Sign In

Sign In

Portal Training Materials

Provider Newsletter

Join Our Network

Search

Popular Tasks

Contact Us

Health Insurance Plan of Greater New York (HIP)

Provider Network Member Benefit Plan
Commercial:
  • NEW Millennium Network
 Large Group – with Tristate Access
  • HIP Prime HMO
  • EmblemHealth HMO Plus
  • EmblemHealth EPO Value*
  • EmblemHealth EPO Value HDHP*
  • Individual Direct Pay – On Exchange
  • EmblemHealth Silver Bold
  • EmblemHealth Silver Bold CSR 1
  • EmblemHealth Silver Bold CSR 2
  • EmblemHealth Silver Bold CSR 3
Small Group
  • EmblemHealth Platinum Premier-M
  • EmblemHealth Platinum Value-M
  • EmblemHealth Gold Premier-M
  • EmblemHealth Platinum Value-S
  • EmblemHealth Silver Premier-M
  • EmblemHealth Silver Value-M
  • EmblemHealth Bronze Premier-M
  • EmblemHealth Bronze Value-M
*No PCP or referrals required
Commercial:
  • Select Care Network
 New: Large Group - with Tristate Access
  • HIP Prime HMO
  • EmblemHealth HMO Plus
  • EmblemHealth EPO Value*
  • EmblemHealth EPO Value HDHP*
Individual On/Off Exchange:
  • EmblemHealth Platinum
  • EmblemHealth Gold
  • EmblemHealth Gold Value
  • EmblemHealth Silver
  • EmblemHealth Silver CSR 1
  • EmblemHealth Silver CSR 2
  • EmblemHealth Silver CSR 3
  • EmblemHealth Silver Value
  • EmblemHealth Silver Value CSR 1
  • EmblemHealth Silver Value CSR 2
  • EmblemHealth Silver Value CSR 3
  • EmblemHealth Bronze
  • EmblemHealth Catastrophic
Small Group:
  • EmblemHealth Platinum Premier-S**
  • EmblemHealth Platinum Value-S**
  • EmblemHealth Gold Premier-S**
  • EmblemHealth Gold Value-S**
  • EmblemHealth Silver Premier-S**
  • EmblemHealth Silver Value-S**
  • EmblemHealth Bronze Premier-S**
  • EmblemHealth Bronze Value-S**
*No PCP or referrals required.
**No referrals required.
Commercial:
  • Prime Network
  • Prime Network – NYC, LI & Westchester
  • Child Health Plus
Large Group – with Tristate Access
  • HIP Prime HMO
  • HIP HMO Preferred (City of NY)
  • EmblemHealth HMO Plus
  • EmblemHealth HMO Preferred Plus
  • HIP Prime POS
  • HIPaccess I **
  • HIPaccess II **
  • EmblemHealth EPO Value*
  • EmblemHealth EPO Value HDHP*
  • GHI HMO
  • Vytra HMO
Large Group
  • HIP Prime PPO*
  • HIP Select PPO*
Small Group - with Tristate Access
  • EmblemHealth Platinum POS**
  • EmblemHealth Platinum Premier P**
  • EmblemHealth Platinum Value-P**
  • EmblemHealth Gold POS**
  • EmblemHealth Gold Premier-P**
  • EmblemHealth Gold Value-P**
  • EmblemHealth Silver Premier-P**
  • EmblemHealth Silver Value-P**
  • EmblemHealth Silver Plus H.S.A.**
  • EmblemHealth Bronze Premier-P**
  • EmblemHealth Bronze Value-P**
  • EmblemHealth Bronze Plus H.S.A.**
*No PCP or referrals required.
**No referrals required.
Medicaid/Commercial:
  • Enhanced Care Prime Network
  • EmblemHealth Enhanced Care (Medicaid)
  • EmblemHealth Enhanced Care Plus (HARP)
  • Essential Plan (BHP)
Medicaid/Commercial:
  • VIP Prime Network
  • EmblemHealth VIP Dual (HMO D-SNP)
  • EmblemHealth VIP Gold (HMO) #
  • EmblemHealth VIP Gold Plus (HMO) #
  • EmblemHealth VIP Premier (HMO) Group #
  • EmblemHealth VIP Rx CarveOut (HMO) Group #
  • EmblemHealth VIP Rx Saver (HMO) #
  • EmblemHealth VIP Part B Saver (HMO) #
  • EmblemHealth VIP Go (HMO-POS) #**
  • EmblemHealth VIP Essential (HMO) #
  • EmblemHealth VIP Value (HMO) #
  • EmblemHealth VIP Passport (HMO) #**
  • EmblemHealth VIP Passport NYC (HMO) #**
  • EmblemHealth VIP Dual Select (HMO D-SNP)**
  • EmblemHealth VIP Solutions (HMO D-SNP)**
  • #May access CCI Choice network for most services. Carved-out services, (e.g., dental, vision, behavioral health, physical and occupational therapies, etc.) must be provided by EmblemHealth’s partners who serve the VIP Prime Network, not those contracted for the CCI Choice Network. **No referrals required.
**No referrals required.