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Quality Networks You Deserve

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Quality Networks You Deserve EmblemHealth Quality Networks Large Group You Deserve Networks EmblemHealth strives to offer the best choices of top providers and hospitals in the tristate area and across the nation. Our networks include the QualCare network in New Jersey and the ConnectiCare network in Connecticut. Coverage outside the tristate area for EPO and PPO plans is provided by First Health®, an NCQA-accredited provider network. Your employees can access providers across the nation. 1 The EmblemHealth National Network is made up of more than 87,000 health care professionals, facilities, and hospitals across the nation. This gives members the coverage that they need, where they need to receive it. Outside of New York and New Jersey, the National Network includes First Health®, an NCQA-accredited provider network. National Network in New York and New Jersey* includes: 31,000+ primary care doctors** 56,000+ specialists** 5,400+ cardiologists 6,700+ pediatricians 2,100+ oncologists NEW YORK 1,900+ orthopedic surgeons 4,800+ OB-GYNs 264+ hospitals NEW JERSEY This information is as of 5/2020. * Includes 28 counties in New York and 21 counties in New Jersey. ** Criteria for primary care doctor status is based on board-certified specialties. Providers are considered primary care doctors if they have a board-certified specialty of Internal Medicine, Family Practice, General Practice, or Pediatrics. 2 National Network 3 Prime Network NEW YORK CONNECTICUT NEW JERSEY 4 The EmblemHealth Prime Network offers a choice of top providers and hospitals in the tristate area. It includes the Prime Network in New York, the QualCare network in New Jersey, and the ConnectiCare network in Connecticut so your employees can access over 123,000 providers across the region. For EPO and PPO large group plans, the Prime Network also includes access outside the service area through First Health®, an NCQA-accredited national provider network. Prime Network in the Tristate Area* includes: 43,000+ primary care doctors** 84,000+ specialists** 3,800+ cardiologists 7,800+ pediatricians 2,900+ oncologists 2,200+ orthopedic surgeons 4,500+ OB-GYNs 245 hospitals This information is as of 5/2020. * Includes 28 counties in New York, 21 counties in New Jersey, and 8 counties in Connecticut. * *Criteria for primary care doctor status is based on board-certified specialties. Providers are considered primary care doctors if they have a board-certified specialty of Internal Medicine, Family Practice, General Practice, or Pediatrics. 5 The EmblemHealth Select Care Network features a carefully selected group of providers and hospitals to cover all medical specialties across 28 New York counties. The plan is a great value to members and is focused on delivering quality and accessibility at a reasonable price. For EPO and PPO large group plans, the Select Care Network also includes access outside the service area through First Health®, an NCQA-accredited national provider network. Select Care Network in New York includes: 14,000+ primary care doctors* 38,000+ specialists* 1,500+ cardiologists 2,700+ pediatricians 1,000+ oncologists 700+ orthopedic surgeons 1,600+ OB-GYNs 84 hospitals This information is as of 5/2020. * Criteria for primary care doctor status is based on board-certified specialties. Providers are considered primary care doctors if they have a board-certified specialty of Internal Medicine, Family Practice, General Practice, or Pediatrics. 6 Select Care Network Warren Washington Fulton Saratoga Montgomery Schenectady Rensselaer Otsego Schoharie Albany Columbia Greene Delaware Broome Ulster Dutchess Sullivan NEW YORK Putnam Orange Westchester Rockland Bronx Suffolk New York Nassau Kings Queens Richmond 7 Westchester Bronx Suffolk New York Nassau Queens Kings Richmond NEW YORK Millennium Network 8 The EmblemHealth Millennium Network is our most affordable network and gives members in the five boroughs, Nassau County, Suffolk County, and Westchester County access to top providers and hospitals in the region. For EPO and PPO large group plans, the Millennium Network also includes access outside the service area through First Health®, an NCQA-accredited national provider network. Millennium Network in New York includes: 7,700+ primary care doctors* 24,000+ specialists* 900+ cardiologists 1,600+ pediatricians 600+ oncologists 300+ orthopedic surgeons 100+ OB-GYNs 42 hospitals This information is as of 5/2020. *Criteria for primary care doctor status is based on board-certified specialties. Providers are considered primary care doctors if they have a board-certified specialty of Internal Medicine, Family Practice, General Practice, or Pediatrics. 