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Empire Blue Cross Blue Shield (New York)

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Empire Blue Cross Blue Shield

Empire Blue Cross Blue Shield (New York)

Empire Blue Cross Blue Shield is a licensee of the Blue Cross Blue Shield Association. The company provides services to over 5 million members in the state of New York and throughout the country. There are 8 offices in the state of New York at- Melville, Middletown Bohemia, Albany, Syracuse Poughkeepsie and Yorktown Heights. The local network has providers in 28 southeastern and eastern counties of the state. Empire BCBSNY also has providers in neighbouring10 counties in New Jersey and Connecticut. In all, there are 82000 providers and 147 hospitals in New York State and at New Jersey, Connecticut.

The total number of enrollees in the PPO, HMO programs shows that Empire BCBSNY is the largest program in the state, with a customer satisfaction rate of 91%. The company currently services about 38000 accounts of employers and has earned the excellent accreditation rating from the National Committee for Quality Assurance (NCQA). Empire BCBSNY provides a variety of health plan options for groups, individuals and employees.

The Healthy New York Program provides inexpensive coverage to sole proprietors and individuals who are not eligible for employer sponsored programs. The covers include preventive and primary care as well as emergency services, physician services and maternity care. It also provides both inpatient and outpatient hospitalization services. You do not have to fill out claim forms in order to avail of in network care. Additionally, the BlueCard program provides health covers on travels throughout the world including Africa, Asia, Europe, Latin America and others.

The Senior Plan Direct is another program offering unlimited medical in patient care at the hospitals. It also offers free emergency care throughout the world and a free fitness enrolment for people with Medicare living in Kings, Bronx, NY, Queens, Suffolk, Nassau, Richmond Rockland or West Chester. It provides the members unlimited routine examinations, annual hearing, vision and gynecological exams as well as immunizations.

The Direct Payment Health Management Organization (HMO) plan covers primary health care and preventive medication, outpatient and inpatient hospital services and maternity care. The HMO or POS members can visit doctors who are within the network by paying lower fees. They are also allowed to visit doctors who are outside the network. For children who are below the age of 19, the Child Health plus Program has been made available. The gross income of the family determines the costs of this plan. The plan provides preventive care, prescription drug coverage and emergency care.

The TraditionalPlus hospital enrollees get benefits like outpatient surgical coverage, inpatient coverage for physical therapy, birthing centre coverage for maternity purposes and inpatient coverage for hospital semi private rooms.

Address- Empire Blue Cross Blue Shield of New York, 11 W. 42nd St., New York, NY 10036


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