Medicare Blog

how to access emblemhealth’s medicare broker

by Juston Fay Published 3 years ago Updated 2 years ago
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Commercial Brokers: C all the Commercial Broker Services team at 866-614-6040, Monday – Friday from 9 am to 6 pm, send the request to: [email protected] or contact your account administrator or principal.

Full Answer

Is GHI and EmblemHealth the same?

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.

What network does EmblemHealth use?

CompreHealth, CompreHealth EPO The NY Metro Network offers members access to leading physicians and other medical practitioners across New York City and Nassau, Suffolk and southern Westchester counties.

What is my EmblemHealth provider number?

EmblemHealth Contact InformationCompanyProvider NetworkCustomer Service (Members)HIP/ HIPICState Sponsored Programs:855-283-2146Enhanced Care Prime Network(Including Child Health Plus)Medicare:877-344-736410 more rows

Does EmblemHealth have a PPO plan?

EmblemHealth PPO Value is a great cost-saving insurance option in the large group marketplace. It uses experience rating to offer competitive benefits and rates, set plan designs, In- and out-of-network benefits, and access to providers across the country.

Is EmblemHealth only in NY?

EmblemHealth was created in 2006 through the merger of Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP). GHI and HIP had been operating as separate companies in the New York region since 1937 and 1947, respectively....EmblemHealth.TypeNonprofitWebsitewww.emblemhealth.com4 more rows

Is EmblemHealth a PPO or HMO?

You're a member of the EmblemHealth PPO plan that uses the National network. This means you can choose from outstanding doctors whether they are in network or out of network — all without needing referrals for specialist care.

Is EmblemHealth Medicare?

Find the Right Plan We want you to feel comfortable and secure with your Medicare decisions; that's why EmblemHealth offers many low-cost Medicare Part C and Part D plans some even at $0 with a wide range of benefits to meet your needs.Oct 1, 2021

How do I call Medicare?

(800) 633-4227Centers for Medicare & Medicaid Services / Customer service

What is the payer ID for EmblemHealth?

13551Submitting claims online Our Electronic Payer ID is 13551.

Which is better high deductible or PPO?

HDHPs are typically better suited for people who make infrequent trips to the doctor, while PPOs are ideal for those who make regular visits to the doctor.Nov 22, 2021

What type of plan is EmblemHealth?

Our Essential Plan provides network-only coverage through EmblemHealth's Enhanced Care Prime network. Our Essential Plan is an HMO plan, which means you must: Seek non-emergency care from doctors, hospitals and facilities in the Enhanced Care Prime network only, in order for your care to be covered.

Is Fidelis better than EmblemHealth?

EmblemHealth's brand is ranked #- in the list of Global Top 1000 Brands, as rated by customers of EmblemHealth. Fidelis Care's brand is ranked #- in the list of Global Top 1000 Brands, as rated by customers of Fidelis Care.

Our Plans

EmblemHealth has a range of high-quality and affordable programs to keep your clients healthy and their businesses thriving. We offer plans for families, Medicare-eligible individuals, groups and more. Plus, we work directly with you to help drive down costs and improve health outcomes.

Sales Leadership

From signing up to making sales, we’ll connect you with the people, tools, and resources you need to succeed.

Easy access to the information you need

Help your clients get the most value from their plan with EmblemHealth’s easy-to-use tools and resources.

Live well

We know good health is worth holding on to. That’s why we offer a range of resources and programs to help your clients stay fit, take charge of their health, and enhance their quality of life.

Sales Materials

Share the value of EmblemHealth’s plans and services with your clients. To request a complimentary stock of professionally printed versions of any of these pieces for your office, please contact your EmblemHealth representative.

Help & Support

Learn how to access the broker portal to view and save quotes, manage your clients, view your commissions and more.

Electronic Funds Transfer

In order to ensure expedited commission payments, we encourage you to enroll in our Electronic Funds Transfer (EFT) program. It’s as easy as completing the following few step:

Field Marketing Organizations Partnerships

EmblemHealth currently contracts with Field Marketing Organizations (FMO), General Agents (GA) and independent brokers for the sales and marketing of our Medicare Advantage Plans. All agents/brokers must meet eligibility requirements for sales and marketing partnerships.

Get Access

View and manage your members, commissions and more through Evolve's agent portal.

How to contact Medicare broker?

Medicare Brokers: Call our Medicare Broker Support team at 877-224-7994, Monday – Friday from 8 am to 5 pm, or send the request to: [email protected]. Once your request is approved, you will receive an email with instructions on how to setup your account.

What is the phone number for Medicare Brokers?

Medicare Brokers: call the Medicare Broker Support team at 877-224-7994, Monday – Friday from 8 am to 5 pm.

What is the number to call for a commercial broker?

Commercial Broker Services: call 866-614-6040, or your account administrator or principal. Medicare brokers: call the Medicare Broker Support team at 877-224-7994.

What happens if you get a new username?

If you need a new username for security reasons, you can request to have your current account terminated and have a new one created. Once your account has been terminated, you will lose all history associated with that account.

Can you manage your Medicare group?

You can manage your groups, subgroups, subscribers, and their dependents’ personal information. You can also add new members, update coverage details, request ID cards, and more. Selecting Medicare will take you to the Evolve portal where you can manage your Medicare clients.

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Training/Testing Requirement

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Brokers seeking appointment must be certified through AHIP Medicare Regulation training and complete and pass the EmblemHealth Product and Fraud/Waste and Abuse training/testing based on CMS regulations. EmblemHealth will conduct online product training/testing every year. You will receive your broker number to …
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Electronic Funds Transfer

  • In order to ensure expedited commission payments, we encourage you to enroll in our Electronic Funds Transfer (EFT) program. It’s as easy as completing the following few step: 1. Complete the attached form EFT Enrollment here 2. Provide a copy of a complete IRS W9 form 3. Provide a copy of a voided check All of the above documents should be send to [email protected]
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Ready to Get Started ?

  • To find out more information on becoming a Medicare Broker, please contact one of our Medicare broker Mangers: Edward Casas- 347-213-8107 Broker Sales Director [email protected] Patti Greco-Cavallaro – 347-541-1943 Regional Medicare Sales Broker Manager [email protected] Sandra Toronto – 646-799-1153 Medic
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Can I Change My Username, Personal Information, Or Password?

  • To change your personal information, click your name in the top right corner and select ‘My Profile’. Once you’re on the profile page, click the ‘Edit’ button on the right to make changes, then click ‘Save’. Your username is unique and cannot be changed. If you need a new username for security reasons, you can request to have your current account terminated and have a new one c…
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How Do I Set Up Roles and Permissions?

  • If you are the principal or administrator for your agency, go to the ‘Related’ tab under ‘My Agency’. Scroll down to the ‘Community Members’ section, click the down arrow next to the user you want to manage, then select ‘Manage Permissions’. Select the permissions you wish to assign to the user, then click the right arrow to move them to the ‘Selec...
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What Are The Broker Portal Roles and Associated Permissions?

  • As a principal or administrator, you control the level of access given to different users on your account. You define who can manage your book of business, see commissions, submit applications, and more. Sign in to your account and go to ‘My Agency’ to see the complete list of roles and permissions you can assign to your users.
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