Can’t Create Emblem Health Account?

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.

Is EmblemHealth a good company?

EmblemHealth earned a solid 3.5 out of 5-star rating

in our annual review of Best Health Insurance Companies. They got 3.5 ratings across the board in claims, price and customer service and website & apps.

What is my EmblemHealth provider number?

How do I submit a claim to EmblemHealth?

Submitting claims online

Our Electronic Payer ID is 13551. To submit claim attachments, such as X-rays, we recommend using FastAttach, a system of National Electronic Attachment (NEA). To set up your FastAttach account, contact NEA at 1-800-782-5150, ext. 2 or by e-mail.

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.

Is EmblemHealth Only in NY?

Does EmblemHealth cover pregnancy?

Yes. Preventive care, prenatal care, telemedicine, acupuncture and generic drugs are covered before you meet your deductible

. This plan covers some items and services even if you haven't yet met the deductible amount.

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 the same as GHI?

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

.

Where do I send my EmblemHealth claims?

• Medical, Member submitted claims: P.O. Box 3000, NY, NY 10116-3000.
• Medical, Provider submitted claims: P.O. Box 2832, NY, NY 10116-2832.
• Hospital Claims: P.O. Box 2833, NY, NY 10116-2833.
• Dental Claims: P.O. Box 2838, NY, NY 10116-2838.

How do you disenroll from EmblemHealth?

1. If you wish to leave the plan during the Medicare Advantage Disenrollment or Special Election Periods, please send your request in writing, signed and dated to us, or.
2. You can call 800-MEDICARE (800-633-4227). If you use a TTY, please call 877-486-2048.

What is GHI timely filing?

Timely Submission

Claims must be received

within 120 days post-date-of-service

unless otherwise specified by the applicable participation agreement.

Does GHI accept secondary claims electronically?

EmblemHealth accepts electronically submitted claims for payment as a secondary insurance carrier, except for commercial coordination of benefits claims

.

How do I submit a corrected claim to GHI?

If you have submitted a claim for a GHI, GHI HMO or EmblemHealth EPO/PPO plan member that was denied and you would like to make changes to the claim for an additional review, please send the additional or corrected claim information by

logging on to www.emblemhealth.com and click on “Claims” in the left navigation bar

.

How do I apply for Medicare Part C?

1. Use Medicare's Plan Finder.
2. Visit the plan's website to see if you can join online.
3. Fill out a paper enrollment form. …
4. Call the plan you want to join. …
5. Call us at 1-800-MEDICARE (1-800-633-4227).

Does EmblemHealth have 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 an HMO?

With the

EmblemHealth Medicare Advantage HMO plan

, you get comprehensive coverage, just like with the HIP Prime

^®

HMO plan — but with an additional enhanced pharmacy benefit. And, you save with lower copays while your premium contribution stays the same.

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

.

Is EmblemHealth part of ConnectiCare?

EmblemHealth's family of companies includes ConnectiCare

, one of Connecticut's leading health plans, and WellSpark, a digital wellness company.

Is EmblemHealth accepted in New Jersey?

EmblemHealth has expanded our Prime Network for small groups (1 – 100 employees) and large groups (101 or more employees) to include both the QualCare network in New Jersey

and ConnectiCare's network in Connecticut.

What breast pumps are covered by EmblemHealth?

Manual and electric breast pumps (E0602 and E0603)

are available with a prescription to our members* through EmblemHealth participating durable medical equipment (DME) vendors. No prior approval needed. E0602 and E0603 pumps are individual-use items to be kept by the member.

Is prenatal care covered before deductible?

The Affordable Care Act requires all qualified health insurance plans to cover routine prenatal care with no cost sharing. That means no copays or coinsurance, and

the visits are fully covered even if you have a deductible you haven't yet reached

.