Statewide Plan Profiles - eQARR 2011

Health Plan Type of Insurance Plan Service Areas* Member Services NCQA Accreditation** Enrollment
Commercial HMO Medicaid Child Health Plus Family Health Plus Long Island New York City Hudson Valley Northeast Central Western 2010 Change from 2009
Aetna Yes       Yes Yes Yes   Yes   1-800-872-3862 Commendable 123,528 -23%
Affinity Health Plan   Yes Yes Yes Yes Yes Yes       1-866-247-5678   269,278 8%
Amerigroup New York   Yes Yes Yes   Yes Yes       1-800-600-4441   107,574 -4%
Atlantis Health Plan Yes         Yes         1-866-747-8422   27,614 7%
CDPHP Yes Yes Yes Yes     Yes Yes Yes   1-800-777-2273 Excellent 228,671 -9%
Empire Yes   Yes   Yes Yes Yes Yes     1-800-261-5962 Excellent 436,438 34%
Excellus BlueCross BlueShield Yes Yes Yes Yes       Yes Yes Yes 1-800-722-7884 Excellent 357,956 37%
Fidelis Care New York   Yes Yes Yes Yes Yes Yes Yes Yes Yes 1-888-343-3547   634,001 22%
HIP (EmblemHealth) Yes Yes Yes Yes Yes Yes Yes       1-800-447-8255 Excellent 671,416 -7%
Health Net of New York, Inc. Yes       Yes Yes Yes       1-800-848-4747   83,895 -30%
Health Plus   Yes Yes Yes Yes Yes         1-800-300-8181   311,552 4%
HealthNow New York Inc.*** Yes Yes Yes Yes       Yes Yes Yes 1-866-231-0847 Excellent 367,064 -10%
Healthfirst PHSP, Inc.   Yes Yes Yes Yes Yes         1-866-463-6743   467,929 7%
Hudson Health Plan   Yes Yes Yes     Yes       1-800-339-4557   102,839 10%
Independent Health Yes Yes Yes Yes           Yes 1-800-501-3439 Excellent 206,051 -7%
MVP Yes Yes Yes Yes     Yes Yes Yes Yes 1-888-687-6277 Excellent 218,601 -27%
MetroPlus Health Plan   Yes Yes Yes   Yes         1-800-303-9626   398,257 6%
Neighborhood Health Providers   Yes Yes Yes Yes Yes         1-800-826-6240   206,316 -4%
Oxford Yes       Yes Yes Yes       1-800-444-6222 Commendable 556,746 5%
Total Care   Yes Yes Yes         Yes   1-800-223-7242   42,735 12%
UnitedHealthcare Community Plan   Yes Yes Yes Yes Yes     Yes   1-800-493-4647 Scheduled 267,809 18%
Univera Community Health   Yes Yes Yes           Yes 1-800-494-2215   46,816 6%
Univera Healthcare*** Yes                 Yes 1-800-427-8490 Scheduled 52,082 357%
WellCare of New York   Yes Yes Yes   Yes Yes Yes     1-800-288-5441   77,477 -13%

Notes

  • *Plans may not participate in all counties in regions indicated
  • **Data Source: NCQA Accreditation Status as of 9/20/2011
  • Not every plan may be accepting new enrollment. Please call the plan Member Services Number to make sure.
  • ***Enrollment data reported as combined HMO and PPO membership.