NY Medicaid AcceptedNY State · NYC and beyond
☎ (347) 497-3835  |  sp@callmdnow.com
Commercial group · Self-funded · Union funds · Individual market

Commercial telehealth that actually moves the needle.

For commercial health plans and self-funded employer groups serving NY State members. Cost-effective, network-integrated, measurable outcomes.

📊 Outcomes reporting💵 PMPM, FFS, or hybrid🏥 In-network referrals
Built for commercial members in New York

Cost-effective, network-integrated, member-loved.

Commercial members in NY have high expectations and increasingly high deductibles. Generic national telehealth doesn't move utilization meaningfully and doesn't drive satisfaction. We do both.

Talk to our team →

Best fit for plans serving

  • Self-funded employer groups with NYC-based employees
  • Fully-insured commercial group products
  • Individual and family market (Empire BCBS, Aetna, UHC, Cigna)
  • Public employee plans (NYC, NYS, MTA, NYCHA, DOE)
  • Union health and welfare funds (1199, 32BJ, DC37, Teamsters)
  • Taft-Hartley health funds
Value drivers for commercial

What you can measure.

📉

ED Diversion

Same-day 24/7 visits divert appropriate low-acuity ED visits. Typical ED visit cost $1,200-$3,000+; telehealth visit cost $80-$120.

⏱️

Time-to-Care

Average wait under 30 minutes for 24/7 visits, under 7 days for primary care. Drives member NPS.

🧠

Mental Health Access

Closes the largest commercial network gap. Most commercial plans have inadequate mental health network access in NYC.

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Workplace Productivity

For self-funded employers: reduced absenteeism, faster return to work, less time off for routine care.

📊

Quality Measures

HEDIS, NCQA, URAC measure support. Particularly strong on access and behavioral health measures.

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Total Cost of Care

Cohort analyses available; commercial populations using CallMD Now show reduced ED, urgent care, and unnecessary specialist utilization.

Pricing models

PMPM, FFS, or hybrid.

We work with the contracting model that fits your plan and population.

PMPM (Per-Member-Per-Month)

  • Predictable cost regardless of utilization
  • Best for plans wanting to encourage maximum use
  • Typical range: $0.50-$2.50 PMPM depending on services included

Fee-for-Service

  • Pay only for visits used
  • Best for plans testing telehealth before broader rollout
  • Standard CPT codes (99441-99443, 99421-99423, telehealth modifiers)

Hybrid

  • Low PMPM + FFS for utilization above baseline
  • Most common contracting model for our partners
FAQ

Common questions.

Do you support self-funded employer groups?
Yes — many of our commercial partnerships are with self-funded employer groups (often via their TPA). We can contract directly with the employer or via the TPA. We provide standard utilization and outcomes reporting.
Can you integrate with our PBM?
Yes. Our prescribers send to any pharmacy. We work with major NY PBMs on formulary alignment to keep member out-of-pocket costs low. Prior authorization handled by our team.
What about HRA/HSA-compatible plans?
Yes — we structure visits to be HRA/HSA-compatible (standard CPT-coded telehealth visits). Members with high-deductible plans appreciate the transparency on visit cost upfront.
Can you serve union members?
Yes — we have experience with 1199, 32BJ, DC37, and Teamsters fund members. We understand benefit structures and member communication preferences.
How do members access services?
Members get a co-branded landing page with single sign-on or member ID-based access. We can integrate with your member portal or operate as standalone. Average member activation is 48 hours from first communication.

Bring proven telehealth to your commercial members.

Schedule a 30-minute exploratory call with our team.