Statewide Plan Profiles - Health Plans that Reported in eQARR 2022

Health Plan Type of Insurance 2022 Plan Service Area* Member Services Website NCQA Accreditation** Enrollment
Commercial HMO Medicaid Managed Care HIV Special Need Plans (SNP) Long Island New York City Hudson Valley Northeast Central Western 2022 Change from 2021
Amida Care ✔ ✔ 1-800-556-0689 http://www.amidacareny.org 8,387 5%
CDPHP® ✔ ✔ ✔ ✔ ✔ 1-800-777-2273 http://www.cdphp.com Accredited/Accredited 218,522 -1%
Empire BlueCross BlueShield HMO ✔ ✔ ✔ ✔ ✔ 1-800-331-1476 http://www.empireblue.com Accredited 5,758 -14%
Empire BlueCross BlueShield HealthPlus ✔ ✔ ✔ ✔ 1-800-300-8181 http://www.empireblue.com Accredited 451,502 6%
Excellus BlueCross BlueShield† ✔ ✔ ✔ ✔ ✔ 1-800-499-1275 http://www.excellusbcbs.com Accredited/Accredited 1,137,013 -2%
Fidelis Care New York, Inc. ✔ ✔ ✔ ✔ ✔ ✔ ✔ ✔ 1-888-343-3547 http://www.fideliscare.org Not Accredited/Accredited 1,994,789 5%
HIP (EmblemHealth)® ✔ ✔ ✔ ✔ ✔ ✔ ✔ 1-855-283-2146 http://www.emblemhealth.com Accredited/Not Accredited 428,009 -2%
Healthfirst PHSP, Inc.® ✔ ✔ ✔ ✔ ✔ 1-866-463-6743 http://www.healthfirst.org Not Accredited/Not Accredited 1,378,043 5%
Highmark Western and Northeastern New York, Inc.® ✔ ✔ ✔ ✔ 1-866-231-0847 http://www.highmark.com Accredited/Not Accredited 386,569 -4%
Independent Health ✔ ✔ ✔ 1-800-501-3439 http://www.independenthealth.com Accredited/Not Accredited 172,644 10%
MVP Health Care ✔ ✔ ✔ ✔ ✔ ✔ 1-888-687-6277 http://www.mvphealthcare.com Accredited/Not Accredited 325,829 3%
MetroPlus Health Plan ✔ ✔ ✔ 1-800-303-9626 http://www.metroplus.org Not Accredited 541,104 6%
Molina Healthcare ✔ ✔ ✔ ✔ ✔ ✔ 1-800-223-7242 http://www.molinahealthcare.com Not Accredited/Not Accredited 343,652 6%
SelectHealth from VNS Health ✔ ✔ ✔ ✔ 1-866-783-1444 http://www.vnsnychoice.org 3,150 6%
UnitedHealthcare Community Plan ✔ ✔ ✔ ✔ ✔ ✔ ✔ 1-800-493-4647 http://www.uhc.com Accredited/Accredited 416,833 -7%
Univera Healthcare† ✔ ✔ 1-800-427-8490 http://www.univerahealthcare.com Accredited/Accredited . NA

Notes

  • *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 January 2024. Accreditation status for plans offering both Commercial and Medicaid products listed as Commercial HMO/Medicaid Managed Care. Blank = No Accreditation.
  • †Excellus BlueCross BlueShield and Univera Healthcare combined reporting for measurement year 2022.
  • ®CDPHP does not offer Medicaid Managed Care in Hudson Valley and Central New York.
  • ®HIP (Emblem Health) does not offer Medicaid Managed Care in New York City, Northeast, and Central New York.
  • ®Healthfirst PHSP, Inc. does not offer Commercial HMO in Hudson Valley.
  • ®Highmark Western and Northeastern New York, Inc. does not offer Medicaid Managed Care in the Northeast New York.
  • Not every plan may be accepting new enrollment. Please call the plan Member Services Number to confirm availability.