EmblemHealth Select Care Network
Our tailored Select Care network features high-quality, community-based primary care physicians and specialty care doctors who offer you a personalized, caring experience. These health care providers are located throughout the following counties: Bronx, Kings, Manhattan, Nassau, Orange, Queens, Richmond, Rockland, Suffolk and Westchester.
The Select Care network includes doctors in private practice, leading hospitals, and physician group practices, including AdvantageCare Physicians — one of the largest physician practices in the New York metropolitan area.
AdvantageCare Physicians - The Care You and Your Family Need, All in One Place
The EmblemHealth Select Care network includes AdvantageCare Physicians, a network consisting of four New York medical groups: Manhattan's Physician Group, Preferred Health Partners in Brooklyn, Queens-Long Island Medical Group and Staten Island Physician Practice.
AdvantageCare Physicians brings together more than 400 primary care physicians and specialists in 39 convenient locations. It uses a patient-centered team approach to improve care coordination and, by doing so, produce better health outcomes and greater patient satisfaction.
Each location offers a full range of health services, from preventive and specialty care, to pediatric and geriatric care - often under one roof. Since many services are available in one medical office, members can get the care they need, when they need it. Many locations have lab services, X-rays, on-site pharmacies, and extra evening and weekend hours.
Download our brochure about AdvantageCare Physicians, which includes a directory of their 39 locations throughout New York City and Long Island.
PCP Care: A Partner for Good Health
Select Care plan members need to pick a primary care physician (PCP). This person will be their regular doctor. The PCP works with members to help them manage their health. The PCP:
- Provides most primary and preventive care
- Refers members, as needed, to specialists in the Select Care network
- Coordinates care from specialists
- Arranges hospital admissions, when necessary. (Please note that specialists can also arrange for hospital admissions.)
Members can change their PCP at any time by signing in to myEmblemHealth or calling 1-800-447-8255, daily, from 8 am to 8 pm.
Services That Don't Need Referrals
Select Care members need a referral from their PCP before receiving most specialty care. A referral is not required for the following services:
- Primary and preventive care
- Primary and preventive obstetric and gynecologic services
- Chiropractic services
- Outpatient mental health care
- Refractive eye exams from an optometrist (covered only up through the first month following a member's 19th birthday)
- Diabetic eye exams from an ophthalmologist
Out-of-Network Provider Fee Estimates
Since our Select Care plans offer in-network coverage only, you may be responsible for paying any providers you go to for services who are not in the Select Care network (i.e., out-of-network providers). To get an estimate of how much you would pay these out-of-network providers, you can use the FAIR Health consumer online calculation tool below.*
Access the FAIR Health calculation tool
*Actual expense may vary.