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Legal

CMS Disclaimer

Non-Discrimination Notice: The plan documents may be available in other languages. Or, if you have special needs, the documents may be available in other formats. Please review the Notice of Non-Discrimination in Health Programs and Activities and call Customer Service for details.


Empire BlueCross BlueShield is Medicare Advantage Organization with a Medicare contract. For Dual-Eligible Special Needs Plans: Empire BlueCross BlueShield is a D-SNP with a Medicare contract and a coordination of benefits agreement with the New York Medicaid program. Enrollment in Empire BlueCross BlueShield depends on contract renewal.


This information is not a complete description of benefits. Contact the plan for more information. Limitations, copayments, and restrictions may apply. Benefits, premiums and/or co-payments/co-insurance may change on January 1 of each year. The formulary, pharmacy network, and/or provider network may change at any time. You will receive notice when necessary. You must continue to pay your Medicare Part B premium. For Dual-Eligible Special Needs Plans: This plan is available to anyone who has both Medical Assistance from the State and Medicare.


Attention: If you speak any language other than English, language assistance services, free of charge, are available to you. Call our Customer Service number, (TTY: 711).


ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame a nuestro número de Servicio de Atención al Cliente (TTY: 711).


注意:如果您使用非英語的其他語言,您可以免費獲得語言援助服務。請致電聯絡客戶服務部(聽語障用戶請致電:711)。

Grievances and Appeals Disclaimer

 

Evidence of Coverage Disclaimer

 

Customer Service

 

Disclaimer for the "Find a Pharmacy" search tool:

 

Disclaimer for "Find your covered drugs" search tool:

 

Plan Documents Disclaimer

 

Service Area Disclaimer - NY (Empire BlueCross BlueShield)

In New York, these are the service areas for Medicare Advantage (MA) plans and Medicare Advantage with Prescription Drug (MA-PD) plans offered by Empire BlueCross BlueShield:


Empire MediBlue Access (PPO) plan – Contract H3342 019:
Our service area includes this county in New York:
Bronx

Empire MediBlue Dual Advantage (HMO SNP) plan – Contract H3370 028:
Our service area includes these counties in New York:
Bronx, Kings, Nassau, New York, Orange, Queens, Richmond, and Westchester

Empire MediBlue Choice (HMO-POS) plan – Contract H3370 038:
Our service area includes this county in New York:
Nassau

Empire MediBlue Choice (HMO-POS) plan – Contract H3370 039:
Our service area includes this county in New York:
Kings

Empire MediBlue Plus (HMO) plan – Contract H3370 029-001:
Our service area includes this county in New York:
Bronx

Empire MediBlue Plus (HMO) plan – Contract H3370 029-002:
Our service area includes this county in New York:
Queens

Empire MediBlue Plus (HMO) plan – Contract H3370 029-003:
Our service area includes this county in New York:
Kings

Empire MediBlue Plus (HMO) plan – Contract H3370 030:
Our service area includes these counties in New York:
Orange, Rockland, and Westchester

Empire MediBlue Plus (HMO) plan – Contract H3370 031:
Our service area includes this county in New York:
Nassau

Empire MediBlue Plus (HMO) plan – Contract H3370 032:
Our service area includes this county in New York:
Suffolk

Empire MediBlue Core (HMO) plan – Contract H3370 033:
Our service area includes these counties in New York:
Bronx, Kings, Queens, Richmond, and Westchester

Empire MediBlue Plus (HMO) plan – Contract H3370 035:
Our service area includes this county in New York:
New York

Enrollment Instructions

 

Legal Disclaimer Terms of Use - NY EBCBS

This online store is owned and operated by Empire BlueCross BlueShield. By using this online store, you acknowledge and agree to abide by all of these terms of use.  The insurance products described in this online store are offered only to persons over the age of 18 and who are residents of New York. You must be a resident of the state where the policy is offered.  The Medicare Supplement products are not connected with or endorsed by the U.S. Government or the federal Medicare program.  The purpose of this communication is the solicitation of insurance.  Contact will be made by an insurance agent or an insurance company if you submit a request for more information or an application. This site is intended for consumer and informational use only. We do not guarantee to provide you coverage and we reserve the right to reject your application based on applicable enrollment and eligibility criteria specific to Medicare Advantage, Part D or Medicare Supplement Products.  Do not cancel your existing insurance until you receive written confirmation from Empire BlueCross BlueShield that your application has been approved and your policy is in effect.  Your completion of the online enrollment process constitutes your acceptance of the applicable policy should we approve your application. Your enrollment/acceptance constitutes your authorization for the initial and recurring premium payment by credit card or automatic bank draft, should you select those methods. 

The insurance product that we offer to you through this online store is based, in part, on the zip code that you provide. You accept sole responsibility for entering the proper zip code into the shopping experience. You are responsible for maintaining the confidentiality of your username and password for this online store and for restricting access to your computer.  You acknowledge and agree that neither Empire BlueCross BlueShield nor any of its affiliates will have any liability to you for any unauthorized application, enrollment or credit card transaction made using your username and password if such transaction occurs before you have notified us of possible unauthorized use and we had a reasonable period of time to act on that notice. Further, we may suspend or cancel your account or your access to the Site at any time even without receiving notice from you if we suspect that your account and/or password is being used in an unauthorized or fraudulent manner. Empire BlueCross BlueShield may, in its sole discretion, change, suspend or terminate, temporarily or permanently, the online store (in part or in full), for any reason, without notice and without liability to you.  If another party is providing information on behalf of the consumer as part of the application or enrollment process, the party meets applicable laws regarding authorized representatives, and the party entering such information hereby agrees to accept all liability that may arise from providing us inaccurate information and/or selecting the proper/improper product.

DISCLAIMER OF WARRANTIES: YOU AGREE THAT ALL CONTENT PROVIDED ON OR THROUGH THIS ONLINE STORE IS PROVIDED “AS IS”.  EMPIRE BLUECROSS BLUESHIELD AND ITS AFFILIATES DISCLAIM ALL WARRANTIES OF ANY KIND, WHETHER EXPRESS OR IMPLIED.  NEITHER EMPIRE BLUE CROSS AND BLUE SHIELD, ITS AFFILIATES AND RELATED ENTITIES, NOR ANY OF THEIR RESPECTIVE EMPLOYEES, AGENTS, THIRD PARTY CONTENT PROVIDERS OR LICENSORS WARRANT THAT THIS ONLINE STORE WILL BE UNINTERRUPTED, TIMELY, SECURE OR ERROR FREE; THAT ANY DEFECTS OR ERRORS WILL BE CORRECTED; THAT THE CONTENT OR SERVICE IS FREE OF VIRUSES OR OTHER HARMFUL COMPONENTS. LIMITATION OF LIABILITY: NEITHER EMPIRE BLUECROSS BLUESHIELD NOR ITS EMPLOYEES SHALL BE LIABLE FOR ANY INDIRECT, INCIDENTAL, SPECIAL OR CONSEQUENTIAL DAMAGES RESULTING FROM THE USE OR INABILITY TO USE THIS SITE.