EmblemHealth Claim Insurance Claim

Filing The Claim With EmblemHealth Provider

EmblemHealth claims are most often filed by the health care provider. If you need to file a claim personally, contact the member services department at 1-877-842-3625. To file a claim you must fill out a claim form, located at http://www.emblemhealth.com/Members/Forms.aspx, and send the claim form to the address on the back of your member card.

EmblemHealth was established more than 75 years ago. The company administers two health plans – the Health Insurance Plan of Greater New York and Group Health Incorporated. Together the two plans offer flexible insurance coverage including PPO and HMO plans. EmblemHealth also works as a Medicaid provider in some states. Medicaid coverage is determined by federal and state regulations. Applicants must apply at a local government office for Medicaid insurance.

About An EmblemHealth Plan

Your premium payments will depend upon the type of coverage you have with EmblemHealth. If you are covered under a government-funded plan, payment may not be necessary.

Coverage Details

  • Individuals and Families: Individual and family plans for customers not covered under employee health care plans. Plan flexibility allows individuals and families to purchase health care coverage they need rather than coverage based on a rigid framework.
  • New York Health Benefit Exchange: Flexible plans for residents in New York.
  • Medicare: Supplemental plans for individuals eligible for Medicare. Medicare eligibility is assessed by federal government guidelines.
  • Medicaid: Government-funded health insurance program. Individuals must apply for Medicaid coverage. Application approval depends on assessment of individual need and documentation of income.
  • Small Business Plans: Health insurance plans designed for businesses with 50 or fewer employees.
  • Medium to Large Business Plans: Health insurance plans designed for businesses with 51 or more employees.

Where to Get a Quote

Contact Information for EmblemHealth

By Phone: You can contact the sales department for EmblemHealth at 1-877-411-3625 and the customer service department for members at 1-877-842-3625.

By Email: Contact EmblemHealth using the online contact form at http://www.emblemhealth.com/Contact-Us/Sales.aspx.

By Mail: The correspondence address for EmblemHealth is:

EmblemHealth P.O. Box 1701 New York, NY 10023

Official Website: The official website for EmblemHealth is located at http://www.emblemhealth.com.

Inquire About Your EmblemHealth Claim Status: You can check on the status of your EmblemHealth claim by logging in to your online account at http://www.emblemhealth.com/Members. There could be a brief delay between the time when providers file claims with EmblemHealth and when claims appear in your account.

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