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We are performing routine system maintenance from Friday, February 15th from 10:00 PM EST to February 16th 6:00 AM. The Member Portal may be unavailable during this time.
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.
Get access to member newsletters, updates, alerts and quick links to guide you through your care.
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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A drug which is the pharmaceutical equivalent to one or more brand name drugs. Such generic drugs have been approved by the Food and Drug Administration as meeting the same standards of safety, purity, strength and effectiveness as the brand name drug.
A federal health reform law (PPACA) provision exempting those already involved in a regulated activity from new regulations. With respect to health reform, the term grandfathering refers to those situations when certain provisions of the law may not apply to plans that were in effect on or before March 23, 2010, as long as those plans have not made changes that would cause them to lose their grandfathered status.
A request to change an adverse determination that was based on administrative policies, procedures or guidelines.
A complaint process whereby you, or your duly authorized representative, may seek review of benefit determinations or other determinations made by EmblemHealth relating to your health plan.
The Group Contract is the Agreement EmblemHealth has with your group to provide health insurance.
This number identifies the subscriber's employer or Union Benefits Fund.
Please check the Privacy Statement of the site to which you are going.
Your member ID # is on the front of your ID card.