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Excellus BCBS

Nonprofit health insurance provider

Overview

Excellus BCBS is a nonprofit health plan serving upstate New York, from Utica through Rochester, as part of the national Blue Cross Blue Shield network. It offers individual, family, Medicare, Medicaid, and employer health plans, plus virtual care, wellness programs, and Social Care Networks addressing housing, food, and transportation needs. What sets Excellus apart is pairing local, community support with a nationwide Blue provider network. The goal is to deliver affordable, accessible care that helps members and communities thrive.

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About Excellus BCBS

Simplify's Rating
Why Excellus BCBS is rated
C+
Rated B on Competitive Edge
Rated C on Growth Potential
Rated C on Differentiation

Industries

Financial ServicesHealthcare

Company Size

N/A

Company Stage

N/A

Total Funding

N/A

Headquarters

Rochester, NY

Founded

1932

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Simplify's take

What believers are saying

  • Excellus extended Foodlink Curbside Market support three years on September 1, 2026.
  • The 2026 Health Equity Innovation Awards funded 22 organizations across upstate New York.
  • Forbes named Excellus among 2026 Best Midsize Employers, aiding recruiting and retention.

What critics are saying

  • Excellus depends on New York policy changes, including 2027 rate approvals and IDR reform.
  • Community grants do not fix insurer margin pressure if medical costs outpace premiums.
  • Any federal Medicare, Medicaid, or employer group disruption would quickly hit Excellus enrollment.

What makes Excellus BCBS unique

  • Excellus BCBS controls upstate New York membership through deep regional provider relationships.
  • The Lifetime Healthcare Companies gives Excellus integrated clinical leadership, administration, and community-investment capabilities.
  • Dr. Tenbit Emiru’s September 30, 2026 appointment strengthens coordinated, quality-focused clinical execution.

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Benefits

  • Health Insurance
  • Dental Insurance
  • Wellness Program
  • Paid Holidays
  • Remote Work Options
  • 401(k) Retirement Plan

Company News

Greater Utica Chamber of Commerce
Oct 20th, 2026
Excellus BlueCross BlueShield names Dr. Tenbit Emiru chief medical officer.

Excellus BlueCross BlueShield names Dr. Tenbit Emiru chief medical officer. Excellus BlueCross BlueShield today announced that Tenbit Emiru, MD, PhD, MBA has joined the organization and its parent company, The Lifetime Healthcare Companies, as enterprise chief medical officer (CMO) and senior vice president of medical services. In this role, Emiru will provide executive clinical leadership and strategic oversight for the enterprise, supporting efforts to improve health outcomes, enhance member and provider experience, and advance affordable, high-quality care. "Dr. Emiru brings a strong combination of clinical expertise and strategic leadership at an important time for our organization," said Dr. Marty Stallone, executive vice president and chief healthcare services officer. "Her experience leading complex healthcare organizations and her focus on improving quality, affordability and collaboration will help us continue delivering better outcomes for our members and communities." Emiru will lead teams responsible for healthcare engagement, quality, health outcomes and medical services across the organization. As the health plan's senior clinical leader, she will help guide clinical priorities, support ways to improve quality and outcomes while managing costs, and work with provider partners to make care more coordinated and effective for members. A mission-driven healthcare executive, Emiru brings deep experience from both health plans and health systems. Most recently, she served as executive vice president and chief medical officer for a nonprofit health plan in Minnesota. Her work has focused on fostering collaboration among physicians, hospitals and care teams to improve quality, manage costs and enhance the patient experience. "I'm excited to join Excellus BlueCross BlueShield at a time of continued transformation in healthcare," said Emiru. "I look forward to working with teams across the organization and with our provider partners to improve outcomes, expand access and ensure our members receive high-quality care." Emiru's leadership will support the organization's continued focus on improving care, advancing health equity and helping members and communities across upstate New York access high-quality care that is more coordinated, effective and affordable. PLATINUM INVESTORS

Greater Utica Chamber of Commerce
Oct 14th, 2026
Excellus BlueCross BlueShield NCQA Commercial Health Plan Ratings highlight excellence.

