Two networks, better than one.
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.
Lowest cost at the core. Covered everywhere else.
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.
Northwell Direct
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 $0Anthem BlueCross BlueShield
One 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 shareStill covered
Members can still see a provider outside both networks. Coverage continues, with higher out-of-pocket costs.
Higher out-of-pocketA high-performance network.
Northwell 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.
Find Tier 1 care
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 (833) 807-2409.
Click to view the full network map
Urgent care, in network
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.
National coverage, anywhere in the U.S.
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.
A leader in the Northwell Direct / Anthem tiered product.
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.
Sales leadership & product knowledge
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.
Superior analytics & pricing
Fast network-disruption and repricing analysis, plus analytics on the wrapped network — enabling best-in-class stop-loss discounts through Litchfield Underwriters.
NY metro expertise
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.
CGS provides you with product stewardship
For every group, CGS Health will:
Analyze the data
Model the population and claims to estimate the savings a tiered Northwell Direct / Anthem design will deliver.
Design the structure
Build the tiered plan structure — deductibles, copays, and steerage — tailored to the client's workforce.
Engage members
Drive members toward Tier 1 Northwell care to maximize value for both the member and the plan.
What a two-tier card looks like
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.
Care management, built in.
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.
Let's model Northwell Direct + Anthem for your group.
Tell us where your members are and we'll show you the savings and access picture for a tiered Northwell Direct / Anthem plan.