Statewide EPO and PPO Plan Profiles - Health Plans Reported in eQARR 2018 - eQARR - 2021

Health Plan 2021 Plan Service Area* Member Services Website NCQA Accreditation** Enrollment
Long Island New York City Hudson Valley Northeast Central Western 2021 Change from 2020
Aetna Life Insurance Company - New York ✔ ✔ ✔ ✔ ✔ ✔ 1-800-872-3862 http://www.aetna.com Accredited 934,247 -4%
CDPHP Universal Benefits, Inc. ✔ ✔ ✔ 1-877-269-2134 http://www.cdphp.com Accredited 113,893 -4%
CGLIC/CHLIC ✔ ✔ ✔ ✔ ✔ ✔ 1-800-997-1654 http://www.cigna.com Accredited 490,368 -3%
Empire BlueCross BlueShield PPO ✔ ✔ ✔ ✔ 1-800-342-9816 http://www.empireblue.com Accredited 1,025,913 4%
GHI (EmblemHealth) ✔ ✔ ✔ ✔ ✔ ✔ 1-800-624-2414 http://www.emblemhealth.com Accredited 31,302 -55%
MVP Preferred PPO ✔ ✔ ✔ ✔ 1-888-687-6277 http://www.mvphealthcare.com Not Accredited 121,390 -9%
Oscar† ✔ ✔ ✔ 1-855-672-2788 https://www.hioscar.com/ny 20,715 -35%
Oxford Health Insurance of New York ✔ ✔ ✔ 1-800-444-6222 http://www.oxfordhealth.com Accredited 650,702 -8%
UnitedHealthcare Insurance Company of New York, Inc. ✔ ✔ ✔ ✔ ✔ ✔ 1-866-633-2446 https://www.uhc.com/ Accredited 602,743 -7%

Notes

  • All plans listed in this table are Commercial EPOs and PPOs.
  • *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.
  • †EPO reporting as PPO
  • Not every plan may be accepting new enrollment. Please call the plan Member Services Number to confirm availability.