As a ConnectiCare provider, you may be able to see members from our affiliate company, EmblemHealth, if you are in the ConnectiCare Choice Network. ConnectiCare and EmblemHealth allow their members, in specific networks and plans, to access providers from both companies. This allows our members more choices, and the opportunity to get care where and when they need it.
This table shows the combinations of EmblemHealth networks and plans that have access to ConnectiCare’s Choice Network. This is in addition to expanded access available to members in the Bridge Program (see next article for more information on the Bridge Program).
| Commercial | Medicare |
| Millennium Network and Commercial Select Care Network • HIP Prime HMO • EmblemHealth HMO Plus • EmblemHealth EPO Value • EmblemHealth EPO Value HDHP • EmblemHealth PPO Value |
VIP Prime Network • EmblemHealth VIP Premier (HMO) • EmblemHealth VIP Rx Carve-Out (HMO) |
| Prime Network • HIP Prime HMO • HIP HMO Preferred (City of NY) • EmblemHealth HMO Plus • EmblemHealth HMO Preferred Plus • HIP Prime POS • HIP Prime POS (City of NY) • HIPaccess I • HIPaccess II • EmblemHealth EPO Value • EmblemHealth EPO Value HDHP • EmblemHealth PPO Value • GHI HMO (City of NY) • Vytra HMO (City of NY) • EmblemHealth Platinum PPO-N • EmblemHealth Platinum Premier-P • EmblemHealth Platinum Value-P • EmblemHealth Gold PPO-N • EmblemHealth Gold Premier-P • EmblemHealth Gold Value-P • EmblemHealth Gold EPO Virtual-N • EmblemHealth Silver Premier-P • EmblemHealth Silver Value-P • EmblemHealth Silver Plus H.S.A. • EmblemHealth Bronze Premier-P • EmblemHealth Bronze Value-P • EmblemHealth Bronze Plus H.S.A. |
VIP Bold Network • EmblemHealth VIP Gold (HMO) • EmblemHealth VIP Gold Plus (HMO) • EmblemHealth VIP Rx Saver (HMO) • EmblemHealth VIP Part B Saver (HMO) • EmblemHealth VIP Go (HMO-POS) • EmblemHealth VIP Essential (HMO) • EmblemHealth VIP Value (HMO) • EmblemHealth VIP Passport (HMO) • EmblemHealth VIP Passport NYC (HMO) |
This 2021 Summary of Companies, Lines of Business, Networks & Benefit Plans, which reflects both ConnectiCare and EmblemHealth, provides details on PCP and referral requirements, out-of-network coverage, copays, and maximum out-of-pocket limits. Sample EmblemHealth member ID cards may be found in the EmblemHealth Provider Manual.
