Medicare Advantage Providers
Empire offers a variety of Medicare plans to support member needs. We also support our providers with access to information about our plans and member benefits, news and updates, training materials and guides and other helpful resources.
City of New York Group Retirees
The City of New York (CONY) has awarded their group retiree business to Retiree Health Alliance, an alliance between Empire BlueCross BlueShield and EmblemHealth. Effective January 1, 2022, Medicare-eligible CONY retirees will transition to the NYC Medicare Advantage Plus Medicare Advantage PPO Plan.
Plans & Benefits
Below you will find evidence of coverage (EOC) and summary of benefits (SOB) documents for our Individual Medicare Advantage products. If the product you are searching for is not in the lists below, please call the number on the back of the member’s ID card.
Provider Guides & Forms
Make use of these helpful resources to assist you when working with our Medicare Advantage products and patient claims.
Important information about credentialing, reimbursement, appeals, and more
Examples of member identification cards to familiarize yourself with the format
A library of forms related to Medicare Advantage and doing business with Empire
Individual Plans & Employer Group Plans
Empire reimbursement policies outline the basis for reimbursement for services covered by a member’s benefit plan and serve as a guide to assist you in accurate claims submission.
Medicare Advantage PPO members of non-Anthem Blue Plans should utilize our Medicare Advantage reimbursement policies. There are five reimbursement policies that only apply to MA PPO members of non-Anthem Blue Plans. These policies have been listed as MA PPO.
For the most direct point of contact, use the number provided on the back of the member’s ID card. If those numbers are not available to you, use the phone numbers listed below for assistance with your questions.