Based on more than 80 years of experience, EmblemHealth has designed great Medicare plans for the needs of New Yorkers. We offer many low-cost Medicare plans - some even at $0 - with a wide range of benefits. And we have large networks of doctors, health care professionals and hospitals to give you the care you need.

EmblemHealth sets itself apart from the competition through a combination of experience, personalized service, a choice of plan options and our large hospital and provider networks.

We offer a wide variety of Medicare plan choices that all include Part D prescription drugs. EmblemHealth Medicare Plans are Medicare Advantage Health Maintenance Organization (HMO) plans. With an HMO plan, you choose a doctor who will provide your everyday care called a primary care doctor. This doctor will arrange for you to see specialists and get services. EmblemHealth Medicare plans work with large networks of leading health care professionals and facilities that contract with the plan. You are usually only covered for care and services you get from this network. In an emergency, you can go to any doctor or hospital.

EmblemHealth Medicare plans work with large networks of leading health care professionals and facilities that contract with the plan. You are usually only covered for care and services you get from this network. In an emergency, you can go to any doctor or hospital.

Over the years, we've worked hard to provide people like you with the choices they need to receive excellent care. Search for a Doctor, Dentist, Hospital or Other Health Care Service in the EmblemHealth Medicare HMO plans.

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Out-of-network/non-contracted providers are under no obligation to treat EmblemHealth members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out‑of‑network services.

Stay Healthy. Get Well. Live Better.

We offer the following programs and resources to help you best manage your health.

24 Hour Nurse Hotline

We offer all our EmblemHealth VIP HMO and D-SNP plan members the 24 Hour Nurse Hotline. The 24 Hour Nurse Hotline is staffed by highly trained registered nurses. They will guide you in making informed decisions about everyday health issues. They will also work with you on how best to handle a medical concern.

The program also helps as an "early warning system" for health conditions before they may need a doctor visit, emergency room visit or a hospital stay

Members can call the 24 Hour Nurse Line at 877-444-7988, 24 hours/seven days a week. If you use a TTY, please call 711.

EmblemHealth Care Management Programs

For eligible members, care management is available as part of your health benefits at no extra cost to you. These programs include education and support by phone with one of our care managers to help manage a chronic condition. They add to the care already provided by your doctor by helping you better understand your condition.

Our Care Management Programs work to help you take control of your health by:

·         Helping you understand your condition.

·         Improving your discussions about your health and safety with your doctors.

·         Show you how to make changes in your life that will keep your condition under control.

·         Finding ways for you to stay healthy and safe.

·         Working with your doctor on your treatment plan.

·         Give you a chance to tell us about your experience with the program.

When you enroll in one of our programs you may:

·         Work one-on-one with any of our nurses, social workers, or behavioral health care specialists by phone.

·         Get free educational materials about:

·         Your health symptoms and how to care for them.

·         Health and safety risks.

·         Treatments.

·         Diet and nutrition.

·         And more.

·         Find support services that are in your community.

For more information about our Care Management programs, members please call 800-447-0768, Monday to Friday from 9 a.m. to 5 p.m. If you use a TTY, please call 711.

silver sneakers logo

Looking for a way to improve your health at home. 

SilverSneakers® has you covered, with SilverSneakers
On-Demand™ videos.

SilverSneakers On-Demand includes:

  • Videos ranging from easy, low-impact exercises to cardio workouts.
  • Articles and videos on topics like nutrition.
  • Fitness challenges and more.

Go to and login to find the video that is best for you or download the SilverSneakers GO app at

Get started today!*

You should have received your SilverSneakers ID card in the mail. Don’t worry if you don’t have it. You can still get started at any time. Go to to get your 16-digit SilverSneakers ID number or call 888-423-4632 (TTY: 711), Monday through Friday, 8 a.m. to 8 p.m.

Always talk to your doctor before starting an exercise program.

*It’s included in most plans at no extra cost! (EmblemHealth VIP Value (HMO) and EmblemHealth VIP Part B Saver (HMO) members can add SilverSneakers for a small extra monthly premium.)

EmblemHealth’s Care for the Family Caregiver initiative provides information, resources and tools to help our members and others manage the challenges of caring for a loved one, including self-care.

AdvantageCare Physicians (ACPNY) is a primary and specialty care practice, and part of the EmblemHealth family of companies. At ACPNY, you and your family will receive “whole you” care that considers the physical, mental, and lifestyle factors that impact your health. ACPNY offers patients 37 medical offices across Manhattan, Brooklyn, Queens, Staten Island, and Long Island—and three offices in the Bronx through our affiliate, BronxDocs.

EmblemHealth Neighborhood Care provides in-person customer service support, connections to sales partners, access to community resources, and health and wellness programming in communities across New York City. We deliver programming both in-person and virtually that fits the unique needs of our communities. Whether it’s a yoga class, plan benefit seminar, or help with a claim or translating paperwork, Neighborhood Care helps EmblemHealth members make the most of their benefits.

We also speak multiple languages including Spanish, Mandarin, Cantonese, Fuzhounese, and Creole.

You will need the Adobe® Acrobat Reader software to view files in the Portable Document Format (PDF). If you don’t already have it, you can download a copy from Adobe® here.

Last Updated 10/1/2020

Y0026_ 200570  Accepted 9/29/20