Hub for resources to help you care for our Commercial members.

 

New Gold Plan for Individuals and Families

EmblemHealth will be offering a new Gold Premier plan to individuals and families. This plan will be offered by Health Insurance Plan of Greater New York (HIP). Members will have access to the Select Care Network. This plan will not require referrals.

 

Small Group Plans Moving to Bridge Program Access

In 2022, we will be expanding members’ network access from only the Prime Network to the Bridge Program where they will have access to five networks: Prime, National, ConnectiCare Choice, QualCare, and First Health. The following plans will be moving to the Bridge Program:

  • Platinum PPO-N
  • Gold PPO-N
  • Gold Virtual EPO-N

See the Bridge Program web page for instructions on recognizing members, managing their care, and submitting claims.

Starting in 2022, the following large group plans will no longer be offered by EmblemHealth Insurance Company (formerly HIP Insurance Company of New York (HIPIC)) with the Prime Network. There will be no members with these plans:

  • HIP Prime PPO
  • HIP Select PPO

Member ID cards for 2022 have been redesigned. Plans that need a referral will have a primary care doctor (PCP) shown on the front of the card. Plans without referrals will no longer have a PCP name on the ID cards. Providers and members can confirm PCP names through our Provider and Member portals, respectively. Members can select a PCP whether their plan requires it or not, and this ID card design change does not affect the member’s PCP selection. There will be no changes made to a member’s assigned PCP.

 
 

Please refer to the Sample ID Cards section of the EmblemHealth Provider Manual to see representative ID cards for all our members.

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