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Health & Wellness

At EmblemHealth we’re dedicated to helping you stay healthy, get well and live better.

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Pharmacy

Learn about EmblemHealth’s pharmacy benefits.

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Considering EmblemHealth?

Please contact us or call EmblemHealth sales at

1-877-411-3625

HIP Contacts

For submission of claims, behavioral health and substance abuse, prior authorization and more.

HIP EPO/PPO Members

Service
You can quickly and easily check the status of your claims, review benefits and verify eligibility by visiting your personalized, secure myEmblemHealth Web site. You may also communicate directly with Customer Service by sending a secure email through the Message Center.

For further customer service assistance:
Please call 1-800-447-8255 | TTY/TDD: 711

Behavioral Health and Substance Abuse
For issues relating to behavioral health and substance abuse, please call the phone number listed on the back of your ID card or see these additional contact numbers.

Submitting a Claim
Please complete a claim form and send your claim to the address listed on the back of your ID card.

Claim forms and other forms are available for download here.

Requests for Prior Authorization
To request prior authorization, please call 1-866-447-9717, option 4. You can also check the status of requests and extensions.

Additional Resources
Speak with a registered nurse, 24/7. Call Nurse Line: 1-877-444-7988.

Quit Smoking (free program): 1-866-NY QUITS (1-866-697-8487).

Learn about our Health Management Programs.

HIP HMO, Access, Medicaid and Family Health Plus (FHP) Plans     

Service

You can quickly and easily check the status of your claims, review benefits and verify eligibility by visiting your personalized, secure myEmblemHealth Web site. You may also communicate directly with Customer Service by sending a secure email through the Message Center.

For further customer service assistance:
Please call 1-800-447-8255 | TTY/TDD: 711

Behavioral Health and Substance Abuse
For issues relating to behavioral health and substance abuse, please call the phone number listed on the back of your ID card or see these additional contact numbers.

Submitting a Claim
Please complete a claim form and send your claim to the address listed on the back of your ID card.

Claim forms and other forms are available for download here.

Requests for Prior Authorization
To request prior authorization, please call 1-866-447-9717, option 4. You can also check the status of requests and extensions.

Additional Resources
Quit Smoking (free program): 1-866-NY QUITS (1-866-697-8487)

Learn about our Health Management Programs.

Find an Urgent Care Center near you.

Referrals
Some HIP members need a referral to receive services from a specialist.

For questions, please call 1-866-447-9717, option 4.

Medicare Plans

Please visit our EmblemHealth Medicare site for sales and customer service.

PPO members: 1-866-557-7300 | PPO TTY/TDD: 711
HMO members: 1-877-344-7364 | HMO TTY/TDD: 711

55 Water Street Walk-In Service Center

Our Walk-In Service Center is open from 8:30 am to 5:00 pm, Monday through Friday.

55 Water Street (Lobby)
New York, NY 10041-8190
1-646-447-5000

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Your member ID # is on the front of your ID card.

In most cases, if you are the policy holder, you can also use your Social Security Number to register.