from the hospitals' pages, read on October 15, 2026. Four answers are possible, and they are not equally certain: Listed means the carrier appears on the hospital's list (the specific plan still has to be checked); Listed, not all plans means the hospital itself adds that note; Not accepted means the hospital states the exclusion, with the date; Not listed means the carrier simply doesn't appear, which is a reason to verify, not proof of exclusion.
| Carrier | Albany Med Health System | St. Peter's Health Partners | Ellis Medicine |
|---|---|---|---|
| CDPHP | Listed | Listed | Listed |
| MVP Health Care | Listed | Listed | Listed |
| Highmark Blue Shield of Northeastern NY | Listed | Listed | Listed |
| Aetna | Listed, not all plans listed with 'does not participate in all plans' |
Listed | Listed |
| UnitedHealthcare | Listed Albany Medical Center: all UHC products except Medicaid, effective Dec 15, 2025; Saratoga and Glens Falls also list United Healthcare |
Listed Sunnyview Rehabilitation Hospital does not participate in UHC Medicare plans |
Listed |
| Humana | Not accepted non-emergency services not accepted after June 30, 2024, per Saratoga Hospital's list |
Not accepted Medicare plans no longer participating effective Jan 1, 2025 |
Listed listed; Humana Medicaid excluded |
| Wellcare | Not listed — verify not on any of the system's lists; confirm with the plan |
Listed | Listed |
| Fidelis Care | Listed Malta Medical Center's list adds 'does not participate in all plans' |
Listed | Listed |
| Empire BlueCross BlueShield (Anthem) | Listed listed as Empire BlueCross BlueShield; the system's Medicare paragraph names both Anthem and Empire Blue Cross |
Listed | Listed |
| EmblemHealth | Listed, not all plans listed with 'does not participate in all plans' |
Listed, not all plans physician services only; commercial and Medicare Advantage |
Listed, not all plans listed as GHI/Emblem, 'does not participate in all plans' |
| Trinity Health Plan of New York | Not listed — verify not on the system's list; confirm with the plan |
Listed the system's own Medicare Advantage plan |
Not listed — verify not on Ellis's list; confirm with the plan |
| Hamaspik Medicare Select | Listed | Not listed — verify not on the list; confirm with the plan |
Not listed — verify not on the list; confirm with the plan |
| Nascentia Health Plus | Listed | Listed listed as VNA Home Care Options, LLC (Nascentia Health); Trinity Health Anesthesia Group of New York does not participate |
Not listed — verify not on the list; confirm with the plan |
| VNS Health | Listed listed as VNS Choice on each hospital's list and in the system's Medicare paragraph |
Listed listed as VNSNY Choice; Trinity Health Anesthesia Group of New York does not participate |
Not listed — verify not on the list; confirm with the plan |
| Devoted Health | Listed listed as 'Devoted Health, Inc. (effective 10/15/26)' on each hospital's list and in the system's Medicare paragraph |
Not listed — verify not on the list; confirm with the plan |
Not listed — verify not on the list; confirm with the plan |
Sources: the three hospital systems' accepted-insurance pages, linked under each system below and under Sources. The lists cover hospital facility services; hospital-based physicians bill separately (see below). "Listed" does not guarantee that every plan that carrier sells, or every physician who works at the hospital, is in network. Verify the specific plan in the plan's provider directory before enrolling. Lists change; this table is refreshed each October before the Annual Enrollment Period. I have not audited every hospital–carrier contract; the table reports what the hospitals publish.
Albany Med Health System
Hospitals: Albany Medical Center (Albany), Saratoga Hospital (Saratoga Springs), Glens Falls Hospital, Columbia Memorial (Hudson), Malta Med Emergent Care.
The system's Medicare paragraph, written for Open Enrollment, names its participating Medicare Advantage plans as Aetna, CDPHP, Emblem, Anthem, Devoted Health Inc, Empire Blue Cross, Fidelis, Hamaspik, Highmark, MVP, Nascentia, PACE at Hudson Headwaters, UHC and VNS Choice. Each hospital's list adds Devoted Health, Inc. effective October 15, 2026, and VNS Choice, and Albany Medical Center accepts all UnitedHealthcare products except Medicaid effective December 15, 2025. Saratoga Hospital's list notes that the system stopped accepting Humana Medicare for non-emergency services after June 30, 2024. Wellcare and Trinity Health Plan of New York do not appear on any of the system's lists.
Source: Accepted insurance (Albany Med Health System), read October 15, 2026.
St. Peter's Health Partners
Hospitals: St. Peter's Hospital (Albany), Samaritan Hospital (Troy), Sunnyview Rehabilitation Hospital (Schenectady), St. Peter's Health Partners Medical Associates.
