CommercialAdministrativeMedium impact
Announcement by the City of New York
EmblemHealth·NY·Provider News
Effective date
Jan 1, 2026
We identified it
Jun 20, 2026
Summary
New York City is creating a new PPO plan called NYC Employees PPO that will replace the current EmblemHealth GHI CBP/Anthem Blue Cross Blue Shield plan for NYC workers and retirees. The new plan launches January 1, 2026, with EmblemHealth managing benefits in 13 downstate counties and UnitedHealthcare providing coverage outside those areas.
Action Required
Before January 1, 2026: Billing team must update patient insurance verification procedures to identify NYC Employees PPO members and route claims appropriately - EmblemHealth for downstate NY counties, UnitedHealthcare for out-of-area coverage. Update insurance verification checklists and train staff on the new plan structure.