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Empire Blue Cross Blue Shield
Set up in 1935 in New York City, Empire Blue Cross Blue Shield
is a publicly traded licensee of Blue Cross and Blue Shield Association.
The company serves over 5 million members throughout the state of
New York and across the United States. It has eight regional offices
across New York State including Albany, Bohemia, Melville, Middletown,
Poughkeepsie, Syracuse and Yorktown Heights, and its local network
includes providers in 28 eastern and southeastern counties of New
York State. In addition to these, Empire BCBSNY includes providers
in 10 neighboring counties in Connecticut and New Jersey, which
means over 82,000 provider locations and 147 hospitals throughout
New York State and neighboring counties in Connecticut and New Jersey.
Judging by the total number of PPO and HMO membership, Empire Blue
Cross Blue Shield is the biggest health insurance company in New
York boasting of a 91% customer satisfaction rating. The company
at present serves about 38,000 employer accounts and earns excellent
accreditation status for quality assurance from the National Committee
for Quality Assurance (NCQA) on a regular basis.
Empire Blue Cross and Blue Shield of New York offers a wide range
of health plans for individuals, groups and employees.
Its Healthy New York Program offers affordable coverage to individuals
and sole proprietors who reside within the 28-county service area
and who are not eligible for employer provided comprehensive health
insurance. It features several benefits such as coverage for preventative
and primary care, emergency services, maternity care and physician
services. The program also covers inpatient and outpatient hospital
services as well as laboratory services and pre-admission testing.
Empire Blue Cross Blue Shield Group Plan PPO is a flexible plan
that allows members to choose any provider, both inside and outside
the network. To avail of in-network care, there is no need to fill
out claim forms and through the BlueCard Program, members can have
worldwide healthcare coverage when traveling throughout Asia, Africa,
the Caribbean, Europe, Latin America, the Middle East and the South
Another popular program is its Senior Plan Direct that offers unlimited
in-patient hospital medical care as required, emergency medical
care anywhere in the world and free fitness plan enrollment for
anyone with Medicare residing in the Bronx, Kings, NY, Queens, Richmond,
Suffolk, Nassau, Rockland or West Chester counties. It also gives
members the benefit of unlimited routine exams, annual vision, hearing
and gynecological exams and immunizations.
Under its Direct Payment Health Management Organization (HMO), the
services covered include preventative and primary health care services,
inpatient and outpatient hospital services, and maternity care.
Direct Payment HMO/POS members can visit in-network doctors at a
lower cost while still being allowed to visit providers outside
of the network. Child Health Plus is available to children under
the age of 19 who are residents of New York State. Costs for this
program are fixed by the family's gross monthly income. This plan
covers preventative health care, emergency care, and prescription
TraditionalPLUS Hospital members get many benefits including outpatient
surgical facility coverage, inpatient physical therapy coverage,
maternity care in birthing center coverage, and inpatient hospital
semi-private room coverage.
Address of the company: Empire Blue Cross Blue
Shield of New York, 11 W. 42nd St., New York, NY 10036.