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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.
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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.
EmblemHealth SafeLink cell phone program for eligible Medicaid members.
Learn about behavioral health conditions, your benefits and where to go for help.
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.
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Billing a member or other responsible party for the difference between the insurer's payment and the actual charge.
The provision of mental health and substance abuse services.
Services available to a member as defined in the contract. Benefit design includes the types of benefits offered, limits (e.g. number of visits, percentage paid or dollar maximums applied), and subscriber responsibility (cost sharing components).
The amount charged by a provider for a specific service.
The address to which a billing statement will be sent.
A process by which a physician who has been tested for proficiency in a medical specialty or subspecialty, by a medical specialty board, has passed those tests and therefore been certified as proficient in that medical specialty.
Denoting a physician who has completed the educational requirements necessary for eligibility to take the specialty board examinations.
A prescription drug that has been patented and is only available through one manufacturer.
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