This section shows generic examples of the ID cards you may see. The diagrams point out where to find key coverage details and contact information. Actual cards will be customized based on the member’s policy and, in the case of our Bridge Network, employer group.
Member ID cards may have logos for managing entities or extended networks that affect utilization management, member access to specific networks, and more. A key to these networks and entities appears below the Member ID diagrams.
This first two examples are the ID card templates used for most EmblemHealth plans. These are the most common design you will see.
The third example is the ID card template used for Child Health Plus members. In 2020, Child Health Plus ID cards are being reissued with “CHILD” as the plan name in the upper right-hand corner on the front of the card. This is a cosmetic change only. The members’ benefits are not changing. Child Health Plus members access the Enhanced Care Prime Network.
City of New York ID Card Templates
The next three images are examples of the ID cards used by City of New York members. City members with a GHI PPO plan are sent two ID cards – one from EmblemHealth and the other from Empire. In July 2020, both companies began using the same member ID number; however, Empire will only use and show the first 9 digits. Please be aware of this when switching between EmblemHealth and Empire systems.
HealthCare Partners: The member is assigned to an HCP primary care physician. The managing entity is responsible for utilization management for assigned members.
Montefiore Medical Center: The member is assigned to a Montefiore primary care physician. The managing entity is responsible for utilization management for assigned members.
SOMOS: The member is assigned to a SOMOS primary care physician. The managing entity is responsible for most utilization management for assigned members. SOMOS members, however, participate in EmblemHealth’s special utilization management programs.
Bridge Network: Members who have the Bridge Network on their member ID cards belong to self-funded employer groups for which EmblemHealth and ConnectiCare are providing administrative services and access to our commercial networks. For information on the Bridge Network, click here. To see the quick reference guide which includes an image of a Bridge Network Member ID card, click here.
ConnectiCare: Some members who access care through the Prime Network may also access care through ConnectiCare in Connecticut. Similarly, some ConnectiCare members may access care through EmblemHealth’s Prime Network. See the Provider Networks and Member Benefit Plan chapter for applicable plans.
First Health Network: MultiPlan is being replaced by First Health Network for both EmblemHealth and ConnectiCare. This will be a rolling transition as member plans renew starting Jan. 1, 2020. Member ID cards will be redistributed with the First Health logo.
PHCS/MultiPlan: Members in the National Network have access to PHCS/MultiPlan outside of New York.
QualCare: Certain members in the Prime Network have access to QualCare’s network in New Jersey. Likewise, HMO members have access to the QualCare HMO network; other plans have access to QualCare PPO network. See the Provider Networks and Member Benefit Plan chapter for applicable plans.