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.. The first section of card images shows the standard templates used for most members. The second section of card images shows the templates used for our City of New York members.
Key to Logos Used on Cards
Member ID cards may have logos for managing entities or extended networks that affect utilization management, claims submission, ER admission/newborn notification, member access to specific networks, and more. A key to these networks and entities appears below the Member ID diagrams.
SECTION 1:Standard Templates
This first two examples are the ID card templates used for most 2021 EmblemHealth plans and 2022 EmblemHealth plans. These are the most common designs you will see.
The third example is the ID card template used for Child Health Plus members. Child Health Plus members access the Prime Network.
Variations of the standard templates are used for the Bridge Program. See our Bridge Program page for sample ID cards and instructions on how to use them to identify program members and the administrative processes they follow.
Section 2: 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. Both companies use the same member ID number; however, Empire adds the prefix NYC and only uses the first 9 digits of the EmblemHealth ID #, example: NYC K10000000. Please be aware of this when switching between EmblemHealth and Empire systems.
Managing Entities
HealthCare Partners: The member is assigned to an HCP primary care physician. The managing entity is responsible for utilization management, claims processing, and ER admission/newborn notifications for assigned members. Members are exempt from many of our special utilization management programs. See program descriptions to determine if HPC’s members are excluded.
Montefiore Medical Center: The member is assigned to a Montefiore primary care physician. The managing entity is responsible for utilization management, claims processing, and ER admission/newborn notifications for assigned members. Members are exempt from many of our special utilization management programs. See program descriptions to determine if Montefiore’s members are excluded.
SOMOS: The member is assigned to a SOMOS primary care physician. The managing entity is responsible for most utilization management, claims processing, and ER admission/newborn notifications for assigned members. SOMOS members, however, participate in EmblemHealth’s special utilization management programs.
Extended Networks
Bridge Program: Members who have the Bridge Program on their member ID cards belong to fully insured large groups and self-funded employer groups for which EmblemHealth and ConnectiCare are providing administrative services and access to five of our commercial networks (EmblemHealth Insurance Company’s (formerly HIPIC) Prime Network, EmblemHealth Plan Inc.’s (formerly GHI) National Network, ConnectiCare, Inc.’s Choice Network, QualCare Network, and First Health Network).
See our Bridge Program page for sample ID cards and instructions on how to use them.
ConnectiCare: Some members who access care through the EmblemHealth 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 plan.
First Health Network: A nationwide network for members to receive in-network coverage outside of the tristate area.
PHCS/MultiPlan: Members with access to EmblemHealth Plan, Inc.’s National Network have access to PHCS/MultiPlan outside of New York.
QualCare: Certain members with access to the Prime Network also have access to QualCare’s network in New Jersey. See the Provider Networks and Member Benefit Plan chapter for applicable plans.