The list includes Aetna, CDPHP, Highmark Blue Shield of Northeastern New York, MVP Health Care, Empire Blue Cross, Fidelis Care, United Healthcare (Sunnyview does not participate in Medicare plans), WellCare, Trinity Health Plan of New York (formerly MediGold, the system's own plan), Nascentia Health (as VNA Home Care Options) and VNSNY Choice (both with the note that the Trinity Health anesthesia group does not participate), and EmblemHealth for physician services on commercial and Medicare Advantage plans. MyCompass and Eddy Senior Care appear for dual-eligible and PACE members only. Humana Medicare plans: no longer participating effective January 1, 2025.
Source: Accepted insurance (St. Peter's Health Partners), read October 15, 2026.
Ellis Medicine
Hospitals: Ellis Hospital (Schenectady), Bellevue Woman's Center (Niskayuna), Medical Center of Clifton Park, Ellis Health Center.
Ellis lists Aetna (not Aetna Medicaid), Blue Shield of Northeastern NY, CDPHP, Humana (not Humana Medicaid), Empire BlueCross BlueShield, Fidelis Care of NY, GHI/Emblem (not all plans), MVP Health Plan, United Health Care and WellCare, and notes that hospital-based physician groups bill separately and may participate in different plans.
Source: Participating insurance listing (Ellis Medicine), read October 15, 2026.
Saratoga Hospital, Glens Falls Hospital and Columbia Memorial
These are Albany Med Health System hospitals, so the Albany Med column above is their answer. Two details from their own pages: Saratoga Hospital's list carries the Humana note (no Humana Medicare for non-emergency services since June 30, 2024), and the Saratoga and Glens Falls lists name United Healthcare alongside the system's carriers. Malta Med Emergent Care follows the same list. For anyone in Saratoga Springs, Clifton Park, Malta or Queensbury, "is Saratoga Hospital in my plan" is answered by the Albany Med list, then by the specific plan's directory.
What the lists don't tell you
- Carrier isn't plan. "Aetna" on a hospital list can mean some Aetna Medicare plans and not others; Albany Med and Ellis both say so. The only reliable check is the plan's own provider directory, plan by plan, or a call to the hospital's billing office with the exact plan name.
- Hospital isn't doctor. Anesthesia, radiology, pathology and emergency physicians often bill separately under their own contracts. Ellis names these groups on its participating-insurance page. Medicare has its own billing protections rather than the No Surprises Act that governs commercial plans: an Advantage plan must cover emergency and urgently needed care at in-network cost sharing wherever you get it, and a provider who treats Medicare patients can't bill you beyond Medicare's limits. What those rules don't do is turn a hospital that is outside your plan's network into an in-network one for planned care; your plan's Evidence of Coverage sets what you'd owe there.
- HMO versus PPO. An HMO generally pays nothing out of network. The exceptions are emergencies, urgently needed care when you're outside the plan's service area, and temporary out-of-area dialysis; an HMO-POS plan adds some out-of-network benefits at a higher cost. A PPO pays out of network at a higher cost. The same carrier sells several of these, and the hospital list doesn't distinguish between them.
- Contracts end mid-year. The Humana changes at Albany Med (June 2024) and St. Peter's (January 2025) happened between enrollment periods. Plans must notify you, and a mid-year termination can create a special enrollment period, but not always.
The route that works at every hospital
Original Medicare has no network. Every hospital on this page participates in it, as do nearly all doctors in the region. Paired with a Medigap policy, which in New York can be bought in any month without health questions and at the same community rate, it covers Albany Med, St. Peter's, Ellis, Saratoga Hospital and Glens Falls alike, and hospitals anywhere in the country. It costs more per month than a $0-premium Advantage plan and it needs a separate Part D plan; what it buys is never having to read this page again. One distinction matters: the year-round rule is about the Medigap application. If you're in an Advantage plan today, leaving it for Original Medicare happens only in an enrollment period (October 15 to December 7 for January 1, January 1 to March 31 if you're already in Advantage, or a special enrollment period such as a plan's contract ending), and the Medigap and Part D effective dates have to be lined up with that disenrollment so there's no gap. The trade-offs are on Medigap, Medicare Advantage and the seven-question guide; current Albany-region Medigap premiums are on the rates page.
How I check it
Before recommending any Advantage plan I check three things by name: each of your doctors in the plan's directory, the hospital you'd choose against the plan (not just the carrier), and the plan's history of network changes in this region. Each fall I re-run the check for existing clients against the hospitals' updated lists, before the Annual Notice of Change arrives. There's no fee for any of it. Send me your plan name and hospital, or book a call.
- Accepted insurance (Albany Med Health System) — Medicare Advantage list; UHC effective Dec 15, 2025; Humana after June 30, 2024; Devoted Health effective Oct 15, 2026; checked October 15, 2026
- Accepted insurance (St. Peter's Health Partners) — Humana Medicare no longer participating effective Jan 1, 2025; checked October 15, 2026
- Participating insurance listing (Ellis Medicine) — checked October 15, 2026
- Medicare Advantage plans (Medicare.gov) — HMO and PPO network rules
- Information for Medicare beneficiaries: Medigap in New York (NY DFS) — guaranteed issue year-round
- Joining a plan: enrollment periods (Medicare.gov)
We do not offer every plan available in your area. Currently we represent 10 organizations which offer 81 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options. 1-800-MEDICARE (TTY 1-877-486-2048) is available 24 hours a day, 7 days a week. Insurers' legal names and home offices: carriers page.
Common questions
Short answers to what people ask before they call.
Still have a question? Call (518) 902-8822 or book a call.
Does Albany Med accept Medicare?
Yes. Albany Medical Center, Saratoga Hospital, Glens Falls Hospital and Columbia Memorial all participate in Original Medicare, so anyone with Original Medicare, with or without a Medigap policy, is covered there. The question that needs checking is Medicare Advantage, where the answer depends on the carrier and the specific plan.
Which Medicare Advantage plans does Albany Med accept in 2026?
Albany Med Health System's Open Enrollment paragraph names its participating Medicare Advantage plans as Aetna, CDPHP, Emblem, Anthem, Devoted Health Inc, Empire Blue Cross, Fidelis, Hamaspik, Highmark, MVP, Nascentia, PACE at Hudson Headwaters, UHC and VNS Choice; each hospital's list gives Devoted as effective October 15, 2026. Albany Medical Center also accepts all UnitedHealthcare products except Medicaid, effective December 15, 2025. Humana Medicare has not been accepted for non-emergency services since June 30, 2024, and Wellcare is not on the list. Aetna and Emblem carry the note 'does not participate in all plans', so the specific plan must be checked.
Does St. Peter's take Humana Medicare Advantage?
No. St. Peter's Health Partners' accepted-insurance list marks Humana Medicare plans as no longer participating effective January 1, 2025. That covers St. Peter's Hospital, Samaritan Hospital in Troy and the medical group. Humana members who want St. Peter's or Albany Med need to change plans during an enrollment period, or leave Advantage for Original Medicare plus Medigap and Part D at an enrollment period; the Medigap application itself can be made in any month in New York, but the Advantage disenrollment can't.
Which plans does Ellis Hospital accept?
Ellis Medicine lists Aetna, Blue Shield of Northeastern NY (Highmark), CDPHP, Humana, Empire BlueCross BlueShield, Fidelis Care, GHI/Emblem (not all plans), MVP, United Healthcare and WellCare, alongside Original Medicare and Medicaid. Ellis is the only one of the three systems that lists Humana. Hospital-based physicians (anesthesia, radiology, pathology) bill separately and may not be in the same networks.
Which Medicare Advantage plans do Saratoga Hospital and Glens Falls Hospital accept?
Both are part of Albany Med Health System, so the system's list applies: Aetna, CDPHP, Devoted Health (effective October 15, 2026), Emblem, Empire Blue Cross, Fidelis, Hamaspik, Highmark, MVP, Nascentia, United Healthcare and VNS Choice appear on both hospitals' lists, with Aetna and Emblem marked 'does not participate in all plans'. Saratoga Hospital's list is where the Humana note appears: no Humana Medicare for non-emergency services since June 30, 2024. Wellcare isn't on either list. Columbia Memorial in Hudson has its own list with the same Medicare Advantage carriers; Malta Medical Center's list is shorter and marks Fidelis 'does not participate in all plans'. Check the specific plan in its directory either way.
The hospital is in-network but my doctor isn't. What then?
Then the plan doesn't work for you. A hospital contract and a physician contract are separate; Albany Med's own page warns that participating with a carrier doesn't mean every plan or every service is covered. Check the plan's provider directory for each doctor by name, call the practice with the plan name, and check the hospital list. I do all three before recommending a plan.
My Advantage plan lost my hospital. Can I switch?
During the Annual Enrollment Period (October 15 to December 7) you can change Advantage plans for January 1; during the Medicare Advantage Open Enrollment Period (January 1 to March 31) you can make one change if you're already in an Advantage plan; and if your plan's contract with the hospital ends mid-year, some members qualify for a special enrollment period. New York adds a route most states don't have: Medigap is guaranteed-issue year-round, so at the next election period you can leave Advantage for Original Medicare plus Medigap and a Part D plan and be covered at every hospital on this page. Two things to confirm before you do: that the election period you're using actually allows the move, and the Medigap waiting-period rule (up to six months for pre-existing conditions, reduced month for month by prior continuous coverage, which an Advantage plan counts as).
Check your plan against your hospital
Your plan name, your doctors and the hospital you'd choose. I check the plan's own directory, not just the carrier's name, and tell you whether to keep it, switch plans, or move to Medigap. No fee.