IN OUR PRIME! Prime Network vs. Select Care Network for Small Groups in New York a
IN OUR PRIME!
Prime Network vs. Select Care Network for Small Groups in New York Starting January 1, 2018 EmblemHealth will no longer offer our Select Care network for small groups. We will replace it with our larger Prime network that includes: 51,000 more health care professionals 39 more hospitals Why? Because you told us you wanted to give your groups more choice, better cost savings, and convenient care. And, as your partner, we want to make sure you have what you need to grow your book of business. The Prime Network: Has over 90,000 health care professionals, facilities, and hospitals. Covers 28 New York Counties, including: All five boroughs of New York City (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island). Nassau, Orange, Rockland, Suffolk and Westchester counties. Upstate areas that stretch north of Albany. Includes health care professionals associated with: AdvantageCare Physicians Montefiore IPA Providers St. Barnabas Providers HealthCare Partners IPA Questions? Speak to your Sales Agent; or call Broker and Group Services at 1-866-614-6040. Our hours are 9 am to 5 pm, Monday through Friday. See a comparison between Prime and Select Care in-network health care professionals and hospitals. Note: These numbers are current as of April, 2017. 1
PRIME NETWORK VS. SELECT CARE NETWORK PROVIDERS IN NEW YORK Prime Network Select Care Network Percent Increase County PCP Specialists* Totals PCP Specialists* Totals PCP Specialists* Totals Bronx 1,198 3,454 4,652 742 2,353 3,095 62% 68% 67% Dutchess 202 703 905 95 359 454 47% 51% 50% Kings 1,592 4,362 5,954 759 2,652 3,411 48% 61% 57% Nassau 1,407 4,646 6,053 639 2,967 3,606 45% 64% 60% New York 2,474 8,547 11,021 1,475 6,406 7,881 60% 75% 72% Orange 313 805 1,118 148 509 657 47% 63% 59% Putnam 76 282 358 34 153 187 45% 54% 52% Queens 1,634 4,676 6,310 1,005 3,531 4,536 62% 76% 72% Richmond 326 1,064 1,390 184 826 1,010 56% 78% 73% Rockland 192 598 790 95 388 483 49% 65% 61% Suffolk 1,007 3,430 4,437 444 2,345 2,789 44% 68% 63% Sullivan 61 169 230 35 138 173 57% 82% 75% Ulster 119 341 460 71 196 267 60% 57% 58% Westchester 897 3,204 4,101 485 2,191 2,676 54% 68% 65% Totals 11,498 36,281 47,779 6,211 25,014 31,225 54% 69% 65% * Specialists include Pediatrics & OBGYN. PRIME NETWORK VS. SELECT CARE NETWORK HOSPITALS IN NEW YORK Bronx County Prime Network Select Care Network Bronx Lebanon Hospital Center - Concourse Division X Bronx Lebanon Hospital Center - Fulton Division X Calvary Hospital X X Jacobi Medical Center X Lincoln Medical and Mental Health Center X Montefiore Medical Center - Henry and Lucy Moses Division X X Montefiore Medical Center - Jack D. Weiler Hospital of Albert Einstein X X Montefiore Medical Center - Wakefield Campus X X North Central Bronx Hospital X St Barnabas Hospital X X Dutchess County Prime Network Select Care Network Northern Dutchess Hospital X x Vassar Brothers Hospital X X MidHudson Regional Hospital of Westchester Medical Center X X Kings County Prime Network Select Care Network Brookdale University Hospital Medical Center X X Brooklyn Hospital Center X X Coney Island Hospital X Interfaith Medical Center X Kings County Hospital Center X Kingsbrook Jewish Medical Center X Maimonides Medical Center X 2
