Last Updated: Aug 8th 2025
This guide explains which insurance payers you can bill through Zaya, what services and states are covered, and where to be extra careful with plan details.
It’s meant to give you a quick reference and avoid surprises when checking patient eligibility and billing claims. If in doubt, always confirm the patient's coverage through the Zaya portal.
Note, your practice must be opted in and fully enrolled for the resp. insurance through Zaya; meaning the provider has received confirmed in-network status by Zaya’s credentialing team.
Insurance (incl. subsidiaries) | Programs Covered | States | Specialties Covered | Notes |
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Aetna | Commercial, Medicare Advantage | NY, NJ | PT, OT, RDN | Includes all known subsidiaries. |
Anthem | Commercial, Medicare Advantage | NY only | PT, OT, RDN | Includes all known subsidiaries. |
UHC & Oxford | Commercial, Medicare Advantage | NY only | PT, OT, RDN | Some subplans are excluded - see "Exclusion" section below. |
Oscar | Commercial, Health Exchange | NY only | PT, OT, RDN | Includes Oscar EPO and Exchange plans. |
Centivo | Commercial, Medicare Advantage | NY only | RDN only | PT/OT not covered. |
Cigna | Commercial only | NY only | RDN only | PT/OT not covered. |
Known included subplans
Some payers have subplans not covered under our contracts, and plan lineups change often. Below is the list of included subplans we know about. To check a patient, match the payer name and network/program to the table, then confirm eligibility in Zaya’s portal.
Insurance Name | Subplan | Indicator | Program Type |
Aetna | Open Choice | Listed on Member Card | Commercial |
Aetna | Elect Choice | Listed on Member Card | Commercial |
Aetna | Managed Choice | Listed on Member Card | Commercial |
Meritain | Meritain Health | Commercial ONLY | Commercial |
Meritain | Administrative Services | Listed on Member Card | Commercial |
First Choice Network | Multiple | Look for Aetna AND First Choice Logo on Card | Commercial |
Aetna | Whole Health TIERED ONLY | Look for Multi-Tier or Tiered on top of card | Commercial |
Aetna | Innovation Health Plans | Listed on Member Card | Commercial |
Aetna | Select | Listed on Member Card | Commercial |
Aetna | Student Health | Listed on Member Card | Commercial |
Aetna | NY Tri-State EPO | Must have that specific name | Commercial |
Aetna | Signature Administrators | Listed on Member Card | Commercial |
Aetna | National Advantage Program | NAP is on top of card | Commercial |
Aetna | QPOS | Listed on Member Card | Commercial |
Aetna | Voluntary Plans | Listed on Member Card | Commercial |
Aetna | Aetna Affordable Health Choices Limited Benefits Insurance Plan (SRC Only) | Must have that specific name | Commercial |
Aetna | Premier Care Netowrk | Listed on Member Card | Commercial |
Aetna | Choices POS II | Listed on Member Card | Commercial |
Aetna | Open Access (and Open Access Plus) | Listed on Member Card | Commercial |
Aetna | Traditional | HDHP/HMO/PPO/POS | Commercial |
Aetna | Indemnity Plans | Listed on Member Card | Commercial |
Empire/BCBS/Anthem | Blue Access | Listed on Member Card | Commercial |
Empire/BCBS/Anthem | Traditional Plans | Card has PPO/HMO/POS/HDHP | Commercial |
Empire/BCBS/Anthem | Blue Priority | Listed on Member Card | Commercial |
Empire/BCBS/Anthem | Empire Gold EPO | Must have that specific name | Commercial |
Empire/BCBS/Anthem | Empire Bronze Blue Access EPO | Must have that specific name | Commercial |
Empire/BCBS/Anthem | Empire Silver Blue Access EPO | Must have that specific name | Commercial |
Empire/BCBS/Anthem | Empire Gold Blue Access EPO | Must have that specific name | Commercial |
Empire/BCBS/Anthem | Indemnity Plans | Listed on Member Card | Commercial |
Empire/BCBS/Anthem | Federal Employee Program | Will say FEP, ID# Starts with R | Federal |
Note - Anything from out of state Blues that meet the above criteria is in network and can be billed to the local - Watch out for out-of-state EPOs (not included) |
Oscar Health | All Plans - Includes out of State | All Plans | Commercial |
UHC | Choice EPO | Listed on Member Card | Commercial |
UHC | Choice Plus (HMO, POS) | Listed on Member Card | Commercial |
UHC | Indemnity Plans | Listed on Member Card | Commercial |
UHC | Navigate (EPO, HMO) | Listed on Member Card | Commercial |
UHC | Nexus ACO | Listed on Member Card | Commercial |
UHC | Traditional | PPO | Commercial |
UHC | Select EPO | Listed on Member Card | Commercial |
UHC | Select Plus | Listed on Member Card | Commercial |
UHC | UHC Doctors Plan (and Doctors Plan Plus) | Listed on Member Card | Commercial |
Oxford (UHC Subsidiary) | Freedom | Listed on Member Card | Commercial |
Oxford (UHC Subsidiary) | Freedom Choice | Listed on Member Card | Commercial |
UHC VACCN | VACCN | Listed on Member Card | Commercial |
All Savers (UHC Subsidiary) | All Plans | Listed on Member Card | Commercial |
Known excluded subplans & programs
We know about a few definite exclusions, but we do not have a complete or permanent list, because payers frequently change their plan lineups.
- For all payers listed above, Zaya does not cover Medicaid plans. If a patient’s card says “Medicaid,” “Managed Medicaid,” or “Medi-Cal,” we cannot bill it — even if the payer name matches one from the table
- Zaya does not cover Traditional Medicare, sometimes also called "Straight Medicare" or "Federal Medicare"
- For UHC & Oxford, Zaya does not cover "The Empire Plan" and "Oxford Liberty Plans"