Table of Contents
How Do I...

Search Tips

Table of Contents Search

  • For more specific results, select both a chapter and section.
  • To move from section to section within a chapter, use the left navigation bar.

Keyword Search

  • For best results, select a recommended search term if one appears in the search box.
  • To narrow your search, use the Filter By and Additional Keywords features in the left navigation bar.
  • To find an exact phrase, use quotes (e.g., “prior approval”).
  • To find all search terms, use the word AND in capital letters between search terms.
  • To find at least one search term, use the word OR in capital letters between search terms.
  • Directory > EmblemHealth Contact Information

    Customer service is available seven days a week (excluding major holidays), 8 am to 8 pm. Teletypewriter (TTY/TDD) services can be reached by calling 711. 

      EmblemHealth Contact Information


      Provider Network

      Customer Service

      Provider Customer
      Care Advocates


      GHI Commercial:
      CBP, National & Tristate Networks
      Network Access Network
      Outside NYC:

      Outside NYC:
      Sign in to
      and use the Message Center
      Medicare Choice PPO Network
      1-866-557-7300  1-866-557-7300
      NY Metro Network
      Premium Network
      Prime Network
      1-800-447-8255  1-866-447-9717
      Prime Network (GHI HMO Plans) 1-877-244-4466 
      Select Care Network  1-888-447-7703 
      State Sponsored Programs: 
      Enhanced Care Prime Network
      (Including Child Health Plus)
      Medicare Essential Network
      VIP Prime Network
      Associated Dual Assurance Network
      EmblemHealth Dual Assurance Network
      Vytra Network
      1-866-409-0999  1-888-288-9872 Sign in to

      My Subscriptions

      Enter your e-mail address to receive a link to your subscriptions.


      Glossary terms found on this page:

      An organization that provides comprehensive health care coverage to its members through a network of doctors, hospitals and other health care providers. Also called a Health Maintenance Organization.

      Acronym for Medicare Advantage. An alternative to the traditional Medicare program in which private plans run by health insurance companies provide health care benefits that eligible beneficiaries would otherwise receive directly from the Medicare program.

      A nationwide insurance program for the disabled and people age 65 and over, created by the 1965 amendments to the Social Security Act and operated under the provisions of the Act. It consists of two separate but coordinated programs, Part A and Part B.

      An individual and each of his or her eligible dependents, including Medicare beneficiaries who are enrolled or participate in a benefit program and who are entitled to receive covered services from the practitioner pursuant to such benefit program and the terms of the practitioner's agreement.

      The group of physicians, hospital, and other medical care providers that a specific plan has contracted with to deliver medical services to its members.

      A health plan that offers benefits in-network and out-of-network. In-network services are available to enrollees at lower out-of-pocket cost than the services of non-network providers. In addition, PPO enrollees may self-refer to any network provider at any time. Also called a Preferred Provider Organization.

      A prepaid payment or series of payments made to a health plan by purchasers and often plan members for health insurance coverage.

      A medical practitioner or covered facility recognized by EmblemHealth for reimbursement purposes. A provider may be any of the following, subject to the conditions listed in this paragraph:

      • Doctor of medicine
      • Doctor of osteopathy
      • Dentist
      • Chiropractor
      • Doctor of podiatric medicine
      • Physical therapist
      • Nurse midwife
      • Certified and registered psychologist
      • Certified and qualified social worker
      • Optometrist
      • Nurse anesthetist
      • Speech-language pathologist
      • Audiologist
      • Clinical laboratory
      • Screening center
      • General hospital
      • Any other type of practitioner or facility specifically listed in the member's Certificate of Insurance as a practitioner or facility recognized by EmblemHealth for reimbursement purposes

      A provider must be licensed or certified to render the covered service. The covered service must be within the scope of the Provider's license or certification.

      A set of providers contracted with a health plan to provide services to the enrollees.


    You are now leaving the Medicare section of the EmblemHealth website.

    Click to Continue ×

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