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Reimbursement Policies

10/15/2025

Starting Jan. 1, 2026, EmblemHealth and ConnectiCare are introducing Nutritional Counseling Services Reimbursement Policies. Refer to the website applicable to the member’s plan (EmblemHealth | ConnectiCare) to see the relevant policy.

The following reimbursement policies have been updated for both EmblemHealth and ConnectiCare. Refer to the website applicable to the member’s plan (EmblemHealth | ConnectiCare) and see the revision histories for effective dates and applicable changes.

EmblemHealth

  • EmblemHealth DME Rental vs. Purchase Reimbursement Policy
  • EmblemHealth Free Flap Breast Reconstruction
  • EmblemHealth Procedure/Surgery Performed in Physician’s Office (Facility & Equipment) formerly known as Modifier SU – Procedure Performed in Physician’s Office (Commercial)
  • EmblemHealth Preventive Care Services (Commercial and Medicaid) Reimbursement Policy
  • EmblemHealth Preventive Care Services (Medicare) Reimbursement Policy

ConnectiCare

  • ConnectiCare DME Rental vs. Purchase Reimbursement Policy
  • ConnectiCare Free Flap Breast Reconstruction
  • ConnectiCare Procedure/Surgery Performed in Physician’s Office (Facility & Equipment) formerly known as Modifier SU – Procedure Performed in Physician’s Office (Commercial)
  • ConnectiCare Preventive Care Services (Commercial) Reimbursement Policy
  • ConnectiCare Preventive Care Services (Medicare) Reimbursement Policy

JP 70392 10/2025

Provider Update