9 Hospital National Prime Select Care Millennium BRONX BronxCare Health System X X Calvary Hospital X X X Jacobi Medical Center X X X Lincoln Medical & Mental Health Center X X X Montefiore Henry & Lucy Moses Division X X X Montefiore Jack D. Weiler Hospital X X X Montefiore Wakefield Campus X X X North Central Bronx Hospital X X X St. Barnabas Hospital X X X X DUTCHESS MidHudson Regional Hospital X X X Northern Dutchess Hospital X X X St. Francis Hospital – Poughkeepsie X X Vassar Brothers Medical Center X X X KINGS Brookdale University Hospital Medical Center X X X X Coney Island Hospital X X X Interfaith Medical Center X X X Kings County Hospital Center X X X Kingsbrook Jewish Medical Center X X X Maimonides Medical Center X X Mount Sinai Brooklyn X X X X New York Community Hospital of Brooklyn X X X NewYork-Presbyterian Brooklyn X X X X Methodist Hospital NYU Langone Hospital – Brooklyn X X X SUNY Downstate Medical Center, X X X University Hospital of Brooklyn The Brooklyn Hospital Center X X X X Woodhull Medical and Mental Health Center X X X Wyckoff Heights Medical Center X X X 10 Hospital National Prime Select Care Millennium NASSAU Glen Cove Hospital* X X X Interfaith Medical Center Hempstead X Long Island Jewish Valley Stream* X X X Memorial Sloan Kettering Nassau County X X Mercy Medical Center X X X Nassau University Medical Center X X X North Shore University Hospital* X X X NYU Winthrop Hospital X X Plainview Hospital* X X X South Nassau Communities Hospital X X X X St. Francis Hospital X X X St. Joseph Hospital X X X Syosset Hospital* X X X NEW YORK Bellevue Hospital Center X X X Harlem Hospital Center X X X Hospital for Special Surgery X X X Lenox Hill Hospital X X X Manhattan Eye, Ear & Throat Hospital X X Memorial Sloan Kettering Cancer Center X X Memorial Sloan Kettering Ralph Lauren Center X X Metropolitan Hospital Center X X X Mount Sinai Beth Israel X X X X Mount Sinai Hospital X X X X Mount Sinai St. Luke's X X X X Mount Sinai West X X X X New York Eye & Ear Infirmary of Mount Sinai X X X X NewYork-Presbyterian – Columbia University X X X X Irving Medical Center NewYork-Presbyterian - Lower Manhattan X X X X Hospital NewYork-Presbyterian – The Allen Hospital X X X X NewYork-Presbyterian – Weill Cornell X X X X Medical Center NYU Langone Orthopedic Hospital X X NYU Langone Tisch Hospital X X 11 Hospital National Prime Select Care Millennium ORANGE Bon Secours Community Hospital X X X Garnet Health Medical Center X X X St. Anthony Community Hospital X X X Montefiore St. Luke's Cornwall Hospital/Cornwall X X X Montefiore St. Luke's Cornwall Hospital/ X X X Newburgh PUTNAM Putnam Hospital Center X X X QUEENS Elmhurst Hospital Center X X X Flushing Hospital Medical Center X X X Jamaica Hospital Medical Center X X X Long Island Jewish Forest Hills* X X X Long Island Jewish Medical Center* X X X Mount Sinai Queens X X X X NewYork-Presbyterian Queens X X X X Queens Hospital Center X X X St. John's Episcopal Hospital X X Steven and Alexandra Cohen Children's Medical X X Center of New York* RICHMOND Richmond University Medical Center X X X Staten Island University Hospital – North* X X X Staten Island University Hospital – South* X X X ROCKLAND Good Samaritan Hospital X X X Helen Hayes Hospital X X Montefiore Nyack Hospital X X X 12 Hospital National Prime Select Care Millennium SUFFOLK Long Island Community Hospital X X Good Samaritan Hospital Medical Center X X X Huntington Hospital* X X X Mather Hospital* X X X Peconic Bay Medical Center X X X Southside Hospital* X X X St. Catherine of Siena Medical Center X X X St. Charles Hospital X X X Stony Brook Southampton Hospital X X X Stony Brook University Hospital X X X SULLIVAN Garnet Health Medical Center – Catskills, X X X Grover M. Hermann Hospital Division Garnet Health Medical Center – Catskills, X X X Harris Campus ULSTER Ellenville Regional Hospital X X X HealthAlliance Hospital – Broadway Campus X X X HealthAlliance Hospital – Mary's Ave Campus X X X WESTCHESTER Blythedale Children’s Hospital X X X Hospital for Special Surgery – Westchester X X Montefiore New Rochelle Hospital X X X Montefiore Mount Vernon Hospital X X X NewYork-Presbyterian – Hudson Valley Hospital X X X X NewYork-Presbyterian – Lawrence Hospital X X X X Northern Westchester Hospital X X X Phelps Memorial Hospital Center X X X St. John's Riverside Hospital – Andrus Pavilion X X St. John's Riverside Hospital – Dobbs Ferry X X Pavilion St. John's Riverside Hospital – ParkCare Pavilion X X St. Josephs Medical Center X X X Westchester Medical Center X X X White Plains Hospital X X X *Participation status currently in negotiation for 1/1/2021. 13 55 Water Street, New York, NY 10041-8190 | emblemhealth.com New Vision to Help You Navigate Today’s Health Insurance. We appreciate our partnership. Questions? Contact EmblemHealth Broker and Group Services at 866-614-6040.
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