Statewide Plan Profiles - Health Plans that Reported in eQARR 2021 - eQARR - 2021

Health Plan Type of Insurance 2021 Plan Service Area* Member Services Website NCQA Accreditation** Enrollment
Commercial HMO Medicaid HIV Special Need Plans (SNP) Long Island New York City Hudson Valley Northeast Central Western 2021 Change from 2020
Amida Care ✔ ✔ 1-800-556-0689 http://www.amidacareny.org 8,012 4%
CDPHP ✔ ✔ ✔ ✔ ✔ 1-800-777-2273 http://www.cdphp.com Accredited/Accredited 219,946 3%
Empire BlueCross BlueShield HMO ✔ ✔ ✔ ✔ ✔ 1-800-331-1476 http://www.empireblue.com Accredited 6,706 -13%
Empire BlueCross BlueShield HealthPlus ✔ ✔ ✔ ✔ 1-800-300-8181 http://www.empireblue.com Accredited 426,736 4%
Excellus BlueCross BlueShield† ✔ ✔ ✔ ✔ ✔ 1-800-499-1275 http://www.excellusbcbs.com Accredited/Accredited 1,164,540 -2%
Fidelis Care New York, Inc. ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ 1-888-343-3547 http://www.fideliscare.org Provisional 1,899,645 5%
HIP (EmblemHealth) ✔ ✔ ✔ ✔ ✔ ✔ ✔ 1-855-283-2146 http://www.emblemhealth.com Accredited 435,822 0%
Healthfirst PHSP, Inc. ✔ ✔ ✔ ✔ ✔ 1-866-463-6743 http://www.healthfirst.org 1,309,138 7%
Highmark Western and Northeastern New York, Inc.° ✔ ✔ ✔ ✔ 1-888-835-2959 https://www.highmark.com 401,538 0%
Independent Health ✔ ✔ ✔ 1-800-501-3439 http://www.independenthealth.com Accredited 157,069 -1%
MVP Health Care ✔ ✔ ✔ ✔ ✔ ✔ 1-888-687-6277 http://www.mvphealthcare.com Accredited 317,073 13%
MetroPlus Health Plan ✔ ✔ ✔ 1-800-303-9626 http://www.metroplus.org 511,895 9%
Molina Healthcare ✔ ✔ ✔ ✔ ✔ ✔ 1-800-223-7242 http://www.molinahealthcare.com 323,634 323%
UnitedHealthcare Community Plan ✔ ✔ ✔ ✔ ✔ ✔ ✔ 1-800-493-4647 http://www.uhccommunityplan.com Accredited 449,098 -3%
Univera Healthcare† ✔ ✔ 1-800-427-8490 http://www.univerahealthcare.com Accredited/Accredited . NA
VNSNY Choice Health Plans ✔ ✔ ✔ ✔ 1-866-783-1444 http://www.vnsnychoice.org 2,978 1%

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 December 2022. 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 2021
  • °Highmark Western and Northeastern New York, Inc. does not offer Medicaid in the Northeast.
  • Not every plan may be accepting new enrollment. Please call the plan Member Services Number to confirm availability.