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About Us

Quality

Things That Matter

 
Quality

At EmblemHealth, we know that nothing is more important than access to quality doctors and health care facilities. Doctors who have specialized expertise. Doctors affiliated with great hospitals. Doctors who speak your language.

That is why we work hard to attract and keep the best doctors and hospitals in each network.

You can select a network that includes our physician group practices. They offer on-site labs and radiology, primary care physicians and specialists who work together, and a full range of commonly used health services, providing coordinated care at one convenient location.

We also know that quality health coverage means helping to keep you healthy, not just providing coverage when you are sick.

That is why all of our EmblemHealth plans cover preventive care and offer a broad range of resources for living a healthy life or coping with a chronic medical condition. With online tools and resources to help you better understand and manage your health, to incentives for healthier living, we work hard to keep you healthy.

Learn more about EmblemHealth’s Quality Improvement Program.

 
Choice

At EmblemHealth, we respect the fact that different people have different needs when it comes to their health care. Some people place the highest priority on flexibility and the freedom to see any doctor. Others don't use their health care coverage very often and want an affordable option that provides peace of mind.

That is why we have developed a range of products offering greater flexibility in benefit and pricing options to best match your individual needs and health care priorities.

 
Affordability

Ask several people to define "affordable," and you're likely to get different answers. That is why EmblemHealth has created a range of plan options that fit many definitions of affordable, including plan options with no copay for children and no copay for generic medicines. But all EmblemHealth plans have something in common: all strive to deliver value for every health care dollar.

 
Access To Care

At EmblemHealth, access to quality health care means being able to visit a doctor or medical facility near where you live or work. It means being able to get an appointment with a doctor at a time that works for you.

That is why our National Network includes:

  • More than 106,000 physicians and other health care professionals at nearly 172,000 locations in the New York tristate area
  • Virtually every acute care hospital in the region
  • Access to a nationwide network of practitioners
 
Ease

We make health care coverage as easy as possible, with features such as:

  • Online tools for 24/7 access to information on routine health coverage matters.
  • Fast and accurate processing of claims.
  • Responsive customer service that strives to resolve inquiries on first contact.
  • Member welcome kits containing a provider directory, clear and simple manuals explaining our benefit plans, detailed lists of health and wellness resources, and discounts on popular health-related services
 
Respect

Quite simply, respect is about understanding, listening to, and communicating with our members.

We respect that:

  • You want quality health coverage for yourself and your family.
  • You want health care coverage that helps you stay healthy and gives you access to the care you need when you are sick.
  • Different members have different needs and budgets—and that you want a plan that works for you.
  • You live a busy life and you don't want to spend your time navigating your health coverage system.
  • You want the most value for your health care dollar.

That is why we provide:

  • Different health coverage plans with benefit and pricing choices.
  • Plan and service features to save you time and money.
  • Access to quality care through a large network of clinicians and facilities.
  • Online features like an up-to-date provider directory, personal claims history and personal health record, and health and wellness topics.
  • Programs and information to help you stay healthy, stop smoking, manage chronic conditions and most effectively use your benefits.
  • Responsive customer service to answer your questions.

At EmblemHealth, we understand the things that matter to you about your health care coverage—including respect. At EmblemHealth, we build our plans to meet your expectations.

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