2019 Statewide Plan Profiles - Health Plans that Reported in 2018 - eQARR
| Health Plan | Type of Insurance | 2018 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 | 2018 | Change from 2017 | |||
| Affinity Health Plan | ✔ | ✔ | ✔ | ✔ | 1-866-247-5678 | 230,891 | -6% | ||||||
| Amida Care | ✔ | ✔ | 1-800-556-0689 | 6,623 | 6% | ||||||||
| CDPHP | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-777-2273 | Excellent/Excellent | 190,059 | -2% | ||||
| Empire BlueCross BlueShield HMO | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-453-0113 | Accredited | 18,575 | -66% | ||||
| Empire BlueCross BlueShield HealthPlus | ✔ | ✔ | ✔ | ✔ | 1-800-809-8009 | Commendable | 375,279 | -6% | |||||
| Excellus BlueCross BlueShield | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-499-1275 | Excellent/Commendable | 1,163,595 | 5% | ||||
| Fidelis Care New York, Inc. | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-888-343-3547 | Accredited | 1,432,262 | 3% | ||
| HIP (EmblemHealth) | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-447-8255 | Accredited/NA | 431,911 | -1% | ||
| HealthNow New York Inc. | ✔ | ✔ | ✔ | ✔ | 1-866-231-0847 | Excellent/Expired | 388,591 | -1% | |||||
| Healthfirst PHSP, Inc. | ✔ | ✔ | ✔ | ✔ | ✔ | 1-866-463-6743 | 1,027,197 | 2% | |||||
| Independent Health | ✔ | ✔ | ✔ | 1-800-501-3439 | Provisional | 181,794 | -7% | ||||||
| MVP Health Care | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-888-687-6277 | Commendable/NA | 264,419 | 2% | |||
| MetroPlus Health Plan | ✔ | ✔ | ✔ | 1-800-303-9626 | 411,030 | -2% | |||||||
| Molina Healthcare | ✔ | ✔ | 1-800-223-7242 | Accredited | 30,996 | -7% | |||||||
| UnitedHealthcare Community Plan | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-493-4647 | Commendable | 555,933 | 1% | ||
| Univera Healthcare | ✔ | ✔ | 1-800-499-1275 | Excellent | . | NA | |||||||
| VNSNY Choice Health Plans | ✔ | ✔ | 1-866-469-7774 | 3,213 | -5% | ||||||||
| WellCare of New York | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-288-5441 | Commendable | 114,294 | 5% | |||
| YourCare Health Plan | ✔ | ✔ | 1-800-683-3781 | 43,497 | -7% | ||||||||
Notes
- *Plans may not participate in all counties in regions indicated. For plans available in your county, see Consumer Guide Availability Report
- **Data Source: NCQA Accreditation Status as of October 2019. 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 2018
- Not every plan may be accepting new enrollment. Please call the plan Member Services Number to confirm availability.
