EmblemHealth Accreditations

As a member and/or employer group, you want a health plan with quality and service you can count on.

EmblemHealth is committed to providing members with access to high-quality care. EmblemHealth plans are underwritten by EmblemHealth Plan, Inc., EmblemHealth Insurance Company, and Health Insurance Plan of Greater New York. EmblemHealth is accredited by the industry's leading accrediting body, the National Committee for Quality Assurance (NCQA).

NCQA is an independent, not-for-profit organization dedicated to assessing and reporting on the quality of managed care plans, managed behavioral healthcare organizations, preferred provider organizations, new health plans, physician organizations, credentials verification organizations, disease management programs and other health-related programs. 

NCQA Health Plan Accreditation is a voluntary review process. NCQA Health Plan Accreditation is a nationally recognized evaluation that purchasers, regulators and consumers can use to assess health plans. NCQA Health Plan Accreditation evaluates how well a health plan manages all parts of its delivery system— physicians, hospitals, other providers and administrative services– in order to continuously improve the quality of care and services provided to its members. 

Learn More about the NCQA

 

Accreditation Information

EmblemHealth’s product currently holds an “Accredited” NCQA accreditation status for the Commercial HMO/POS plan, the Exchange, and the Medicare HMO plan.

Information on EmblemHealth’s QI program description, including goals and achievements, is available at the Quality Improvement Program page.

Information posted on the EmblemHealth website will help you understand the benefits and services covered in your benefit plan; plan restrictions; how to obtain health care services and medications; how to file a claim for payment (if needed); how submit a complaint; how to appeal an adverse decision; and how EmblemHealth evaluates new technology, your rights and responsibilities, access to physicians, pharmacies, behavioral health practitioners, hospitals, and more. Please see EmblemHealth's Member pages for more information.

The EmblemHealth family of companies includes EmblemHealth, Inc., EmblemHealth Plan, Inc., EmblemHealth Insurance Company, Health Insurance Plan of Greater New York, and EmblemHealth Services Company, LLC, and provides access to health plan benefits and administrative services through one or more of these companies.

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