As we start another new year, we want to continue to support our providers in caring for our members to help deliver the best health outcomes possible. Understanding our plans is critical to that effort.
Please review the following key resources we’ve prepared to make it simpler for you and your patients to navigate our plans.
Our annual provider notice has everything you need to work with us this year, including guidance on caring for our City members under the New York City Employees PPO (NYCE PPO) plan. Other helpful resources and reminders include:
- Pharmacy
- New Pharmacy Benefit Manager: Prime Therapeutics.
- Pharmacy Medical Preauthorization List.
- Prime Therapeutics information shared with City of New York members (including Senior Care and NYCE PPO)
- Recording of Prime Therapeutics Webinar
- EmblemHealth Medicare Advantage Plans.
- EmblemHealth Commercial Networks and Benefits Plans.
- 2026 Benefit Plans With No Referrals Required.
- Importance of Using Participating Labs.
- Preauthorization List - See Notable Changes.
We look forward to working with you this year as you deliver care to our members.