Excellus BlueCross BlueShield NCQA Commercial Health Plan Ratings highlight excellence. in preventive, maternal care. Excellus BlueCross BlueShield has earned a strong 4-star rating from the National Committee for Quality Assurance (NCQA) for its Commercial HMO/POS/PPO/EPO health plan, bolstered by a strong performance across a range of preventive care, maternal health and behavioral health measures. The NCQA Health Plan Ratings evaluate plans nationwide on clinical quality, member experience and health outcomes. Excellus BCBS's results demonstrate a continued commitment to helping members access preventive care and improving health outcomes across the communities it serves. "Our longstanding presence in upstate New York allows us to be more than a health insurer. It enables us to be a trusted community partner working hand in hand with providers, health systems and local organizations to address the health needs of the people we serve," said Tony Vitagliano, senior vice president of provider network engagement and regional president for the Utica region at Excellus BCBS. "This recognition reflects the impact of that collaboration and our unwavering focus on early intervention and helping our communities become a little healthier every day." Among Excellus BCBS's strongest areas of performance were preventive care and women's health measures. The health plan received top ratings across multiple pediatric well-care measures, including: * 5-star performance for well-child visits in the first 15 months of life * 5-star performance for well-care visits for children ages 15-30 months * 5-star performance for well-care visits for children and adolescents * Strong performance in childhood and adolescent immunization measures * Strong performance in BMI assessment for children and adolescents The health plan also demonstrated exceptional results in maternal health, including: * 5-star performance for postpartum care * Strong ratings for prenatal checkups * Strong ratings for prenatal immunizations Additionally, Excellus BCBS's performance in behavioral health follow-up measures was significant, reinforcing the organization's commitment to supporting members' physical and mental health needs through coordinated care. PLATINUM INVESTORS

The Citizen
Oct 8th, 2026
Nonprofit to fund medication training for Cayuga County day care centers, providers.

Nonprofit to fund medication training for Cayuga County day care centers, providers. * 3 hrs ago * 0 Staff reporter A nonprofit providing childcare and education services in Cayuga County announced Wednesday a new initiative to fund training for caregivers to administer medication. Child Care Solutions, which serves both Cayuga and Onondaga counties, has received grant funding from Excellus BlueCross BlueShield for its CNY Medical Child Care Access Initiative. The initiative will provide medication administration training, registered nurse oversight and liability insurance stipends for select early childhood care providers. The initiative is crucial, Child Care Solutions said in a news release, especially for Cayuga County families. According to state data, nearly 18% of children younger than 5 require regular or emergency medication. Using a database with the Early Care & Learning Council, Child Care Solutions found that there are no family day care locations in Cayuga County with medication administration training certifications, it said. People are also reading... The nonprofit hopes to change that statistic through the initiative, and childcare providers are encouraged to apply to receive certification in medication administration. The funding can help as many as 12 locations become certified, Child Care Solutions said. Beyond full coverage for course fees and medical supplies, participating childcare centers will also gain access to Child Care Solutions' staff registered nurse, who will act as a medical director to oversee children's medical needs alongside center employees. Anne Napper, executive director of Child Care Solutions, said the nonprofit has English and Spanish-speaking R.N. guidance available. "This grant allows early childhood care professionals to safely grow their businesses while serving as vital safe harbors for local children," Napper said. Families seeking childcare options according to their child's health or environmental needs, including medication administration training-certified care and allergy-aware environments, can contact Child Care Solutions for no-cost provider referrals. To learn more about the CNY Medical Child Care Access Initiative, or receive a list of referrals, call Child Care Solutions at (315) 446-1220 or visit ccscny.org. Staff reporter Katy McCumber can be reached at (315) 282-2232 or [email protected]. Get the latest local business news delivered FREE to your inbox weekly. Staff reporter

Niagara Frontier Publications
Oct 2nd, 2026
AAA: Time to evaluate Medicare coverage.

