If you need help determining the best place to seek care, call our toll-free Nurse Advice Line at 1-877-444-7988 to speak with a registered nurse without waiting for a call back. A registered nurse can guide you to the help you need now. This service is available 24 hours a day, seven days a week.
EmblemHealth: Medicare Coverage
All Medicare Advantage Plans and Medicare Prescription Drug Plans agree to stay in the program for a full calendar year at a time. Each year, plans can decide whether to continue to participate with Medicare Advantage or Medicare Prescription Drug Plans. A plan may continue in their entire service area (geographic area where the plan accepts members) or choose to continue only in certain areas. Also, Medicare may decide to end a contract with a plan. Even if your Medicare Advantage Plan or Prescription Drug Plan leaves the program, you will not lose Medicare coverage. If a plan decides not to continue for an additional calendar year, it must send you a letter at least 90 days before your coverage will end. The letter will explain your options for Medicare coverage in your area.
GHI Medicare Insurance Plans
The Medicare Advantage Plans it offers, known also as Part C, provide you with the Original Medicare insurance and additional benefits as well. These plans cover all of your Medicare Part A and Part B benefits, depending on the type of plan you choose. GHI has a wide range of Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Special Needs Plans (SNPs) available to choose from. These are branded as EmblemHealth Preferred Provider Option (PPO) I, EmblemHealth Advantage (PPO), EmblemHealth Dual Eligible Special Needs Plan (PPO SNP), EmblemHealth VIP Health Maintenance Organization (HMO), EmblemHealth Essential (HMO), EmblemHealth VIP High Option (HMO), and EmblemHealth Dual Eligible (HMO SNP).
EmblemHealth: Medicare Frequently Asked Questions
On January 1, 2006, new Medicare prescription drug coverage became available to everyone with Medicare. Everyone with Medicare should get this coverage, which may help lower prescription drug costs and protect against higher costs in the future. Medicare Prescription Drug Coverage is insurance and private companies provide the coverage. You choose the drug plan and pay a monthly premium. Some employer plans offer equivalent prescription drug coverage to the coverage offered under Medicare Part D. If you already have coverage through an employer, you should check with your employer to see if you can keep that coverage. If you decide not to enroll in a drug plan when you’re first eligible, you may pay a penalty if you decide to join later.
EmblemHealth Customer Service Contacts
EmblemHealth: Resources for Doctors, Hospitals and other Providers
EmblemHealth: Health Insurance Information & Resources For Our Members