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Provider Network Update
NewYork-Presbyterian Hospital

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Important News About Your Health Care

As of March 29, 2026, all NewYork-Presbyterian Hospital (NYP) facilities and providers will no longer be part of EmblemHealth’s networks.

We have been working hard to renew our contract with NYP to ensure affordable, high-quality care for EmblemHealth members. NYP's significantly higher rates have driven up costs for taxpayers and threaten access to affordable, quality care that New York’s working families depend on. Unfortunately, we have not been able to reach an agreement, but please be assured that we are working hard to resolve this issue.

Please scroll down to review important information regarding how to navigate care with these provider groups as of March 29, 2026.

Navigating Your Care

Below are links to member documents that explain how you can find care with NYP as of March 29, 2026.

Please find your plan type and click the link in the right column to view important information. 

NewYork-Presbyterian

Your Plan Your Member Document
New York City Employees PPO Plan (NYCE PPO) Coming soon
Other City of New York Plans (excluding Medicare) Click here
All Other Commercial Plans
(including Essential Plan, Marketplace* and Non-Marketplace, and Employer Group Plans)		 Click here
Medicaid and Health and Recovery Plan (HARP) Click here
Child Health Plus (under age 19) Click here
Medicare (including City of New York) Click here

*Plans through NY State of Health.

List of Impacted Providers and Facilities

The link below lists the providers and facilities that will be out-of-network. 

Frequently Asked Questions

What is happening with NewYork-Presbyterian Hospital (NYP)?

EmblemHealth has been working hard to renew our contract with NYP to ensure affordable, high-quality care for our members. But the proposals shared by NYP would require us to pay significantly higher rates than other hospitals, jeopardizing the affordability of coverage for New Yorkers. Unfortunately, we have not been able to reach an agreement. Therefore, beginning March 29, 2026, NYP will no longer be part of EmblemHealth's networks. We know how important this is to you and your family and we are continuing to work tirelessly to resolve this matter.   

Can I still go to the emergency room?

For emergency situations, you're still able to go to the hospital emergency room, as emergency care is always covered.  

As a NYCE PPO plan member, can I still go to NYP hospitals?

We are continuing to advocate for you to get access to what is known as the two-month "cooling off" period so that services would be covered as an in-network benefit. NYP has taken the position that the cooling off period does not apply and it will be out-of-network for NYCE PPO beginning March 29, 2026. Members may be able to continue to get care on and after March 29, 2026, but at out-of-network rates. We will update you if our efforts to have the cooling off period apply are successful.

As a Commercial, State-Sponsored, or Medicare plan member, can I still go to NYP hospitals?

You can receive care from NYP hospitals for two months, until May 28, 2026, while negotiations continue.

How will I know which of my NYP providers is out-of-network?

We’ve posted a full list of NYP providers going out-of-network.

Can I get care from other NYP providers?

Yes, in some cases. Members receiving ongoing treatment are able to continue care with their NYP provider for up to 90 days, beginning March 29, 2026 – until June 26, 2026. 

Members who are receiving care for pregnancy as of March 28, 2026, are able to continue care for the rest of the pregnancy. This includes related care after the pregnancy that is part of the delivery. To receive other care from NYP or to find care from other nationally recognized hospital systems, call the number on the back of your member ID card first.

Where can I find more information?

Above, you can read the letter that explains how this impacts your plan. Find your plan type in the chart and read the associated letter.

Other Excellent Care Options

There are many outstanding, in-network hospitals, providers, and facilities to choose from. Here’s how you can find another hospital or doctor near you.

New York City Employees PPO Plan

Visit nyceppo.com and click "Find a provider."

 

All Other EmblemHealth Plans

Sign in to your member portal or visit  Find Care and select 
"Search by Network or Plan."

 

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