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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 Pacific.
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 drugs coverage.
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.

 

 

 

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