Networks and Benefits

The table below shows how our provider networks and member benefit plans relate to our underwriting companies. You can print out this page as a reference tool for the staff who schedules appointments for you. Check the boxes to show them which networks your contract covers. Please customize for each practice location.

Dr.________________________________ at _________________________________________________ can accept patients who have these networks:

Company

Provider Network

Member Benefit Plan

GHI

Commercial:
CBP, National & Tristate Networks

EmblemHealth EPO/PPO

Network Access Network

Network Access Plan

Medicare:
Medicare Choice PPO Network

ArchCare Advantage HMO SNP
GuildNet Gold HMO SNP

HIP/HIPIC

Commercial:
Metro NY Network (Until December 31. 2017)

Until December 31 2017:
EmblemHealth CompreHealth EPO

Commercial:
Premium & Vytra Premium Network (Until December 31. 2017)

Until December 31 2017:
Access I/II
Prime HMO/POS/PPO/EPO
Select PPO/EPO
Vytra ASO

Commercial:
Select Care Network

Until December 31, 2017:

All Select Care-Based Plans, including EmblemHealth Healthy NY

As of January 1, 2018:

On Exchange:
EmblemHealth Silver Value
EmblemHealth Bronze Value

Off Exchange:
EmblemHealth Silver Value D
EmblemHealth Bronze Value D

Prime Network

Until December 31, 2017:

Access I/II
Prime HMO/POS/PPO/EPO
Select PPO/EPO
Child Health Plus
GHI HMO Plans
ConnectiCare
Exclusive Provider Organization Value Plan (EPO)
EmblemHealth HMO Plus
EmblemHealth HMO Preferred Plus
EmblemHealth EPO Value
Vytra

 

As of January 1, 2018:
Access I/II
Prime HMO/POS/PPO
EmblemHealth HMO Plus
EmblemHealth HMO Preferred Plus
EmblemHealth EPO Value
Select PPO
Child Health Plus
GHI HMO Plans
ConnectiCare
Exclusive Provider Organization (EPO)
EmblemHealth Platinum/Gold/Silver/Bronze/Basic/
EmblemHealth Platinum D/ Gold D/ Silver D/ 
Bronze D/Basic D
EmblemHealth Platinum 15/35
EmblemHealth Gold 40/60
EmblemHealth Healthy NY Gold
EmblemHealth Silver Value S
EmblemHealth Bronze Value S
EmblemHealth Gold Open Access
EmblemHealth Bronze H.S.A.
Vtyra

Medicaid/Commercial:
Enhanced Care Prime Network

EmblemHealth Enhanced Care (Medicaid)
EmblemHealth Enhanced Care Plus (HARP)
Essential Plan (BHP)

Medicare:
Medicare Essential Network

EmblemHealth VIP Essential (HMO)
EmblemHealth VIP Value (HMO)

VIP Prime Network

Until December 31, 2017:
EmblemHealth Part A Payers (HMO)
EmblemHealth VIP Dual (HMO SNP)
EmblemHealth VIP Gold (HMO)
EmblemHealth VIP Gold Plus (HMO)
EmblemHealth VIP Premier (HMO)
EmblemHealth VIP Rx Carve-Out (HMO)
EmblemHealth VIP Dual Group (HMO SNP)
Medicare Cost Plan

As of January 1, 2018:
EmblemHealth VIP Dual (HMO SNP)
EmblemHealth VIP Gold (HMO)
EmblemHealth VIP Gold Plus (HMO)
EmblemHealth VIP Premier (HMO)
EmblemHealth VIP Rx Carve-Out (HMO)
EmblemHealth VIP Dual Group(HMO SNP)
Medicare Cost Plan

FIDA:
Associated Dual Assurance Network

GuildNet Gold Plus FIDA Plan

CCI

Commercial/ Medicare:
ConnectiCare Network

HMO, POS & PPO
Medicare Advantage