Statewide Plan Profiles - eQARR 2018

Health Plans that Reported 2017 Data

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 2017 Change from 2016
Affinity Health Plan ✔ ✔ ✔ ✔ 1-866-247-5678 245,741 -3%
Amida Care ✔ ✔ 1-800-556-0689 6,262 1%
CDPHP ✔ ✔ ✔ ✔ ✔ 1-800-777-2273 Excellent/Excellent 193,705 -3%
Crystal Run Health Plans ✔ ✔ ✔ 1-844-638-6506 1,274 93%
Empire BlueCross BlueShield HMO ✔ ✔ ✔ ✔ ✔ 1-800-453-0113 Accredited 55,246 -16%
Empire BlueCross BlueShield HealthPlus ✔ ✔ ✔ ✔ 1-800-809-8009 Commendable 399,532 -4%
Excellus BlueCross BlueShield† ✔ ✔ ✔ ✔ ✔ 1-800-722-7884 Commendable/Commendable 1,108,745 2%
Fidelis Care New York, Inc. ✔ ✔ ✔ ✔ ✔ ✔ ✔ 1-888-343-3547 Accredited 1,393,771 6%
HIP (EmblemHealth) ✔ ✔ ✔ ✔ ✔ ✔ ✔ 1-800-447-8255 Accredited/NA 435,444 -10%
HealthNow New York Inc. ✔ ✔ ✔ ✔ 1-866-231-0847 Excellent/Commendable 391,021 41%
Healthfirst PHSP, Inc. ✔ ✔ ✔ ✔ 1-866-463-6743 1,011,618 3%
Independent Health ✔ ✔ ✔ 1-800-501-3439 Excellent 194,459 -1%
MVP Health Care ✔ ✔ ✔ ✔ ✔ ✔ 1-888-687-6277 Commendable/NA 258,935 -2%
MetroPlus Health Plan ✔ ✔ ✔ 1-800-303-9626 417,429 -8%
Molina Healthcare ✔ ✔ 1-800-223-7242 33,274 -7%
UnitedHealthcare Community Plan ✔ ✔ ✔ ✔ ✔ ✔ ✔ 1-800-493-4647 Commendable 550,397 6%
Univera Healthcare† ✔ ✔ 1-800-499-1275 Commendable . NA
VNSNY Choice Health Plans ✔ ✔ 1-866-469-7774 3,365 -5%
WellCare of New York ✔ ✔ ✔ ✔ ✔ ✔ 1-800-288-5441 Commendable 108,717 4%
YourCare Health Plan ✔ ✔ 1-800-683-3781 46,556 -6%

Notes

  • *Plans may not participate in all counties in regions indicated.
  • **Data Source: NCQA Accreditation Status as of September 2018. Accreditation status for Plans offering both Commercial and Medicaid Product listed as Commercial/Medicaid. NA = No Accreditation.
  • †Excellus BlueCross BlueShield and Univera Healthcare combined reporting for measurement year 2017.
  • Not every plan may be accepting new enrollment. Please call the plan Member Services Number to confirm availability.