HIP Prime HMO

The HIP Prime HMO plan (underwritten by HIP Health Plan of New York, an EmblemHealth company) follows the concept of total prepaid group practice hospital and medical care, that is, there is no out-of-pocket cost to the staff member for covered services at numerous participating medical groups in the Greater New York area.

You may get more information about HIP in the Plan Outline available in the HQ information Circular or you may contact HIP directly for infomation about benefits offered.

IMPORTANT: As of 1 July 2013, the HIP plan is closed to new subscribers (i.e. staff members or retirees).

Carrier Details

Address: 
6 West 35th Street
New York, NY 10001
United States
Enrollment: 
Optional - Application required

Appeal a Claim

Subscribers must appeal non-favourable decisions through the insurance carrier before contacting the Insurance Unit.

Summary of Benefits

Details of the plan (description of benefits, restrictions, level of coverage) may be found in the HIP Member Plan Description.

Conversion Privileges

The conversion privilege is part of the United Nations group insurance programme. It allows staff members who cease employment with the United Nations and do not qualify for after-service health insurance benefits to arrange for medical coverage under an individual contract .

Eligibility

The eligibility section of the HQ circular explains in detail the eligibility requirements to enrol in the HIP plan.

Vision Care

Participants are covered 100% for a routine annual eye examination at affiliated optometrists. Prescription lenses and frames can be chosen from a select group for a cost of $45 and are available every 24 months. Participants are not required to purchase the eyewear from the same provider rendering the eye examination. Lasik surgery discounts are available through Davis Vision. More information on vision care may be found here.

Pharmacy

Prescription drugs benefits are provided through the Express Scripts, Inc. (ESI) home-delivery service.

Online Provider Directory

You may access the HIP website at www.emblemhealth.com. You may also follow these step-by-step instructions to find a doctor online.