Providers for our commercial and Medicare Advantage plans can also treat certain EmblemHealth members. On Jan. 1, 2020, EmblemHealth, our parent company in New York, expanded one of its networks to include ConnectiCare Medicare Advantage providers in Connecticut. ConnectiCare commercial providers have been treating certain EmblemHealth members since 2017.
Here are the plans that allow EmblemHealth members to access the ConnectiCare provider network:
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| Network | EH HMO Prime network products that have access to ConnectiCare HMO network | Network | EH HMO Prime network products that have access to ConnectiCare HMO network |
|---|---|---|---|
| Small Groups | |||
| PRIME | EmblemHealth Platinum Premier | PRIME | EmblemHealth Gold Value – P |
| PRIME | EmblemHealth Gold Premier 1 | PRIME | EmblemHealth Gold Premier – P |
| PRIME | EmblemHealth Gold Plus | PRIME | EmblemHealth Silver Premier – P |
| PRIME | EmblemHealth Silver Plus 1 | PRIME | EmblemHealth Silver Value - P |
| PRIME | EmblemHealth Silver Premier | PRIME | EmblemHealth Silver Plus H.S.A. |
| PRIME | EmblemHealth Bronze Plus H.S.A. | PRIME | EmblemHealth Bronze Premier - P |
| PRIME | EmblemHealth Healthy NY Gold | PRIME | EmblemHealth Bronze Value - P |
| PRIME | EmblemHealth Platinum Premier – P | PRIME | EmblemHealth Platinum POS |
| PRIME | EmblemHealth Platinum Value – P | PRIME | EmblemHealth Gold POS |
EmblemHeath members with the above plans will have a member ID card with a ConnectiCare logo included, like the one illustrated below:
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Front of EmblemHealth member ID card |
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Back of EmblemHealth member ID card |
EmblemHealth members with the plans listed above can get medical care and services from ConnectiCare providers under their in-network benefits. For these members, EmblemHealth policies and procedures apply. Go to emblemhealth.com/provider 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.
