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What is Empire's 360° Health® program?
A total health solution that helps members become more healthy, or live better with a condition, while lowering the cost of health care.
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Submit the Materials

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There are 4 easy ways to submit your application:

Apply Online
By Mail.
(USPS) We will receive your application in 5-10 days 
Mail all original documents to: 
Empire Blue Cross Blue Shield
PO Box 1407
Church Street Station
New York, NY 10008-1407
 
By e-mail.
We will receive your application in 24 hours 
Scan all documents and attach them to an e-mail addressed to:
empire.iipapplications@empireblue.com
 
By Fax.
We will receive your application the same day. 
Fax enrollment applications for "Healthy New York" to: 1-866-862-1660  
Fax all other enrollment applications to: 540-853-5148  
Fax all other materials/documents to: 1-866-829-2393 
 
It takes us an average of 10-14 days to process applications once we receive them. You can verify if your enrollment is active by registering as a member on our web site, www.empireblue.com, after this time. If your application was complete and you have been enrolled in the contract of your choice, you will receive enrollment materials, an identification card and premium bill by mail. You will also be advised by mail if your application is not complete or, if additional information is needed to complete the enrollment process.

If needed, Sales Representatives are available to answer your questions at 888-721-2583, Monday – Friday 8:30 a.m. – 5:00 p.m. eastern standard time.

Thank you. We look forward to a long and lasting relationship with you.  
©2014 Empire BlueCross BlueShield

Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.