Medicare Blog

how can i look at the directory providers doctors from emblemhealth’s medicare broker

by Marianna Padberg Published 1 year ago Updated 1 year ago

Search EmblemHealth's general directory of doctors, hospitals and facilities. Sign in Sign to find a doctor in your personal network and to view/email/fax your ID card.

Full Answer

How does EmblemHealth verify an appointment with a provider?

If the member is communicating through EmblemHealth's TTY/TDD services by calling 711, the relay agent can contact the Interview Unit with the provider while the member is "holding" to verify the appointment. The Interview Unit will contact the member to confirm the interpreter arrangements.

Can I use EmblemHealth If I have Medicare or Medicaid?

(Note: EmblemHealth members with Medicaid and Medicare must use providers who participate in the New York Medicaid Program) You are now leaving the Medicare section of the website.

How do I contact parties within EmblemHealth?

This chapter contains contact information for parties within EmblemHealth, our delegated relationships and other external resources. Customer Service is available seven days a week (excluding major holidays), 8 am to 8 pm. Teletypewriter (TTY/TDD) services can be reached by calling 711. For Preauthorization Contacts, please go here.

How can EmblemHealth help me when I need help?

When you're feeling sick or unwell, there's nothing more important than finding the right care to get you feeling better. EmblemHealth's insurance plans offer a variety of ways for our members to get help. We've designed this tool to help you find the most apropriate, and cost-effective way to get help when you need it most.

How do I find out what providers are on my network?

Call your insurance company. You can also call your insurance company to verify in-network providers. Before you call, make sure you have your policy number and plan information. This call will help your insurance company verify approved in-network providers.

Who is the carrier for EmblemHealth?

EmblemHealth's Bridge Program Is Growing! The Bridge Program gives members access to a combination of our existing EmblemHealth Insurance Company's Prime Network, EmblemHealth Plan, Inc.'s National Network, ConnectiCare, Inc.'s Choice Network, as well as QualCare's and FirstHealth's networks.

Is GHI the same as EmblemHealth?

Two companies from those early days of health insurance, Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), would later merge and become EmblemHealth. And after 80 years, our mission is still the same: to create healthier futures for our customers and communities.

How do I find my EmblemHealth provider number?

ProvidersContact Customer Service by Phone. EmblemHealth: 866-447-9717. EmblemHealth Plan, Inc. ( formerly GHI) 212-501-4444 in New York City. ... 866-557-7300. Medicare HMO.866-447-9717. EmblemHealth Plan, Inc. ( formerly GHI) HMO.877-244-4466. HIP. 866-447-9717. Dental. 212-501-4444 in New York City.

Is EmblemHealth Medicare?

At EmblemHealth, we offer a variety of plans to fit different needs and budgets. Learn how our 2022 Medicare Advantage Prescription Drug plans can give you the benefits you want, at a price you can afford. And when you're ready to enroll, we'll make it easy. We are here to help you every step of the way.

Is hip the same as EmblemHealth?

EmblemHealth is proud to partner with the City of New York in offering you one of the most innovative health benefit programs in the country. As a member of the reimagined HIP HMO Preferred Plan, you have many exciting resources to help you navigate the health care system and reward you for your healthy habits.

Does GHI pick up Medicare deductible?

If you are a retiree with Medicare Parts A and B, you can enroll in our GHI Senior Care program. This plan supplements your Medicare benefits. You will have a deductible to pay before your plan starts to pay.

Is EmblemHealth HIP or GHI?

As a reminder, we had announced late last year that we were retiring the Group Health Incorporated (GHI) and HIP Insurance Company of New York (HIPIC) names and replacing them with names that reflect our EmblemHealth identity. This has been done and is in effect.

Whats better a PPO or HMO?

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.

Is EmblemHealth a good company?

Great company to work for. Compensation is not competitive but benefits are amazing. Workload is fair and not challenging. Management is constantly changing.

How do I get a registration code for EmblemHealth?

Let us look at the steps in detail to create a new account.The Administrator/Office Manager should have received an email with a Registration Code prior to starting this process. ... The Account Lookup page will display.The Email Address Verification page will display.A Verification code will be sent to your email.More items...

What is Medicare Part C called?

A Medicare Advantage is another way to get your Medicare Part A and Part B coverage. Medicare Advantage Plans, sometimes called "Part C" or "MA Plans," are offered by Medicare-approved private companies that must follow rules set by Medicare.

Medicare Provider, Pharmacy and Dental Directories

Over the years, we've worked hard to provide people like you with the choices they need to receive excellent care. You can download our Provider Directory below.

additional medicare resources

See how we set ourselves apart from the competition with our network of doctors, Connect Concierge Service, 24 Hour Nurse Hotline, Care Management program, and Neighborhood Care.

Find the Right Plan

At EmblemHealth, we know choice matters. Our Medicare Advantage plans are designed to provide you with personalized health care at prices you can afford.

Why do you go to the doctor?

Go to your doctor for preventive care, to stay on top of your chronic conditions, or for an appointment if you feel sick. It’s generally the most cost-effective option. Having a doctor is important. Your doctor knows your medical history and can help treat illnesses or conditions before they become serious. Your doctor can also coordinate care ...

What to do if you have a life threatening emergency?

Go to the ER immediately or call 911 if you are in a life-threatening situation. It may cost you more than Urgent Care or a doctor’s office visit to go to the ER. Check your plan benefits so you are informed.

Can you see a nurse practitioner at your doctor's office?

At your doctor’s office, you can also see a nurse practitioner or physician assistant. You may be able to see one right away if your doctor isn’t available. Find a Doctor.

Doctor Search

Search EmblemHealth's general directory of doctors, hospitals and facilities.

Sign in

Sign to find a doctor in your personal network and to view/email/fax your ID card.

What is emblem behavioral health?

Emblem Behavioral Health Services Program. The Emblem Behavioral Health Services Program includes mental health and substance abuse services. Continue on to search for a clinician, agency or facility. You can also call 888-447-2526 for help finding the right mental health or substance abuse practitioner.

What is the phone number for Montefiore?

Note for non-Medicare members: if your ID card has a Montefiore logo in the lower left corner, please call 800-401-4822 for help finding a mental health or substance abuse specailist.

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