Resources

This Plan is required to provide certain information on its website pursuant to the No Surprises Act and the Federal Transparency in Coverage Final Rule published in the Federal Register on November 12, 2020.

The Plan will provide links, maintained by the Plan’s third party administrators MetroPlus and EmblemHealth, to an internet-based self-service tool on its website. This tool is intended to provide participants access to the Plan’s prices charged by the provider, contracted or negotiated rates, consumer cost-sharing obligations and other information. You can use this information before receiving care to compare prices and better estimate potential out-of-pocket costs.

You may receive this information in paper form, upon request. For more information, please contact the Fund Office or visit https://www.cms.gov/healthplan-price-transparency/consumers

MetroPlus Provider Directory

MetroPlus Price Look up Tool

EmblemHealth Pharmacy Benefits Information and Pricing

EmblemHealth Medical Benefits Information and Pricing