Renewing Your Eligibility

You have the coverage you need. Make sure you hold on to it.

If you are a member of EmblemHealth's Medicaid Managed Care or Child Health Plus, you have qualified for the plan you currently have. Every 12 months, or as your circumstances change, you must renew your Medicaid or Child Health Plus eligibility to continue your membership.

We're here to help you complete the renewal process as conveniently as possible. The following questions and answers provide helpful information on renewing your eligibility. As always, if you have questions about any part of the process, please call 1-800-542-2412.

I just received a letter from my Local Department of Social Services (LDSS) stating that I need to renew my Medicaid. What do I need to do?

You must complete the renewal application that was enclosed with your letter and return it by the date shown on your letter. The package contains a list of "Documents Needed When You Apply for Health Insurance," which shows you what documents can be used to make changes. Make sure your LDSS receives your renewal application by the "respond by" date in your renewal packet.

I just received a letter from EmblemHealth regarding renewing my child's/children's CHPlus eligibility. What do I need to do?

You must complete the CHPlus Renewal application that was enclosed with your letter and return it by the date shown on your letter. If you do not return it by the due date, your child may lose coverage. The recertification package contains a list of "Documents Needed" for recertification. Please make sure to read the list carefully and include the correct documents when you send in your renewal application. You have a few options for sending in the renewal application; choose the one that is most convenient for you.

I just received a letter from the NY State of Health Marketplace regarding renewing my child's/children's CHPlus eligibility. What do I need to do?

Carefully read the notice you received. You may be required to complete the online renewal application on the NY State of Health Marketplace. If you do not complete the renewal process on the NY State of Health by the due date, your child may lose coverage.

I had help when I first applied for Medicaid. Can someone help me with the renewal process?

If you don't understand the instructions in the renewal packet, call your LDSS at the number in your renewal packet. HIP Facilitated Enrollers can also help you. Just call 1-888-447-2863 to schedule an appointment. Be sure to bring your paperwork with you, including the documentation. The packet contains a list of "Documents Needed When You Apply for Health Insurance," which shows you what documents can be used to make changes. Please remember that if you do see a Facilitated Enroller, it is still your responsibility to return the paperwork to the local Department of Social Services office before the deadline.

I had help when I first applied for CHPlus. Can someone help me with the renewal process?

If you don't understand the instructions in your CHPlus Renewal packet and require assistance completing the application or you require assistance completing the Renewal on the NY State of Health Marketplace, please call 1-800-542-2412 to make an appointment with one of our Marketplace Facilitated Enrollers (FE). If you received a CHPlus Renewal packet from EmblemHealth, the FE will assist you in completing the application and will submit it to EmblemHealth. The CHPlus Recertification packet also contains a list of "Documents Needed". Be sure to bring your CHPlus application package with you to your appointment, including any documentation required.