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Provider Network Update
NewYork-Presbyterian Hospital

New York City skyline

Important News About Your Health Care

As of April 17, 2026, all NewYork-Presbyterian Hospital (NYP) facilities and providers will no longer be part of EmblemHealth’s networks.

Senior Care members are not affected by this as they can see any provider that accepts Medicare.

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 April 17, 2026.

Navigating Your Care

Below are links to member documents that explain how you can find care with NYP as of April 17, 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) General
All Other Commercial Plans
(including Marketplace* and Non-Marketplace, and Employer Group Plans)		 General
Essential Plan General
PCP Change
Specialist Change
Medicaid and Health and Recovery Plan (HARP)

General
PCP Change
Specialist Change
Child Health Plus (under age 19) General
PCP Change
Specialist Change
Medicare (including City of New York) General

*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 April 17, 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.   

I’m a Senior Care member. How does this impact me?

It doesn't. Senior Care members are not affected by this as they can see any provider that accepts Medicare.

Can I still go to the emergency room?

Members are still able to go to the hospital emergency room, including at NewYork-Presbyterian Hospital, as emergency care is always covered. For non-urgent situations – like pinkeye, rashes, burns, and cuts – you can get immediate help at urgent care. To find an in-network location:

  • New York City Employees PPO Plan – visit nyceppo.com and click "Find a provider."
  • All Other Plans – visit our Find a Doctor page to search for providers by network. You may also log into your member portal and search for a provider that takes your benefit plan.

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

New York State has a requirement that agreements between health plans and providers are subject to a two month "cooling off" period when contracts expire. This would require services to be covered as in-network from April 17 through June 16, 2026. NewYork-Presbyterian Hospital (NYP) is taking the position that this requirement does not apply and that it will be out of network for NYCE PPO members starting April 17. We strongly disagree and are challenging NYP’s position in court. We will update you on these efforts.

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 June 16, 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 may be able to continue care with their NYP provider for up to 90 days, beginning April 17, 2026 – until July 15, 2026. 

Members who are receiving care for pregnancy as of April 16, 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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