The Northwell Direct + Anthem tiered network pairs direct-contracted, high-value Northwell care across the New York metro with Anthem's national BlueCard network — so members get the lowest cost at home and stay covered anywhere in the country. Built, priced, and managed by CGS Health.
Members pay the least when they use Tier 1 Northwell providers, still get full in-network coverage nationwide through Anthem, and remain covered even out of network.
Direct-contracted Northwell hospitals, physicians, urgent care, labs, and surgical centers across the NY metro. The richest benefits in the plan.
Lowest copays & deductibles — often $0One of the broadest networks in the country through the BlueCard system — access to care anywhere in the U.S. when members are outside the Northwell footprint.
Standard in-network cost shareMembers can still see a provider outside both networks. Coverage continues, with higher out-of-pocket costs.
Higher out-of-pocketNorthwell Direct consists of Northwell Health — the largest health system in New York State — plus a high-performing network of partner providers, hospitals, and systems across the tri-state region. Direct contracting delivers quality care at a sustainable cost, with the savings passed to members through lower copays and deductibles.
Browse Northwell locations across the metro NY area as a starting point. Northwell Direct's Tier 1 composition can vary by plan — confirm tier and coverage against your specific plan, or call your Navigator at (844) 515-7095.
Click to view the full network map
All GoHealth Urgent Care locations partnered with Northwell are part of the Northwell Direct network — walk-in care at Tier 1 cost across the metro area.
Anthem features one of the broadest networks in the nation through the BlueCard system, so members are covered wherever they live, travel, or work — well beyond the Northwell footprint.
CGS Health leads this market on product and market knowledge, analytics and pricing capability, and growth — turning a complex two-tier design into a smooth, high-value plan.
Our Northwell Direct / Anthem effort is led by people who helped build the product itself — including leadership that previously drove its development, sales, and distribution at Northwell Direct.
Fast network-disruption and repricing analysis, plus analytics on the wrapped network — enabling best-in-class stop-loss discounts through Litchfield Underwriters.
A deep presence and relationships across the NY metro and Connecticut market position CGS as the optimal partner for you — with thousands of lives already on the network.
For every group, CGS Health will:
Model the population and claims to estimate the savings a tiered Northwell Direct / Anthem design will deliver.
Build the tiered plan structure — deductibles, copays, and steerage — tailored to the client's workforce.
Drive members toward Tier 1 Northwell care to maximize value for both the member and the plan.
A single ID card makes the two-tier design effortless for members — both networks, side by side, with Tier 1 Northwell care clearly the lowest-cost choice.
The plan is contracted with Northwell to provide case management for members anywhere in the country — individualized care plans, smooth transitions between settings, and coordination among providers, patients, and families. Paired with a CGS Health Navigator, members never have to go it alone.
Tell us where your members are and we'll show you the savings and access picture for a tiered Northwell Direct / Anthem plan.