Statewide EPO and PPO Plan Profiles - eQARR 2018
PPO Plans that Reported 2017 Data
| Health Plan | Plan Service Area* | Member Services | NCQA Accreditation** | Enrollment | ||||||
|---|---|---|---|---|---|---|---|---|---|---|
| Long Island | New York City | Hudson Valley | Northeast | Central | Western | 2017 | Change from 2016 | |||
| Aetna Life Insurance Company - New York | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-872-3862 | Commendable | 906,531 | 12% |
| CDPHP Universal Benefits, Inc. | ✔ | ✔ | ✔ | 1-877-269-2134 | Excellent | 133,961 | -16% | |||
| CGLIC/CHLIC | ✔ | ✔ | ✔ | 1-800-244-6224 | Accredited | 472,162 | 3% | |||
| Empire BlueCross BlueShield PPO | ✔ | ✔ | ✔ | ✔ | 1-800-342-9816 | Accredited | 1,049,633 | -6% | ||
| GHI (EmblemHealth) | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-624-2414 | Accredited | 87,412 | -14% |
| MVP Preferred PPO | ✔ | ✔ | ✔ | ✔ | 1-888-687-6277 | 109,153 | 17% | |||
| Oscar† | ✔ | ✔ | ✔ | 1-855-672-2788 | 27,973 | -24% | ||||
| Oxford Health Insurance of New York | ✔ | ✔ | ✔ | 1-800-444-6222 | Commendable | 745,447 | 190% | |||
| UnitedHealthcare Insurance Company of New York, Inc. | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-866-633-2446 | Accredited | 757,346 | -4% |
Notes
- All plans listed in this table are Commercial EPOs and PPOs.
- *Plans may not participate in all counties in regions indicated.
- **Data Source: NCQA Accreditation Status as of September 2018.
- †EPO reporting as PPO
- Not every plan may be accepting new enrollment. Please call the plan Member Services Number to confirm availability.
