Filing the Claim With GHI Insurance Provider
GHI is now Emblem Health. All claims must be made using the new company name. Health insurance policy holders can still access their online account using the GHI user name and password they established when Emblem Health was GHI. There is a possibility that your health insurance card and policy will still carry the GHI name. There are two methods of processing claims, based on the company named on your insurance card.
Emblem Health Claims: Download the Emblem Health claim form here: http://www.emblemhealth.com/pdf/hcfa1500-emb.pdf. The form should be printed in red ink as it appears on the website. Send the completed form to the address on the back of your Emblem Health insurance card.
GHI Health Claims: Download the same claim form listed for Emblem Health claims. Make sure to print the form in the red color that appears on the screen. Send your completed claim form to:
PO Box 3000
New York, NY 10116-3000
About A GHI Insurance Health Plan
Some GHI insurance plans are offered by employers, so payments are deducted from weekly, biweekly or monthly paychecks. Individual and supplemental plans are purchased directly from Emblem Health or GHI. These plans must be paid for out of pocket. You can log in to your account online by visiting http://www.emblemhealth.com/members.aspx to learn more about payment procedures and options. Non-members are not given any information on the payment or billing process.
- Medicare Advantage HMO: This plan comes with preventative care with a $0 copay for your yearly physical. Copays are required for hospital and doctor’s office visits. The program also covers vision, dental and prescription medications.
- Medicare Advantage PPO: Medicare PPO plans from Emblem Health are available in various levels ranging from the basic level I to the High Option. You receive a free physical exam once per year, dental coverage, vision coverage and much more.
- Emblem Health Members: Emblem Health plans include EmblemHealth EPO/PPO, EmblemHealth CompreHealth and EmblemHealth Medicare. Learn more about the plans offered by Emblem Health here: http://www.emblemhealth.com/default.aspx?Page=8201
- GHI Members: If your insurance card still reads the GHI logo, you may participate in the GHI Healthy NY EPO High Deductible, GHI Healthy NY HMO High Deductible, GHI Direct Pay HMO or GHI Direct Pay HMO POS.
To learn more about each of the health insurance plans offered by GHI and Emblem Health, visit the Plans for Individuals and Families at http://www.emblemhealth.com/default.aspx?Page=3566.
Where to Get a Quote: GHI Insurance Contact Info & Login
Choose the list of contacts for your GHI health or Emblem Health insurance plan.
By phone (Emblem Health): 1-877-842-3625
By phone (GHI EPO/PPO): 1-212-501-4444 (New York) or 1-800-624-2414
By phone (GHI HMO): 1-877-244-4466
By phone (Medicare): 1-866-557-7300 (PPO) or 1-800-447-8255 (HMO)
By mail (Emblem Health):
55 Water Street
New York, NY 10041
By mail (GHI):
441 Ninth Street
New York, NY 10001-1681
Official website: http://www.emblemhealth.com
Need to check your claim status: Sign in to your online account, using your Emblem Health or GHI log in information, to view the status of your claim.