Carriers Represented in the State of New York
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Aetna- one of the leading health insurance providers in the US; They offer health insurance plans, dental plans, pharmacy, dental, life, disability and employee benefits plans. Their health insurance plans have over 18 million members across America and they have a wide network with more than 1 million health care professionals. Aetna members have access to over 5,400 hospitals. Aetna provides their members with various information that help them better understand health care and health insurance.
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Emblemhealth- EmblemHealth was established in 2006 when GHI (Group Health Incorporated) and HIP (Health Insurance Plan of New York) were acquired. Together they provide health insurance coverage to 4 million New Yorkers. EmblemHealth members have access to more than 92,000 providers. They offer health insurance products such as HMO plans, POS plans and PPO plans. Aside from the various health care products, they also provide disease management programs, customer care, claims processing, grievance and appeals resolution, Medicare enrollment processing, and telesales.
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Empire Blue Cross Blue Shield- Empire was established in 1934 as a hospital insurance provider in New York called Associated Hospital Service (AHS). In 1974 AHS and United Medical Service (UMS) merged and formed Blue Cross and Blue Shield of Greater New York which also merged with BCBS of Northeastern New York and formed Empire Blue Cross Blue Shield in 1985.Today over 5 million New York residents trust Empire BCBS for health care coverage. They have 38,000 employees throughout the state. Empire BCBS also operates in New Jersey and Connecticut. Empire has a large PPO/EPO network of 84,000 health care providers and 5,000 in their HMO/Direct POS network.Empire is a subsidiary of Wellpoint, one of the largest health insurer across America. Empire started as a New York city health insurance provider that has grown to become one of the largest providers in the country today. What sets Empire apart from other providers is that they manage their own health care providers network locally, allowing them to customize the design of their health plans and offer affordable coverage.
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MVP (Mohawk Valley Physicians Health Plan)- MVP Health Care started in 1982 when physicians and community leaders of the Schenectady County Medical Foundation formed an HMO (Health Maintenance Organization). They eventually extended to Saratoga, Central New York, the Southern Tier and the Hudson Valley doing business as Mohawk Valley Physicians Health Plan. In 1995, they changed their name to MVP Health Care since their operations went beyond Mohawk. The following year they expanded to Vermont and became the largest health plan in the state.MVP Health Care operates in New York, Vermont and New Hampshire. They have over 750,000 members across these three states. MVP members experience regional excellence in health care while having access to a wide network of health care providers throughout the US.MVP offers a wide variety of plan options, funding solutions, financial tools and pharmacy coverage. They also offer Medicare Advantage Plans called Preferred Gold. It is considered as the number one Medicare Care Advantage Plan by the U.S. News and World Report and the NCQA.
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HIP Health Plan of New York- HIP now operates under Emblemhealth. Their network is strong with 22,000 health care providers.They have 1 million members in New York City, Long Island and Westchester. |
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Independent Health- Independent Health is a health maintenance organization (HMO) that started in 1980. They are one of the first HMOs in Western New York. They started providing health insurance products to residents of Western New York but now they operate in 35 other states. Independent Health has grown to 365,000 members across the country.The plans they offer include HMO, PPO, indemnity, dental, vision and Medicare Advantage plans and Medicaid coverage. They also have various health care programs that promote health and wellness. They are headquartered in Buffalo, NY.
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CDPHP (Capital District Physicians’ Health Plan)- Since 1984, they have been providing health insurance coverage throughout the state. Their mission is to offer quality health coverage at an affordable cost. They offer a diverse range of health insurance products for their members. They also provide various health care programs that encourage a healthier lifestyle.
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Oxford Health Plans- Oxford Health Plans is one of the products of United Healthcare. They operate primarily in New York, New Jersey, and Connecticut. They offer HMO plans, PPOs, EPOs, POS plans, Medicare plans and provide service as a third party administrator of employer-sponsored health insurance plans.
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Easy Choice- Formerly Atlantis Health Plans. Easy Choice was established to continue the good partnership that patients and health care providers share. Easy Choice Health Plan provide New York residents with affordable and quality health insurance plans. Incorporated Magazine has included them in the list of 500 fastest growing companies in America.
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Excellus BCBS- The Blue Cross Blue Shield association has a long history dating back to 1932. Excellus was established in 1996 when Blue Cross Blue Shield in Central New York and Blue Cross Blue Shield Rochester merged. In 1997 BlueCross BlueShield of Utica-Watertown joined Excellus. BlueCross BlueShield Plans of Central New York, the Rochester Area, and Utica-Watertown changed their names to Excellus BlueCross BlueShield in 2003.Excellus Blue Cross Blue Shield offers health insurance products in upstate New York. They also provide long-term care plans across the US. They have 2 million members and at least 6,000 employees. Proof of their financial stability is their “A-minus” rating from A.M. Best and Standard & Poors. Excellus BCBS is headquartered in Rochester, NY. They also have four regional headquarters in Syracuse, Elmira, Rochester and Utica and offices in Watertown, Binghamton, Oneonta and Plattsburgh. Today they are the largest not for profit health plan in New York.They are guided by 3 core values:
Part of their effort in living up to their core values is through their Quality Improvement Program whose mission is to improve the quality of life in the communities they serve. This program aims to improve their delivery of health care through partnerships with various people involved in the health care community.
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GHI (Group Health Incorporated)- Group Health Incorporated started as a small cooperative in New York. GHI has grown to become the largest non profit health insurance provider in the state providing coverage to 2.1 million New York residents. They provide a wide range of health care products ranging from hospital, medical, dental, mental care, vision and prescription drug plans.Their mission is to provide quality and affordable health insurance coverage to New Yorkers. GHI has pioneered health care programs in New York and across the US. In New York they were the first health insurance carrier to be incorporated; first health insurance carrier to offer paid-in-full benefits regardless of patient income; first to cover in-hospital medical care; First to cover preventive medicine, such as annual physical exams and well-baby care; First to institute a voluntary second surgical consultation program to eliminate unnecessary surgery and upgrade surgical care; First independent voluntary health insurance carrier designated by the Social Security Administration to function as a Medicare Part B carrier. They were also the first health services corporation chosen as the single nationwide administrator for Coordination of Benefits for Medicare. |