CommercialAdministrativeMedium impact
2025 Commercial Network and Benefit Plan Changes
EmblemHealth·Provider News
Effective date
Jan 1, 2025
We identified it
Jun 20, 2026
Summary
EmblemHealth and ConnectiCare have updated their commercial network and benefit plan offerings for 2025. Healthcare practices need to review the updated network and benefit plan pages to understand which commercial plans will be available and ensure they remain in-network.
Action Required
Before January 1, 2025: Billing and credentialing teams must review the updated EmblemHealth Commercial Networks and Benefit Plans and ConnectiCare Commercial Networks and Benefit Plans pages to verify current network status and understand benefit changes. Update patient eligibility verification procedures to account for new plan structures. Failure to verify network status could result in out-of-network claims and patient balance billing issues.