Statewide Plan Profiles - eQARR - 2017
| 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 | 2016 | Change from 2015 | |||
| Affinity Health Plan | ✔ | ✔ | ✔ | ✔ | 1-866-247-5678 | 248,773 | -7% | ||||||
| Amida Care | ✔ | ✔ | 1-800-556-0689 | 6,178 | 3% | ||||||||
| CDPHP | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-777-2273 | Excellent | 197,140 | -9% | ||||
| Crystal Run Health Plans | ✔ | ✔ | ✔ | 1-844-638-6506 | 661 | NA | |||||||
| Empire BlueCross BlueShield HMO | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-453-0113 | Accredited | 66,049 | -2% | ||||
| Empire BlueCross BlueShield HealthPlus | ✔ | ✔ | ✔ | ✔ | 1-800-809-8009 | Commendable | 409,534 | -5% | |||||
| Excellus BlueCross BlueShield*** | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-722-7884 | Commendable | 1,076,706 | -1% | ||||
| Fidelis Care New York, Inc. | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-888-343-3547 | Interim | 1,293,265 | 6% | ||
| HIP (EmblemHealth) | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-447-8255 | Accredited | 478,857 | -10% | ||
| HealthNow New York Inc.*** | ✔ | ✔ | ✔ | ✔ | ✔ | 1-866-231-0847 | Excellent/Commendable± | 276,521 | 0% | ||||
| Healthfirst PHSP, Inc. | ✔ | ✔ | ✔ | 1-866-463-6743 | 968,245 | -3% | |||||||
| Independent Health | ✔ | ✔ | ✔ | 1-800-501-3439 | Excellent | 195,236 | -3% | ||||||
| MVP Health Care | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-888-687-6277 | Commendable | 262,038 | -7% | |||
| MetroPlus Health Plan | ✔ | ✔ | ✔ | 1-800-303-9626 | 412,787 | -5% | |||||||
| Molina Healthcare | ✔ | ✔ | 1-800-223-7242 | 34,526 | -12% | ||||||||
| Oxford Health Plans of New York | ✔ | ✔ | ✔ | ✔ | 1-800-444-6222 | 605,145 | 6% | ||||||
| UnitedHealthcare Community Plan | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-493-4647 | Commendable | 516,286 | 0% | ||
| Univera Healthcare*** | ✔ | ✔ | 1-800-427-8490 | Commendable | 25,120 | -29% | |||||||
| VNSNY Choice Health Plans | ✔ | ✔ | 1-866-469-7774 | 3,546 | -10% | ||||||||
| WellCare of New York | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-288-5441 | Commendable | 104,802 | -6% | |||
| YourCare Health Plan | ✔ | ✔ | 1-800-683-3781 | 48,293 | -7% | ||||||||
Notes
- *Plans may not participate in all counties in regions indicated.
- **Data Source: NCQA Accreditation Status as of October 2017.
- ***Enrollment data reported as combined HMO and PPO membership.
- ±Plan accreditation ratings were different for Commercial HMO and Medicaid Managed Care products. Listed as Commercial rating/Medicaid Rating.
- Not every plan may be accepting new enrollment. Please call the plan Member Services Number to confirm availability.
