Skip to main content

The Bridge Program
Switch to ...

Contact Us

Sign In

Sign In

Portal Training Materials

Provider Newsletter

Join Our Network

Contact Us

Member Site
Broker Site
Employer Site

Search

Search

test

Popular Tasks

$0 Premium Essential Plan
Help Renewing Your Plan
Find Medicare information
Individual & Family Plans
Medicare Advantage Plans
In-Person Health Plan Support
Contact Sales

Contact us

Neighborhood Care

Cambria Heights
Harlem
Chinatown
East New York
See All Locations

Provider Resources
- Key Resources/Provider Toolkit
Provider Resources

Key Resources/Provider Toolkit Request Provider Portal Account Summary of Lines of Business, Networks, and Plans Frequently Asked Questions Welcome materials, guides, and forms News and Updates Newsletters CAHPS Tips

Connect Members to Care Access & Availability Standards Plans with No Referrals Network Laboratories Urgent Care Center Locations Mental Health (Carelon) Find Care, search all in-network providers/facilities

Learning Online/Required Trainings Find videos and guides Join Our Network Credentialing Information

The Bridge Program

Learn how the Bridge Program applies to NYCE PPO, Large Group, and ASO plan members in 2026.
Learn More
Clinical Corner
- UM and Medical Management
- Care Management Programs
Clinical Corner

UM and Medical Management Preauthorization Lists Preauthorization Contacts Care Management Programs Help for patients with chronic or complex conditions

Vendor-Managed Utilization Management Programs Behavioral Health Services Durable Medical Equipment Pharmacy Services and Specialty Pharmacy Oncology Management Radiology-Related Programs and Privileging Rules for Non-Radiologists Spine and Pain Management

Quality Improvement Programs and Resources Clinical Practice Guidelines Medical Policies Guidelines we follow Pharmacy Pharmacy Initiatives

Quality Improvement

Find our Quality Improvement programs and resources here.
Search Our Quality Improvement Page
Claims Corner
- Claims Resources
Claims Corner

Claims Resources Fee Schedule Updates Hospital Readmission Policy Electronic Claims Policy In-Office Testing List

Submissions Claims Contacts EmblemHealth Guide for Electronic Claims Submissions Timely Submissions Claims Submissions

Reimbursement Policies Consolidated Appropriations Act/No Surprise Billing Information Payment processes unique to our health plans Payment Integrity Policies How we pursue payment accuracy

Coding EmblemHealth Guide for NPIs and Taxonomy Codes
Provider Manual
Provider Manual

Overview Directory Credentialing Member Identification Cards Member Policies and Rights Provider Networks and Member Benefit Plans

Access to Care and Delivery System Health Promotion and Care Management Pharmacy Services EmblemHealth Spine Surgery and Pain Management Therapies Program Durable Medical Equipment Home Health Care

SNF IRF LTAC Medical Transportation Procedures Utilization and Care Management Clinical Practice Guidelines Radiology Program Outpatient Diagnostic Imaging Privileging View All

Provider Manual

Find the specific content you are looking for from our extensive Provider Manual.
Search the Provider Manual
Dental Corner
- Resources for Dental Providers
Dental Corner

Resources for Dental Providers Benefits to Participation in Dental Network Join Our Dental Networks

Welcome Dental Providers Find a Dentist

Dentists Contact Us Update Your Practice Records
Sign In

2025 Medicare Advantage Changes

01/14/2025

Home
Home
News and Updates
2025 Medicare Advantage Changes

To see which Medicare benefit plans we offer in 2025, see our updated Medicare Advantage pages:  

EmblemHealth Medicare Advantage Plans. 
ConnectiCare Medicare Advantage Plans.

JP 68152 01/2025

Provider Update

Also of Interest:

HIP HMO Preferred Gold Plan | Explore Medicare Advantage Plans | EmblemHealth VIP Dual Reserve (HMO D-SNP)

Provider Portal
Sign In
Training Material
New Account Request Form
Portal FAQs

Quick Links
Join Our Network
Office Visit Newsletter
Learning and Required Trainings
Provider Toolkit
Member ID Cards
Member Materials
Careers

Family of Companies
Neighborhood Care
AdvantageCare Physicians

Support
Contact Us
FAQs
Language Assistance

Legal |
Legal Information |
Nondiscrimination Policy |
Accessibility Statement |
Privacy & Security Policy |
Stop Fraud |
Required Provisions

EmblemHealth. All Rights Reserved.

Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office. Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.

Provider Portal

Enter your ZIP code:

Continue