Forgot your User ID or password?
Register for access
Find all the answers you need to manage your coverage.
Select the Customer Service phone number for your plan.
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.
Health reform information and updates.
Get access to member newsletters, updates, alerts and quick links to guide you through your care.
Your go-to place for the latest member information.
Get health reminders and new information here.
Search for a doctor, check your claims and more.
Locate a doctor, hospital or other health care services near you.
At EmblemHealth we’re dedicated to helping you stay healthy, get well and live better.
Learn about EmblemHealth’s pharmacy benefits.
EmblemHealth has simplified health care reform and mapped out what you need to know.
Please contact us or call EmblemHealth sales at
A not-for-profit organization that performs quality-orientated accreditation reviews of HMOs and similar types of managed care plans.
An indicator on a claim that identifies that additional information is required before the claim can be finalized.
The group of physicians, hospital, and other medial care providers that a specific plan has contracted with to deliver medical services to its members.
A doctor, hospital or other healthcare provider who has entered into an agreement with EmblemHealth to provide healthcare services to members for a negotiated rate of reimbursement.
The state regulatory agency that certifies reimbursement methods, rates to hospitals and reviews HMO activities in the state of New York.
A state regulatory agency which has the responsibility to review and oversee health insurance companies' contracts and rates in the state of New York.
A law in several states including New York State requiring all registered motor vehicles to be covered by personal injury protection insurance. Under this law, a person's own motor vehicle insurance company pays for expenses relating to an accident regardless of who caused the accident.
A determination by a utilization management organization that an admission, extension of stay, or other health care service has been reviewed and, based on the information provided, does not meet the clinical requirements for medical necessity, appropriateness, level of care, or effectiveness under the auspices of the applicable health benefit plan.
A hospital/facility that does not have a participation agreement with EmblemHealth or another EmblemHealth plan to provide hospital/facility services to persons covered under EmblemHealth.
A healthcare provider such as a physician, skilled nursing facility, home health agency, laboratory etc, who does not have an agreement with the EmblemHealth to provide covered services to members.
Please check the Privacy Statement of the site to which you are going.
Your member ID # is on the front of your ID card.