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Quality Coverage You Deserve EmblemHealth Small Group Prime Network

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Page 1: Quality Coverage You Deserve Small Group Prime Network...2019/11/04  · specialists* 1,200+ cardiologists 2,200+ pediatricians 900+ oncologists 500+ orthopedic surgeons 1,400+ OB-GYNs

Quality Coverage You Deserve

EmblemHealth Small Group Prime Network

Page 2: Quality Coverage You Deserve Small Group Prime Network...2019/11/04  · specialists* 1,200+ cardiologists 2,200+ pediatricians 900+ oncologists 500+ orthopedic surgeons 1,400+ OB-GYNs

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Page 3: Quality Coverage You Deserve Small Group Prime Network...2019/11/04  · specialists* 1,200+ cardiologists 2,200+ pediatricians 900+ oncologists 500+ orthopedic surgeons 1,400+ OB-GYNs

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EmblemHealth strives to offer the best choices of top providers and hospitals in the tri-state area. That’s why the Prime Network includes the QualCare network in New Jersey and the ConnectiCare network in Connecticut, so your employees can access over 100,000 providers across the region.

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* Criteria for primary care doctor status is based on board-certified specialties. Providers are considered primary care doctors if they have a board-certified specialty of Internal Medicine, Family Practice, General Practice or Pediatrics.

** Tri-State Area includes 28 counties in New York, 21 counties in New Jersey, and 8 counties in Connecticut.

Prime Network in the Tri-State Area** includes:

39,000+ primary care doctors*

73,000+ specialists*

3,200+ cardiologists

7,400+ pediatricians

2,600+ oncologists

2,000+ orthopedic surgeons

4,200+ OB-GYNs

245 hospitals

The EmblemHealth Prime Network offers the best choices of top providers and hospitals in the tri-state area. It includes the Prime Network in New York, the QualCare Network in New Jersey and the ConnectiCare network in Connecticut, so your employees can access over 100,000 providers across the region.

NEW YORK

NEW JERSEY

CONNECTICUT

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Queens

Columbia

Rensselaer

AlbanyOtsegoSchoharie

Putnam

Westchester

Suffolk

NassauKings

New York

Bronx

Rockland

Delaware

Broome

Greene

Ulster

Orange

DutchessSullivan

Saratoga

Schenectady

Montgomery

Fulton

Was

hing

ton

NEW YORK

Richmond

* Criteria for primary care doctor status is based on board-certified specialties. Providers are considered primary care doctors if they have a board-certified specialty of Internal Medicine, Family Practice, General Practice or Pediatrics.

Select Care Network in New York includes:

12,000+ primary care doctors*

36,000+ specialists*

1,200+ cardiologists

2,200+ pediatricians

900+ oncologists

500+ orthopedic surgeons

1,400+ OB-GYNs

84 hospitals

Warren

The EmblemHealth Select Care Network features a carefully selected group of providers and hospitals to cover all medical specialties. The plan is a great value to members and is focused on delivering quality and accessibility at a reasonable price.

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HOSPITAL SELECT CARE Prime

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* Criteria for primary care doctor status is based on board-certified specialties. Providers are considered primary care doctors if they have a board-certified specialty of Internal Medicine, Family Practice, General Practice or Pediatrics.

Provider numbers for the Millennium Network are approximate totals, subject to change.

Westchester

Suffolk

NassauQueens

Kings

New York

Bronx

Richmond

NEW YORKMillennium Network in New York includes:

5,000+ primary care doctors*

19,000+ specialists*

700+ cardiologists

1,100+ pediatricians

500+ oncologists

250+ orthopedic surgeons

700+ OB-GYNs

42 hospitals

The EmblemHealth Millennium Network is our most affordable network and gives members in the five boroughs, Nassau County, Suffolk County, and Westchester County access to top providers and hospitals in the region.

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Hospital Prime Select Care Millennium

BRONXBronxCare Health System XCalvary Hospital X XJacobi Medical Center X XLincoln Medical & Mental Health Center X XMontefiore Henry & Lucy Moses Division X XMontefiore Jack D. Weiler Hospital X XMontefiore Wakefield Campus X XMontefiore Westchester Square Campus XNorth Central Bronx Hospital X XSt. Barnabas Hospital X X X

DUTCHESSMidHudson Regional Hospital XNorthern Dutchess Hospital X XSt. Francis Hospital - Poughkeepsie X XVassar Brothers Medical Center X X

KINGSBrookdale University Hospital Medical Center X X XConey Island Hospital X XInterfaith Medical Center X XKings County Hospital Center X XKingsbrook Jewish Medical Center X XMaimonides Medical Center - Psychiatry XMaimonides Medical Center XMount Sinai Brooklyn X X XNew York Community Hospital of Brooklyn X XNewYork-Presbyterian Brooklyn Methodist Hospital

X X X

NYU Langone Cobble Hill Emergency Room X XNYU Langone Hospital - Brooklyn X XSUNY Downstate Medical Center, University Hospital of Brooklyn