AAA: Time to evaluate Medicare coverage. Fri, Oct 2nd 2026 03:05 pm Medicare recipients are encouraged to review their plans with licensed Medicare advisors By AAA of Western and Central New York The Medicare annual enrollment period (AEP) begins Oct. 15 and ends Dec. 7. During this time, Medicare recipients are encouraged to determine if their health care needs have changed and prepare for any changes to their current plan in the new year. AAA recommends sitting down with a licensed insurance adviser to evaluate whether your current Medicare plan will change and if another plan might better meet your needs and budget. The Medicare plan selected during AEP will take effect Jan. 1, 2027. Current Medicare recipients should receive their plan's annual notice of change (ANOC) by the first week of October. This notice will review changes to the benefits and costs of their current Medicare plan for 2027. With more than 70 plans to choose from, entering the world of Medicare can lead to more questions than answers. Changes to Medicare plans can impact key aspects of healthcare, including choice of doctor, prescription drug coverage, and cost. Therefore, it is very important for recipients to review Medicare plan coverage options for 2027 to ensure that they are enrolled in a plan that best meets their health care needs. AAA's licensed Medicare advisers can guide individuals to ensure they receive adequate coverage. Medicare is the federal insurance program for people who are 65 or older or certain younger people with disabilities. AEP is the time of year when everyone who is Medicare-eligible can make changes to their plans. AAA partners with many different insurance carriers to offer a wide range of options so that recipients can maximize what their plan offers. Unlike many providers, AAA doesn't work for insurance carriers, so insurance agents can offer unbiased assistance to help recipients find a Medicare plan to meet their needs. Services are available to all Medicare-eligible individuals in the community, both AAA members and nonmembers alike. The public can learn more by visiting www.AAA.com/Medicare to schedule an appointment online or by calling 877-477-7120. AAA works with familiar carriers like Highmark, Excellus, Univera and Independent Health, offering more than 70 plans to tailor coverage to individual needs. Within the plans, Medicare has four main "Parts" that cover specific services. These are: - Part A for hospital insurance. This is for inpatient hospital stays, care in a skilled nursing facility, hospice care and some health care services. - Part B for medical insurance. This covers certain doctor's services, outpatient care, medical supplies, and preventative services. - Part C (Medicare Advantage) offers Medicare coverage through private insurance companies approved by Medicare. These plans include Part A and Part B coverage and often include additional benefits. - Part D for prescription drug coverage. Part D adds prescription drug coverage to original Medicare and Medicare-related plans. By calling, you agree that a AAA licensed insurance agent may contact you. AAA Insurance is provided through AAA Members Insurance Agency of Western & Central New York Inc., which offers products through AAA-affiliated companies and non-affiliated companies. Not affiliated with any government agency including Medicare. Wnypapers do not offer every plan available in your area. Currently Wnypapers represent 10-plus organizations which offer 70-plus products in your area. Please contact Medicare.gov, 1-800-MEDICARE to get information on all of your options.

13 WHAM
Sep 1st, 2026
Foodlink, Excellus team up for Hunger Action Month in Rochester.

Foodlink, Excellus team up for Hunger Action Month in Rochester. Tue, September 1, 2026 at 3:06 PM Updated Tue, September 1, 2026 at 3:35 PM Representatives from Foodlink and Excellus BlueCross BlueShield are pictured Tuesday, Sept. 1, 2026, during a Hunger Action Month event at Foodlink's Curbside Market site on Lake Avenue in Rochester. (Photo by Matt Churpita/WHAM) Ask 13 WHAM anything How many stops does Foodlink's Curbside Market make weekly? Which organization committed to supporting the Curbside Market for three years? Why are rising food costs and SNAP cuts affecting families? Rochester, N.Y. - September is Hunger Action Month, and two Rochester-area organizations are teaming up to raise awareness about food insecurity and expand access to healthy food. Foodlink and Excellus BlueCross BlueShield kicked off the nationwide campaign Tuesday at Foodlink's Curbside Market on Lake Avenue. Foodlink said more than 155,000 people experience food insecurity across its 10-county service area. In Rochester's 14608 ZIP code, where Tuesday's event was held, more than 27% of residents experience food insecurity - double the regional average. "Foodlink's Curbside Market helps local residents stretch their dollars," Florence Clemmons, Foodlink's director of community-based strategies, said in a statement. "Our neighbors grapple with a high cost of food and gas, which ultimately impacts the food on their plate and the overall health of our community." The Curbside Market operates six days a week, making more than 50 stops at affordable housing sites, senior centers, health clinics and community centers. The mobile markets offer fresh produce and other grocery staples to thousands of shoppers each year. Excellus recently committed to supporting the program for another three years, with investments aimed at equipment, technology and infrastructure improvements. Foodlink said rising costs and changes to SNAP eligibility and work requirements have also caused thousands of local residents to lose food assistance. SPONSORED CONTENT MORE TO EXPLORE

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