Networks and Benefits
The table below shows how our provider networks and member benefit plans relate to our underwriting companies. You can print out this page as a reference tool for the staff who schedules appointments for you. Check the boxes to show them which networks your contract covers. Please customize for each practice location.
Dr.________________________________ at _________________________________________________ can accept patients who have these networks:
Company
|
Provider Network
|
Member Benefit Plan
|
|---|
GHI
|
Commercial:
CBP, National & Tristate Networks
|
EmblemHealth EPO/PPO
|
Network Access Network
|
Network Access Plan
|
Medicare:
Medicare Choice PPO Network
|
ArchCare Advantage HMO SNP
GuildNet Gold HMO SNP
|
HIP/HIPIC
|
Commercial:
Metro NY Network (Retired August 1, 2018)
|
Until August 1 2018:
EmblemHealth CompreHealth EPO
|
Commercial:
Premium & Vytra Premium Network (Until December 31. 2017)
|
Until December 31 2017:
Access I/II
Prime HMO/POS/PPO/EPO
Select PPO/EPO
Vytra ASO
|
Commercial:
Select Care Network
|
Until December 31, 2017:
All Select Care-Based Plans, including EmblemHealth Healthy NY
|
As of January 1, 2018:
On Exchange:
EmblemHealth Silver Value
EmblemHealth Bronze Value
Off Exchange:
EmblemHealth Silver Value D
EmblemHealth Bronze Value D
|
Prime Network
|
Until December 31, 2017:
Access I/II
Prime HMO/POS/PPO/EPO
Select PPO/EPO
Child Health Plus
GHI HMO Plans
ConnectiCare
Exclusive Provider Organization Value Plan (EPO)
EmblemHealth HMO Plus
EmblemHealth HMO Preferred Plus
EmblemHealth EPO Value
Vytra
|
As of January 1, 2018:
Access I/II
Prime HMO/POS/PPO
EmblemHealth HMO Plus
EmblemHealth HMO Preferred Plus
EmblemHealth EPO Value
Select PPO
Child Health Plus
GHI HMO Plans
ConnectiCare
Exclusive Provider Organization (EPO)
EmblemHealth Platinum/Gold/Silver/Bronze/Basic/
EmblemHealth Platinum D/ Gold D/ Silver D/
Bronze D/Basic D
EmblemHealth Platinum 15/35
EmblemHealth Gold 40/60
EmblemHealth Healthy NY Gold
EmblemHealth Silver Value S
EmblemHealth Bronze Value S
EmblemHealth Gold Open Access
EmblemHealth Bronze H.S.A.
Vtyra
|
Medicaid/Commercial:
Enhanced Care Prime Network
|
EmblemHealth Enhanced Care (Medicaid)
EmblemHealth Enhanced Care Plus (HARP)
Essential Plan (BHP)
|
Medicare:
Medicare Essential Network
|
EmblemHealth VIP Essential (HMO)
EmblemHealth VIP Value (HMO)
|
VIP Prime Network
|
Until December 31, 2017:
EmblemHealth Part A Payers (HMO)
EmblemHealth VIP Dual (HMO SNP)
EmblemHealth VIP Gold (HMO)
EmblemHealth VIP Gold Plus (HMO)
EmblemHealth VIP Premier (HMO)
EmblemHealth VIP Rx Carve-Out (HMO)
EmblemHealth VIP Dual Group (HMO SNP)
Medicare Cost Plan
|
As of January 1, 2018:
EmblemHealth VIP Dual (HMO SNP)
EmblemHealth VIP Gold (HMO)
EmblemHealth VIP Gold Plus (HMO)
EmblemHealth VIP Premier (HMO)
EmblemHealth VIP Rx Carve-Out (HMO)
EmblemHealth VIP Dual Group(HMO SNP)
Medicare Cost Plan
|
FIDA:
Associated Dual Assurance Network
|
GuildNet Gold Plus FIDA Plan
|
CCI
|
Commercial/ Medicare:
ConnectiCare Network
|
HMO, POS & PPO
Medicare Advantage
|
