Get Participating Provider Referral Referring PCP ... - EmblemHealth

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.

After you choose a medical plan, you choose a primary care provider (PCP) — a doctor or clinic that belongs to your medical plan.

Your PCP's office will send a referral form to the specialist, which typically includes your relevant medical records, the reason for the referral, and, where applicable, the parameters of treatment. For instance, you might be referred for eight weeks of physical therapy to manage shoulder pain.

Simply said, health maintenance organization (HMO) plans and point of service (POS) plans will require a referral before seeing a specialist.

One key component of a health maintenance organization (HMO) health insurance plan is the primary care physician (PCP). ¹ This is the person who will coordinate all of your medical care. You will likely be required to choose a primary care physician when you sign up for your insurance.

Select Care is a carefully tailored network designed to support a suite of commercial plans that EmblemHealth is offering in New York. This network was built around key hospitals located where we strive to achieve significant membership growth.

Once registered, you can change your PCP on the homepage of your member portal at my.emblemhealth.com. Click the “Change PCP” link under your Plan Information. Compare providers and doctor profiles to find the provider that best meets your needs. You can also search as a Guest under Find a Doctor at emblemhealth.com.

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.