Frequently asked questions

We hope you’ll find your answer below. You can always call 212-501-4444.

About the new plan

The NYC Employees PPO Plan is a new premium-free health plan offered jointly by EmblemHealth and UnitedHealthcare. It would include health coverage for medical services (doctors and hospitals) and other medical facilities — all under one health plan and one member ID card. The current in-network copays — the flat fee you pay for visits with contracted doctors — will remain the same, while the network will be expanded. This plan would be available to all City of New York employees, pre-Medicare-eligible retirees, and their eligible dependents enrolled through the City of New York Health Benefits Program. Coverage begins Jan. 1, 2026.

As a third-party administrator, we handle many of the tasks associated with managing group health plans. We process claims for services from health care providers and have medical professionals on staff to help coordinate care for members who are hospitalized or dealing with a serious health condition.

We provide you with prompt, personalized service. As a plan member served by us, you have a customer service team of helpful people available to assist you and answer questions about your health benefits.

You may receive an explanation of benefits (EOB) for health claims submitted by your health care providers. Also, we may send you letters that will require you to follow up with your provider to obtain more information.

Your member experience

All active members of the EmblemHealth GHI CBP/Anthem BlueCross and BlueShield plan and their eligible dependents would be automatically enrolled in the NYC Employees PPO Plan prior to Jan. 1, 2026. The NYC Employees PPO Plan would replace the EmblemHealth GHI CBP/Anthem BlueCross and BlueShield plan as of Jan. 1, 2026. There would be no gap in coverage.

The UMR app is available for download through Google Play and the App Store.

To get answers to your benefits questions, you can contact UMR by calling the member services phone number listed on your health plan ID card. You can also use the chat feature on umr.com or on the UMR app to get assistance 24/7.

There are three ways to see when your coverage started:

1. On the UMR portal under Benefits and coverage tab

2. On the UMR app under Benefits tab

3. Call UMR at 1-800-826-9781

To go paperless, visit umr.com or go to the UMR app and select Account settings to change your paperless settings.

How the plan works

Not at all. Your GHI plan’s authorizations and prescriptions will all be transferred to the new NYC Employees PPO Plan for you.

If you would like to receive another copy, you can order a new ID card on umr.com, on the UMR app or you can call member services.

Your doctors

You can visit [URL] or call your existing EmblemHealth Customer Service line at 212-501-4444 (TTY: 711) to find out if your doctor is in the network for this plan.

If you would like to receive another copy, you can order a new ID card on umr.com, on the UMR app or you can call member services.

To top