Statewide EPO and PPO Plan Profiles - Health Plans Reported in eQARR 2022
| Health Plan | 2022 Plan Service Area* | Member Services | Website | NCQA Accreditation** | Enrollment | ||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Long Island | New York City | Hudson Valley | Northeast | Central | Western | 2022 | Change from 2021 | ||||
| Aetna Life Insurance Company - New York | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-872-3862 | http://www.aetna.com | Accredited | 942,685 | 1% |
| CDPHP Universal Benefits, Inc. | ✔ | ✔ | ✔ | 1-877-269-2134 | http://www.cdphp.com | Accredited | 106,638 | -6% | |||
| CGLIC/CHLIC | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-997-1654 | http://www.cigna.com | Scheduled | 496,757 | 1% |
| Empire BlueCross BlueShield PPO | ✔ | ✔ | ✔ | ✔ | 1-800-342-9816 | http://www.empireblue.com | Not Accredited | 1,124,551 | 10% | ||
| GHI (EmblemHealth) | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-800-624-2414 | http://www.emblemhealth.com | Accredited | 27,706 | -11% |
| MVP Preferred PPO | ✔ | ✔ | ✔ | ✔ | 1-888-687-6277 | http://www.mvphealthcare.com | Not Accredited | 115,833 | -5% | ||
| Oscar† | ✔ | ✔ | ✔ | 1-855-672-2788 | https://www.hioscar.com | Accredited | 12,329 | -40% | |||
| Oxford Health Insurance of New York | ✔ | ✔ | ✔ | 1-800-444-6222 | http://www.uhc.com | Accredited | 609,412 | -6% | |||
| UnitedHealthcare Insurance Company of New York, Inc. | ✔ | ✔ | ✔ | ✔ | ✔ | ✔ | 1-888-617-8979 | http://www.uhc.com | Accredited | 514,616 | -15% |
Notes
- All plans listed in this table are Commercial EPOs and PPOs.
- *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.
- †EPO reporting as PPO.
- Not every plan may be accepting new enrollment. Please call the plan Member Services Number to confirm availability.
