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Find and print the forms you need to file claims, get authorizations and more from the comfort of your home.
Your member handbook tells you how your plan coverage works to get the medical care you need and avoid out-of-pocket costs.
Your quick start guide is a brief, easy-to-read summary of the most important things you need to know about your plan.
Here are some important facts to help you be an informed patient in all health care settings.
Don’t know what something means? Try searching through this list of health care terms.
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Learn about behavioral health conditions, your benefits and where to go for help.
Locate a doctor, hospital or other health care services near you.
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Learn about EmblemHealth’s pharmacy benefits.
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A license or permit (or equivalent) to practice medicine or a health profession that is 1) issued by any state or jurisdiction in the United States; and 2) required for the performance of job functions.
The maximum accumulated payments your health plan will make for covered services rendered to a covered person per lifetime, or the maximum number of days/visits available to a covered person per lifetime for a particular service or services. As of their policy renewal date on or after October 1, 2010, members will have no annual or lifetime dollar limits for essential benefits.
Specific circumstances or services listed in the contract for which benefits will be limited.
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Your member ID # is on the front of your ID card.