Best Metroplus Urologist in Manhattan Harlem, NY

MetroPlus Health Plan covers urology visits in Harlem for patients who have basic MetroPlus or Medicaid-based plans. MetroPlus works as a Medicaid-managed plan in New York, so you won’t have to pay out-of-pocket for medically necessary urology visits at participating doctors’ offices in Harlem. Your urology visit may be fully covered or require only a small co-payment if you’re enrolled in MetroPlus Gold, MetroPlus Enhanced (HARP) or MetroPlus Essential Plan. MetroPlus has multiple in-network urologists in Harlem. MetroPlus Health Plan makes urology visits affordable for Medicaid-eligible patients like you. If you need to see a MetroPlus-covered urologist, book an appointment today or get a referral from your primary care doctor (PCP) to receive services such as:

• Routine urology care
• Diagnostic tests and imaging
• Treatment for urological conditions
• Surgeries and specialized procedures
• Diagnosis and treatment of male reproductive system conditions

You most likely need to get a referral from your primary care physician to book an appointment with a MetroPlus urologist in Harlem. Whether you need an appointment for urinary tract issues, kidney stones, prostate concerns or male reproductive health problems, you can use this directory to find urology specialists available to see you right away. Sometimes, you have the flexibility to schedule a urology appointment that suits your needs and your time constraints with:

• Morning, afternoon or evening appointments
• Same-day and next-day appointments
• Weekend appointments

If you need to see a urologist outside of regular office hours, there are after-hours in-network specialists available to provide care. This ensures you get the care you need without waiting until the next business day. Early intervention and quick emergency treatment are the best ways to prevent further, more serious complications. If after-hours appointments are important to you, ask about them when you first contact the urology practice.

MetroPlus has a large network of female urologists in Harlem. Seeing a female urologist in Harlem who takes MetroPlus is a personal choice. Both male and female urologists are highly qualified in treating urological needs. Whether you need overactive bladder treatment, pelvic pain resolution or sexual health advice, female urology specialists may provide a more empathetic and understanding approach. Women are more prone to urinary tract infections (UTIs), and a female urologist in Harlem may better understand prevention. You also may feel more at ease discussing personal symptoms with a female doctor, which leads to a better understanding of treatment options. Other reasons you may prefer a female specialist include:

• Your comfort and personal preferences
• Specialized care for your urological health needs
• Better communication and a more personalized experience
• Support for your pregnancy and postpartum urological concerns

Many board certified urologists in Harlem provide telehealth services for MetroPlus members. If your urological concern doesn’t require you to undergo an in-person exam, a virtual visit may provide quick access to expert medical advice. You also save money on transportation, parking and time off from work. Telehealth is ideal for non-emergency urology concerns, including:

• Discussing symptoms and receiving prescriptions
• Getting guidance on managing an overactive bladder or incontinence
• Learning about pain management
• Consulting a urologist for evaluation and treatment options
• Discussing prostate-specific antigen test results or concerns about your prostate
• Reviewing your recovery progress after a urological procedure

MetroPlus plans including Medicaid, Essential Plans and Qualified Health Plans, provide low-to-no-cost virtual consultations. If your doctor prescribes a medication during your telehealth visit, it’s covered under your plan, which ensures continuity of care at an affordable price. A virtual appointment is a budget-friendly, convenient solution.

The best urologists in Harlem use the latest diagnostic tools and treatment methods to provide precise, effective care. These urologists in Harlem not only treat your condition effectively but also minimize complications. Whether you need a simple consultation, a minimally invasive procedure or complex surgery, book an appointment with a urology specialist who offers services that suit your needs, which may include:

• A specific medical specialty
• Gender preference
• Languages spoken
• Distance from your home or office
• Hospital affiliation
• Appointment availability

The best urologists in Harlem are trained to offer advanced treatments that reduce discomfort and help you get back to your normal life faster. Through this directory, you can identify urologists who are well-reviewed for their expertise, communication and bedside manner. They often have high ratings from satisfied patients, with positive feedback about their professionalism and treatment outcomes.

You can get coverage for out-of-network specialists, but MetroPlus, like other insurance providers, have different levels of coverage, based on whether the urology specialist is in-network or out-of-network. For in-network providers, MetroPlus has agreements with specific doctors and practices to offer you lower costs and full benefits. If you decide to see a urologist outside the MetroPlus network, your coverage may depend on your specific MetroPlus plan, such as:

• MetroPlus Medicaid, essential plan and Medicare advantage. These plans usually don’t cover out-of-network care unless it’s an emergency.
• MetroPlus gold. This plan requires in-network providers, but exceptions may be available if you get prior authorization.
• MetroPlus marketplace plans. Some plans may offer partial coverage, but you’ll likely pay higher deductibles and co-payments.
• MetroPlus-partnered facilities. Some urologists aren’t directly in-network, but may work at MetroPlus-affiliated hospitals or clinics, allowing you to get some level of coverage.

MetroPlus may approve an out-of-network urologist if no in-network specialists are available for your specific condition, or you require a highly specialized treatment that isn’t offered within the MetroPlus network. Your PCP must refer you and submit a prior authorization request. If you don’t get prior authorization, you may have to pay the full cost of your specialist visit.