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Customer Service Contacts
If you are a member, you can contact us at the number on your EmblemHealth ID card. If you don’t have your ID card, scroll down to find the correct number for your plan.
EmblemHealth and HIP Member Services
8 a.m. – 6 p.m. Monday-Friday (excluding major holidays*)
Medicare Advantage HMO
Oct. 1 - March 31: 8 a.m. - 8 p.m., seven days a week
April 1 - Sept. 30: 8 a.m. - 8 p.m., Monday - Saturday
Medicare Advantage PPO
Oct. 1 - March 31: 8 a.m. - 8 p.m., seven days a week
April 1 - Sept. 30: 8 a.m. - 8 p.m., Monday - Saturday
GHI PPO/EPO, including New York City Employees
8 a.m. – 6 p.m. Monday-Friday (excluding major holidays*)
GHI HMO
8 a.m. – 6 p.m. Monday-Friday (excluding major holidays*)
New York State Exchange Marketplace:
8 a.m. – 6 p.m. Monday-Friday (excluding major holidays*)
Medicaid, HARP, and Child Health Plus
8 a.m. – 6 p.m. Monday-Friday (excluding major holidays*)
For accessibility related questions, please click here to review our accessibility statement.
Contact Customer Service by Provider Portal
You can sign in to your EmblemHealth account to chat with a live agent, send a message to customer service, review patient eligibility, benefits, claims, payments and more. Use the Provider Portal Registration Form if you need help setting up an account for a new tax ID or finding your organization’s assigned provider portal administrator to set you up with a portal account.
A full set of contact information for claims, pharmacy, mental health, laboratories and more can be found in the EmblemHealth Provider Manual Directory chapter.
Contact Customer Service by Phone
EmblemHealth: 866-447-9717
EmblemHealth Plan, Inc. (formerly GHI)
- 212-501-4444 in New York City
- 800-624-2414 outside of New York City
Medicare PPO
Medicare HMO
EmblemHealth Plan, Inc. (formerly GHI) HMO
Health Insurance Plan of Greater New York (HIP)
Dental
- 212-501-4444 in New York City
- 800-624-2414 outside of New York City
Additional phone numbers for claims, pharmacy, mental health, prior approvals, laboratories and more can be found in the provider manual.
Join Our Networks
EmblemHealth and our companies have a single overriding mission: To provide affordable, quality health care to all of our members. We are proud of a tradition of providing helpful information and prompt, responsive service to our members, of giving your patients many plan options, and of our partnerships with health care professionals.
Join the thousands of physicians and clinicians who are partnering with EmblemHealth.
Reach out to us directly from your secure account or contact our sales department at 866‑614‑6040.
Working with us
Whether you’re looking for the proper documentation to file with us in order to conduct business as our partner, or you simply want to see the latest commission schedule, we want to make sure you have access to the most up-to-date materials.
Our Plans for Businesses
At EmblemHealth, we have a single overriding mission: to provide access to affordable, quality health care to all New Yorkers. And we’re proud of our long-standing traditions: partnering with our region's leading doctors and hospitals, creating smartly built plan options for businesses, and providing helpful and prompt customer service.
To get the right EmblemHealth coverage for your small group employees, call 866-614-6040 or send us your information and we will e-mail or call you back at your convenience.
Large Group HMO employers, please call 866-614-6040. All other large group employers, please contact your Account Manager.
PPO
Medical, Member submitted claims: P.O. Box 3000, NY, NY 10116-3000
Medical, Provider submitted claims: P.O. Box 2832, NY, NY 10116-2832
Hospital Claims: P.O. Box 2833, NY, NY 10116-2833
Dental Claims: P.O. Box 2838, NY, NY 10116-2838
HMO
Medical Claims: P.O. Box 2845, NY, NY 10116-2845
Hospital Claims: P.O. Box 2803, NY, NY 10116-2803
Appeals
P.O. Box 2844 NY, NY 10116-2844
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