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BlueShield of Northeastern New York

BlueShield of Northeastern New York

The Blue Shield of Northeastern New York operates as an independent licensee with the Blue Cross and Blue Shield Association (BCBSA). In fact it is the only health insurance company in this region that has the license to offer products and services under the Blue Cross and Blue Shield brands. The area it serves stretches across the counties of Essex, Albany, Clinton, Fulton, Columbia, Saratoga, Montgomery, Schoharie, Rensselaer, Warren, Schenectady and Washington. Offering cost- effective health care to the most number of people in the above mentioned region is the main objective of Blue Shield of Northeastern New York. And what adds to its efforts is the power of the two popular Blue brands- Blue Cross and Blue Shield.

The Blue Shield of Northeastern New York has existed in the health insurance industry since 1946. Its history is closely entwined with that of Blue Shield of Western New York. Before the organization acquired its present name it was known as the Northeastern New York Medical Service. After the Blue Shield of Western New York came up with Whole Health Insurance Network in 1986, the year 1987 saw the latter coming under the same roof as the Blue Shield of Northeastern New York.

Presently, the organization serves plans in a number of categories including individual insurance, group insurance and Medicare products and services. The Healthy NY plan is a premier plan meant for individuals whose employers do not offer insurance benefits. The best thing about this plan is that members can hope to have a lot of flexibility as far as doctors and hospitals within the network are concerned. The Healthy NY plan comprises benefits including inpatient and outpatient services, maternity care, primary health services and products and services with regards to emergencies. One must note that services revolving around chiropractic care and treatment for substance abuse amongst other benefits are not available under this plan.

Group insurance is provided based upon the employee strength of the organization in question. While there are group insurance plans for companies with 2 to 50 employees on one hand, on the other plans for organizations with over 50 employees are also available. Traditional Blue plans are specifically meant for employee groups with strength of 2 to 50. Available options include the Traditional Blue Preferred Provider Organization (PPO) plan, Traditional Blue Point of Service (POS) plan and the Traditional Blue Exclusive Provider Organization (EPO) plan amongst others. The Traditional Blue PPO plan is perfect for groups that want to avail special benefits at an affordable cost. The Traditional Blue POS plan is tailor- made for groups that intend to make the most of managed care benefits. The EPO plan, though cost effective, does not allow members to avail services outside the given network.

Large businesses on the other hand can choose from amongst the POS 200 plan, HMO 100 Plus series plans and HMO 200 Plus series plans amidst several other options. The POS 200 plan suffices the requirements of those employee groups that travel more. Preventive care benefit is a highlight of this plan. HMO 100 Plus series plans focus on wellness services and include extensive vision care. In the HMO 200 Plus series, plans offer a wider provider network.


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