Get Hip Referral Form

Group Health Incorporated (GHI), Health Insurance Plan of Greater New York (HIP), HIP Insurance Company of New York and EmblemHealth Services Company, LLC are EmblemHealth companies.

Important Notice from Health Insurance Plan (HIP/HMO) About Our Prescription Drug Coverage and Medicare.

Our Essential Plan is an HMO plan, which means you must: Seek non-emergency care from doctors, hospitals and facilities in the Enhanced Care Prime network only, in order for your care to be covered. Choose a primary care physician (PCP) from the Enhanced Care Prime network.

Mental health benefit EmblemHealth's HIP HMO Preferred Plan covers mental health and substance abuse programs and services, with confidential help available 24/7.

What if I don't get a referral? There's nothing to stop you from seeing a specialist without a referral, but the problem is that you will be responsible for the full cost of the visit. The insurance company will not cover it. So instead of paying a copay, you'll be stuck with a much higher bill.

Networks and Benefits CompanyProvider NetworkCommercial: Select Care NetworkHIP/HIPICPrime NetworkMedicaid/Commercial: Enhanced Care Prime NetworkMedicare: Medicare Essential Network8 more rows

Preauthorization is required for all Inpatient types of care including Medical, Surgical, Hospice, Skilled Nursing Care, Rehabilitation Care, as well as DME and Home Care services.

Two companies from those early days of health insurance, Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP), would later merge and become EmblemHealth. And after 80 years, our mission is still the same: to create healthier futures for our customers and communities.