You’ve looked at your options, and now you’re ready to enroll in a New York Medicare plan. We want to make the process as easy as possible for you. This section outlines your four EmblemHealth Medicare Advantage Prescription Drug plans and Medicare Prescription Drug standalone plan enrollment options. Members may enroll in the change to a plan only during specific times of the year.
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Enroll in a Medicare Plan in New York
To join an EmblemHealth Medicare plan, you must:
- Qualify and be enrolled in Medicare Part A (you are 65 or older, or under 65 with certain disabilities); and
- Be enrolled in and continue to pay for Medicare Part B; and
- Live in EmblemHealth’s service area for that plan; and
- Not have End-Stage Renal Disease (permanent kidney disease requiring dialysis or a kidney transplant), except under certain limited circumstances.
View EmblemHealth's HMO Service Area map which include the following counties in New York: Albany, Broome, Bronx, Columbia, Delaware, Dutchess, Greene, Kings, Nassau, New York, Orange, Putnam, Queens, Rensselaer, Richmond, Rockland, Saratoga, Schenectady, Suffolk, Sullivan, Warren, Washington, Westchester and Ulster
EmblemHealth HMO Medicare Service Area Map
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Initial Coverage Election Period
You can enroll when you first become eligible for Medicare (three months before the month you turn age 65 until three months after the month you turn age 65). If you get Medicare due to a disability, you can join from three months before to three months after your 25th month of cash disability payments.
Medicare beneficiaries may enroll only during specific times of the year. Visit our Medicare Enrollment Periods page to see the best time to enroll and other details about enrollment timelines.
What happens after I enroll?
We will mail you a letter confirming that we received your application. After that, we will send your application to the Centers for Medicare and Medicaid Services (CMS), the federal agency that runs the Medicare program, for approval.
When am I officially an EmblemHealth member?
You should get your EmblemHealth member ID card and Welcome Kit in the mail about seven business days after you receive our confirmation letter. An EmblemHealth Customer Service Representative will also call you to answer your questions and help you understand your benefits.
During one of these calls, you will be asked some questions about your health. This is because CMS asks all Medicare Advantage plans to do a Health Risk Assessment (HRA) for members. It will not affect your membership in EmblemHealth in any way. And your answers may help EmblemHealth to serve you better.
Last Updated 01/01/2021
Y0026_ 200570 Accepted 9/29/20
