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Claims Address:    PO BOX 2858
                                   New York, NY 10116
Customer Service: 1-800-HIP-TALK
http://www.hipusa.com/

HIP was founded in the 1940s as a prepaid group practice health plan conducting business in New York City, Long Island and Westchester. Today, HIP is an EmblemHealth company that offers a broad spectrum of group and network-based health care products including HMO, PPO, POS and EPO plans, and ASO services to approximately 1.2 million individuals in New York, Connecticut and Massachusetts.

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Formulary

VYTRA Formulary

HIP Medco Order Form

Express Scripts' Mail Service Pharmacy

Claim Form

Domestic Partner Coverage Rider

Guidelines

New Participation Requirements
Traditional Benefit Plan Summaries
Cost Share
EPO Smart Start
EPO 30/50 1000A Select
EPO 30/50 1000 Select
EPO 25/1000 Select
EPO 15/1000 Select
PPO 15/1000 Select
PPO 30/50 1000 Select
PPO 25/1000 Select
HMO Plans
HMO Super Value
HMO 25/40A
HMO Value
HMO 20
HMO 5
HMO 15
HMO 10
POS Plans
POS 20/1000
HIP Plans with Vytra Premium Network
Only available for Renewals
Direct Access HMO Plans
HMO 20 (Open Access)
HMO 15 (Open Access)
HMO 10 (Open Access)
POS Plans
POS 20/1000
POS 15/500
POS 10/250
Sole Propietor New Business
Benefit Plan Summaries
Plan #1 - Prime HMO 30/50 1000 Rx $300 Ded 20/30/50
Plan #2 - Select PPO 30/50 IN 2000 Rx $300 Ded 20/30/50
Plan #3 - Select PPO 30/50 IN 2000 Rx $100 Ded $10 Generic Only
 
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