Posted in Training, Updates

EmblemHealth (NY) Medicare-New Networks for 2021

There are 3 new networks that will be available for Medicare members to choose from, for the year 2021.

These plans are for group and individual members.

Below are the description for these notworks:

1. VIP Prime Network– the largest network for group Medicare members. Medicare Plans on this network require the members to select a PCP and request a referral to see a specialist.

3. VIP Bold– the most extensive network for individual Medicare members. Members will need to select a PCP, but this network will not require referrals.

2. VIP Reserve– this network is for EmblemHealth Individual Medicare Members located in Manhattan, Queens, Brooklyn, and the Bronx. Members will need to enroll in one of our new 2021 VIP Reserve Medicare plans. As with VIP Bold, members will need to select a PCP but will not need referrals.



My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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