NYC Health Benefits Program

Important Changes to Your HIP HMO Plan

Effective July 1, 2017

The information in the table below lists the Care, Place and Time to receive medical treatment. The table also includes the cost of in-network services if provided by a Preferred Provider or a non-Preferred Participating Provider, as well as emergency services.

Hover over items marked with a green dotted underline for a definition of the term.

In-Network Care and Costs





When Enrolled with an

  Preferred Provider Non-Preferred Participating Provider

Preventive Care

Visit for a full list of preventive services.

$0 $0  


Urgent Care Center $50  
Emergency Room $150  



Scheduling - Some doctors appointments may be scheduled online using ZocDoc




Preventive Prescriptions, Opioid Treatment Drugs and Diabetic Medications as listed on

  Base plan
Self-Injectibles and Chemotherapy   PICA Program
Other Prescriptions   Union Welfare Fund or High-Optional Rider

Other Services

HIP HMO Notification Letter

EmblemHealth will be mailing a letter directly to HIP HMO members detailing the changes that will take effect July 1, 2017. View the HIP HMO Notification Letter.

HIP HMO Member ID Cards

EmblemHealth will mail you your new member ID card approximately 10 days prior to the July 1, 2017 effective date of your new plan. Please begin using your new card beginning July 1, 2017 when claiming benefits, and be sure to destroy your previous card.


If you have any questions about your new HIP HMO Preferred plan, please call Emblem Health Customer Service at 1-800-447-8255, Monday to Friday, 8 am to 6 pm. If you have a hearing or speech impairment and use a TTY/TDD, please call 711. Or, visit Emblemhealth

View the HIP HMO Notification Letter

Find a HIP HMO Providers

Glossary of Terms