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 |