X

The Brooklyn Hospital Center X X XWoodhull Medical And Mental Health Center X XWyckoff Heights Medical Center X X

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Hospital Prime Select Care Millennium

NASSAUGlen Cove Hospital X XInterfaith Medical Center Hempstead XLong Island Jewish Valley Stream X XMemorial Sloan Kettering Nassau County XMercy Medical Center X XNassau University Medical Center X XNorth Shore University Hospital X XNYU Winthrop Hospital XPlainview Hospital X XSouth Nassau Communities Hospital X XSt. Francis Hospital X XSt. Joseph Hospital X XSyosset Hospital X X

NEW YORKBellevue Hospital Center X XHarlem Hospital Center X XHenry J. Carter Specialty Hospital and Skilled Nursing Facility

X X

Hospital for Special Surgery X XLenox Hill Hospital X XManhattan Eye, Ear & Throat Hospital X XMemorial Sloan Kettering Cancer Center XMemorial Sloan Kettering Ralph Lauren Center XMetropolitan Hospital Center X XMount Sinai Beth Israel X X XMount Sinai Hospital X X XMount Sinai St. Luke's X X XMount Sinai West X X XNew York Eye & Ear Infirmary of Mount Sinai X X XNewYork-Presbyterian - Columbia University Medical Center

X X X

NewYork-Presbyterian - Lower Manhattan Hospital X X XNewYork-Presbyterian - The Allen Hospital X X XNewYork-Presbyterian - Weill Cornell Medical Center

X X X

NYU Langone Orthopedic Hospital XNYU Langone Tisch Hospital X X

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Hospital Prime Select Care Millennium

ORANGEBon Secours Community Hospital X XOrange Regional Medical Center X XSt. Anthony Community Hospital X XMontefiore St. Luke's Cornwall Hospital/Cornwall

X X

Montefiore St. Luke's Cornwall Hospital/Newburgh

X X

PUTNAMPutnam Hospital Center X X

QUEENSElmhurst Hospital Center X XFlushing Hospital Medical Center X XJamaica Hospital Medical Center X XLong Island Jewish Forest Hills X XLong Island Jewish Medical Center X XMount Sinai Queens X X XNewYork-Presbyterian Queens X X XQueens Hospital Center X XSt. John's Episcopal Hospital XSteven and Alexandra Cohen Children's Medical Center of New York

X X

RICHMONDBayley Seton Hospital X XRichmond University Medical Center X XStaten Island University Hospital - North X XStaten Island University Hospital - South X X

ROCKLANDGood Samaritan Hospital X XHelen Hayes Hospital XMontefiore Nyack Hospital X X

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Hospital Prime Select Care Millennium

SUFFOLKLong Island Community Hospital X XGood Samaritan Hospital Medical Center X XHuntington Hospital X XMather Hospital X XPeconic Bay Medical Center X XSouthside Hospital X XSt. Catherine of Siena Medical Center X XSt. Charles Hospital X XStony Brook Southampton X XStony Brook University Hospital X X

SULLIVANCatskill Regional Medical Center G. Hermann Site X XCatskill Regional Medical Center Harris Site X X

ULSTEREllenville Regional Hospital X XHealthAlliance Hospital - Broadway Campus X XHealthAlliance Hospital - Mary's Ave Campus X X

WESTCHESTERBlythedale Children’s Hospital X XHospital for Special Surgery - Westchester X XMontefiore New Rochelle Hospital X XMontefiore Mount Vernon Hospital X XNewYork-Presbyterian - Hudson Valley Hospital

X X X

NewYork-Presbyterian - Lawrence Hospital X X XNorthern Westchester Hospital X XPhelps Memorial Hospital Center X XSt. John's Riverside Hospital - Andrus Pavilion XThe Winifred Masterson Burke Rehabilitation Hospital

X

St. John's Riverside Hospital - Dobbs Ferry Pavilion

X

St. John's Riverside Hospital - ParkCare Pavilion

X

St. Josephs Medical Center X XWestchester Medical Center X XWhite Plains Hospital X X

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Notes________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Page 12: Quality Coverage You Deserve Small Group Prime Network...2019/11/04  · specialists* 1,200+ cardiologists 2,200+ pediatricians 900+ oncologists 500+ orthopedic surgeons 1,400+ OB-GYNs

Group Health Incorporated (GHI), Health Insurance Plan of Greater New York (HIP), HIP Insurance Company of New York and EmblemHealth Services Company, LLC are EmblemHealth companies. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies.

10-10166 10/19

55 Water Street, New York, NY 10041-8190 | emblemhealth.com

We appreciate our partnership.

Questions? Contact EmblemHealth Broker and Group Services at 866-614-6040. Our hours are 9 a.m. to 5 p.m., Monday through Friday. A representative will be happy to help.

Health care for all of us.

New Vision to Help You Navigate Today’s Health Insurance.