New York City Employees PPO Plan: Things You Should Know

EmblemHealth and UnitedHealthcare have launched the NYCE PPO plan. It supports New York City employees, non-Medicare retirees, and eligible dependents with a more streamlined member experience.

Key Features Include:

• Members will carry one ID card that can be used for both medical and laboratory services.
• Providers should complete all plan-related actions through the NYCE PPO provider portal.
• For operational guidance, the NYCE PPO Plan FAQ includes details on claims, prior authorizations, reconsiderations, and related processes.

Network And Rates 

Network participation and contracted rates are determined by the location of your practice.EmblemHealth network and rates apply in these counties:

• Bronx
• Duchess
• Kings
• Nassau
• New York
• Orange
• Putnam
• Queens
• Richmond
• Rockland
• Suffolk
• Ulster
• Westchester

Outside these counties, use the UnitedHealthcare Choice Plus network and rates. If you have any questions and queries about it, visit the official website of NYCE PPO.