Kings County Prime Network Select Care Network Mount Sinai Brooklyn (King Highway) X X New York Community Hospital of Brooklyn X New York Methodist Hospital X X NYU Lutheran Medical Center X X SUNY Downstate Medical Center (and University Hospital of Brooklyn) X Woodhull Medical and Mental Health Center X Wyckoff Heights Medical Center X New York County Prime Network Select Care Network Henry J. Carter Specialty Hospital and Skilled Nursing Facility X Bellevue Hospital Center X Harlem Hospital Center X Hospital for Special Surgery X X Lenox Hill Hospital X X Memorial Hospital for Cancer and Allied Diseases X Metropolitan Hospital Center X Mount Sinai Beth Israel (Petrie) X X Mount Sinai Hospital (The) X X Mount Sinai St Lukes X X Mount Sinai West (Roosevelt) X X New York Eye and Ear Infirmary of Mount Sinai X X New York-Presbyterian / Columbia University Medical Center X X New York-Presbyterian / The Allen Hospital X X New York-Presbyterian / Lower Manhattan Hospital X X New York-Presbyterian / Weill Cornell Medical Center X X NYU Hospital Center X NYU Hospital for Joint Diseases X Nassau County Prime Network Select Care Network Long Island Jewish Valley Stream X X Glen Cove Hospital X X Mercy Medical Center X Nassau University Medical Center X North Shore University Hospital X X Syosset Hospital X X Plainview Hospital X X South Nassau Communities Hospital X St Francis Hospital X St Joseph Hospital X Winthrop University Hospital X Orange County Prime Network Select Care Network Bon Secours Community Hospital X Orange Regional Medical Center X X St Anthony s Community Hospital X X St Luke s Cornwall Hospital - Cornwall X X St Luke s Cornwall Hospital - Newburgh X X 3
Putnam County Prime Network Select Care Network Putnam Hospital Center X X Queens County Prime Network Select Care Network Elmhurst Hospital Center X Flushing Hospital Medical Center X X Long Island Jewish Forest Hills X X Jamaica Hospital Medical Center X X Long Island Jewish Medical Center X X Mount Sinai Hospital of Queens X X NewYork-Presbyterian / Queens X X Queens Hospital Center X St John s Episcopal Hospital X Richmond County Prime Network Select Care Network Richmond University Medical Center X Staten Island University Hospital - North X X Staten Island University Hospital - South X X Rockland County Prime Network Select Care Network Good Samaritan Hospital X X Helen Hayes Hospital X Suffolk County Prime Network Select Care Network Brookhaven Memorial Hospital Medical Center X Eastern Long Island Hospital X X Good Samaritan Hospital Medical Center - West Islip X Huntington Hospital X X John T. Mather Memorial Hospital X Peconic Bay Medical Center X X Southampton Hospital X X Southside Hospital X St Catherine of Siena Medical Center X X St Charles Hospital X Stony Brook University Medical Center X X Sullivan County Prime Network Select Care Network Catskill Regional Medical Center - Harris Bushville X X Catskill Regional Medical Center - G.Hermann X X Ulster County Prime Network Select Care Network Ellenville Regional Hospital X HealthAlliance Hospital Broadway Campus X X HealthAlliance Hospital Mary s Ave Campus X 4
Westchester County Prime Network Select Care Network Blythedale Children s Hospital X Burke Rehabilitation Hospital X Montefiore Mount Vernon X X Montefiore New Rochelle X X New York-Presbyterian / Hudson Valley Hospital Center X X New York-Presbyterian / Lawrence Hospital X X Northern Westchester Hospital X X Phelps Memorial Hospital Center X X Saint Joseph s Medical Center X X St John s Riverside Hospital - Andrus Pavilion X St John s Riverside Hospital - Dobbs Ferry Pavilion X St John s Riverside Hospital - Park Care Pavilion X Westchester Medical Center X X White Plains Hospital X X Questions? Call Broker and Group Services at 1-866-614-6040 (TTY 711). Our hours are 9 am to 5 pm, Monday to Friday. A Customer Service representative will be happy to help. 5
55 Water Street, New York, New York 10041-8190 emblemhealth.com Group Health Incorporated (GHI), HIP Health Plan of 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. EMB_BR_BRO_33879_HIP_vs_SelectCare_SmallGrp 6/17