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Member
Help and Support

Make the Most of Your Plan

From important information to useful tools, find everything you need to stay informed and take advantage of your coverage benefits.

Preauthorization Check

You can use this tool to see if a specific service requires a preauthorization.

Consumer Protections

Learn about certain protections as well as what to do if you feel you have received a surprise bill.

Grievances and Appeals

Find out how to file grievances and appeals, request coverage decisions and determinations, and more.

Member Rights and Responsibilites

Members have a right to know what to expect and also what we expect from them.

Understanding Your Health Plan Payment Summary

When you get care or send us a claim, we send you a Health Plan Payment Summary, sometimes called an Explanation of Benefits (EOB).

Skilled Nursing Facility Quality Guide

Your guide to choosing the right facility.

Help and Support

We’re here to answer any questions you may have.

Pay Bill

Make a one-time payment or sign in to set up autopay.

Pay Now

In-Person Support

Visit an EmblemHealth Neighborhood Care location near you for help.

Find a Location

Care Management

Get the resources you need to better manage a complex health condition.

Get in Touch

FAQs

Find answers to frequently asked questions.

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GET IN TOUCH

We’re here to help!

Call us at 800-447-8255 (TTY: 711) from 8 a.m. to 6 p.m., Monday through Friday.