New York State of Health Is Open and
Ready for Business

On October 1, 2013 the New York State of Health Web site opened for business. If you have uninsured patients, please direct them to www.nystateofhealth.ny.gov to obtain information regarding their health insurance options and obligation to purchase a plan. Your patients can also get helpful information about the Marketplace from EmblemHealth's Health Reform Web site at www.emblemhealth.com/Health-Care-Reform-For-New-York.

EmblemHealth offers the following Select Care products on the Marketplace.

  • Select Care Basic
  • Select Care Bronze
  • Select Care Silver
  • Select Care Gold
  • Select Care Platinum

The above listed products refer to HIP policy form numbers 155-23-IONHIXBSchedule (04/13).

Claims Corner

EmblemHealth Qualified Provider Reimbursement Methodology Primary Care Reimbursement Incentive

Recent Changes to Medicaid Managed Care Coverage

The following updates to Medicaid managed care coverage are effective
October 1, 2013:

The following items are no longer covered by Medicaid managed care (some exceptions apply).

EmblemHealth Neighborhood Care — Community Events

All events are free and open to the public, view the full calendar of events for the Cambria Heights and Harlem sites.

Visit ehnc.com for more information on all that EmblemHealth Neighborhood Care has to offer you and your patients.


Upcoming Provider Forums

Register for a Provider Forum to learn about our online tools and provider resources at www.emblemhealth.com.

Contact Larissa Swanberg-Obadia at lswanbergobadia@EmblemHealth.com to register and for more information.

Note: Presentations begin promptly at the start times indicated below.

  • Melville
    395 North Service Road
    Lower Level Conference Center
    November 15, 2013  9:30 am to noon
  • EmblemHealth Neighborhood Care — Cambria Heights
    206-20 Linden Boulevard
    Cambria Heights, NY 11411
    November 6, 2013    9 am to noon
  • EmblemHealth Neighborhood Care — Harlem
    215 West 125th Street
    New York, NY 10027
    November 20, 2013   2 to 4 pm

Monthly Webinars for Practitioners and Office Staff

Topics include:

  • Navigating our secure Web site
  • Using medical and payment policy tools
  • Identifying EmblemHealth member ID cards and member benefits

Who should attend: Practitioners and their staff members who want to learn about new EmblemHealth products and Web site updates.

When: Second Wednesday of each month; 10-11 am and 2-3 pm

To register: Complete and submit an online registration form.



Review your information now to ensure you are correctly listed in our EmblemHealth directories. If any of your information has changed or is inaccurate, just follow our simple instructions to update your profile online. Can't update your information online? Fax your changes to our Provider Modifications team at 1-877-889-9061.


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Group Health Incorporated (GHI), HIP Health Plan of New York (HIP), HIP Insurance Company of New York and EmblemHealth Services Company, LLC are EmblemHealth companies. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies.