All EmblemHealth plan members are entitled to:
- An initial assessment of their health care status performed within 90 days of enrollment (For Medicaid members over age 21, within 12 weeks [84 days])
- Information regarding health care needs that require follow up
- Self-care training (as necessary)
Glossary terms found on this page:
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 jointly funded federal and state program that provides hospital and medical coverage to the low-income population and certain aged and disabled individuals.
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.