Statewide Plan Profiles - eQARR - 2016
| Health Plan | Type of Insurance | Plan Service Area * | Member Services | NCQA Accreditation** | Enrollment | ||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Commercial HMO | Medicaid | HIV Special Need Plans (SNP) | Long Island | New York City | Hudson Valley | Northeast | Central | Western | 2015 | Change from 2014 | |||
| Affinity Health Plan | ✔ | ✔ | ✔ | ✔ | 1-866-247-5678 | 267,234 | -3% | ||||||
| Amida Care | ✔ | ✔ | 1-800-556-0689 | 5,972 | -1% | ||||||||
| CDPHP | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-777-2273 | Excellent | 216,312 | -1% | ||||
| Empire BlueCross BlueShield HMO | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-453-0113 | Accredited | 67,153 | 82% | ||||
| Empire BlueCross BlueShield HealthPlus | ✔ | ✔ | ✔ | ✔ | 1-800-809-8009 | Commendable | 432,029 | -6% | |||||
| Excellus BlueCross BlueShield*** | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-722-7884 | Commendable | 1,091,964 | 18% | ||||
| Fidelis Care New York | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-888-343-3547 | Interim | 1,223,753 | 12% | ||
| HIP (EmblemHealth) | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-447-8255 | Accredited | 529,487 | -9% | ||
| HealthNow New York Inc.*** | ✔ | ✔ | ✔ | ✔ | ✔ | 1-866-231-0847 | Commendable | 277,788 | -7% | ||||
| Healthfirst PHSP Inc. | ✔ | ✔ | ✔ | 1-866-463-6743 | 995,752 | 11% | |||||||
| Hudson Health Plan | ✔ | ✔ | 1-800-339-4557 | 167,080 | 6% | ||||||||
| Independent Health | ✔ | ✔ | ✔ | 1-800-501-3439 | Commendable± | 202,271 | 3% | ||||||
| MVP Health Care | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-888-687-6277 | Commendable± | 115,183 | -1% | |||
| MetroPlus Health Plan | ✔ | ✔ | ✔ | 1-800-303-9626 | 434,879 | 2% | |||||||
| Oxford Health Plans of New York | ✔ | ✔ | ✔ | ✔ | 1-800-444-6222 | Accredited | 570,194 | -13% | |||||
| Total Care, A Today's Options of New York Health Plan | ✔ | ✔ | 1-800-223-7242 | 39,134 | 1% | ||||||||
| UnitedHealthcare Community Plan | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-493-4647 | Commendable | 514,476 | 9% | ||
| Univera Healthcare | ✔ | ✔ | 1-800-427-8490 | Commendable | 35,609 | -0% | |||||||
| VNSNY Choice Health Plans | ✔ | ✔ | 1-866-469-7774 | 3,932 | -12% | ||||||||
| WellCare of New York | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-288-5441 | Commendable | 111,614 | 6% | ||||
| YourCare Health Plan | ✔ | ✔ | 1-800-683-3781 | 51,660 | 1% | ||||||||
Notes
- *Plans may not participate in all counties in regions indicated.
- **Data Source: NCQA Accreditation Status as of November 2016.
- ***Enrollment data reported as combined HMO and PPO membership.
- ±Plan accreditation ratings were for Commercial HMO only.
- Not every plan may be accepting new enrollment. Please call the plan Member Services Number to confirm availability.
