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ConnectiCare commercial providers who are in network for certain EmblemHealth plans

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ConnectiCare commercial providers who are in network for certain EmblemHealth plans

09/26/2019

Providers for our commercial plans can also treat certain EmblemHealth members. In 2017, EmblemHealth, our parent company in New York, expanded one of its networks to include ConnectiCare’s commercial HMO provider network in Connecticut.

Here are the EmblemHealth plans whose members can access the ConnectiCare HMO network:

Network	EH HMO Prime network products that have access to ConnectiCare HMO network
Large Groups
PRIME	EH HMO Preferred Plus
PRIME	EH HMO Plus
PRIME	HIP Prime EPO
PRIME	EPO Value
PRIME	HIP HMO Preferred
PRIME	HIP Prime
PRIME	HIP access I
PRIME	HIP Prime POS
PRIME	HIP access II
PRIME	Vytra
PRIME	GHI HMO

Network	EH HMO Prime network products that have access to ConnectiCare HMO network
Small Groups
PRIME	EH Platinum Premier
PRIME	EmblemHealth Gold Premier
PRIME	EmblemHealth Gold Premier 1
PRIME	EH Gold Plus
PRIME	EH Gold Plus 1
PRIME	EH Silver Plus
PRIME	EH Silver Plus 1
PRIME	EH Silver Premier
PRIME	EH Silver Premier 1
PRIME	EmblemHealth Bronze Plus H.S.A.
PRIME	EH Gold Healthy NY

EmblemHeath members with the above plans will have a member ID card with a ConnectiCare logo included, like the one illustrated below:

Front of EmblemHealth member ID card

Back of EmblemHealth ID card

EmblemHealth members with the above plans can get medical care and services under their in-network benefits from ConnectiCare commercial providers. For these members, EmblemHealth’s policies and procedures apply. Go to emblemhealth.com/providers or call 1-866-447-9717 for details.

Please note, claims need to be submitted to Emblem but will be paid according to your ConnectiCare contract.

provider

Access the ConnectiCare Portal

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Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.