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THE EMBLEMHEALTH ADVANTAGE

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EmblemHealth Annual Report


Need Help Choosing Your Plan?

We'll help you find the plan that works for you.


Contact Your Broker or Sales Rep

If you'd like EmblemHealth for your business or family, please contact your broker or an EmblemHealth sales representative at 1-877-411-3625


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For Medium or Large Businesses

We understand that bigger businesses have bigger needs. Which is why we have a big range of plans to suit any group.


PPO Plans

Our Preferred Provider Organization (PPO) plans offer access to our extensive network of doctors and hospitals, in- and out-of-network benefits with no referrals required, as well as several cost-sharing options.


EPO Plans

Our Exclusive Provider Organization (EPO) plans offer $0 copays, access to our extensive network of doctors and hospitals, as well as in-network benefits with no referrals required.


ConsumerDirect Funding Options

ConsumerDirect PPO and EPO High Deductible Health Plans (HDHPs) can be paired with an HSA or HRA funding vehicle to help eligible members save money on a tax-advantaged basis for medical expenses.

HSAs roll over and feature triple tax benefits Health Savings Accounts (HSAs) can be funded by the employer and the member, up to annual limits set by the IRS. HSAs feature a triple tax advantage. Contributions can be made on a pre-tax or tax-deductible basis. Money in the account grows tax-free. Withdrawals are also tax-free, as long as the money is used for qualified medical expenses. State taxes may vary.

The balance in an HSA rolls over automatically each year. Members can use their HSA funds for current or future qualified medical expenses. The HSA portion of a ConsumerDirect plan is fully portable and goes with the member if they leave the employer.

Learn more about HSAs.

HRAs are tax-advantaged and funded by the employer Health Reimbursement Arrangements (HRAs) are funded by the employer only. HRA contributions are generally deductible to the company. Members can use their HRA funds tax-free for any IRS-qualified medical expenses that are included in the employer’s plan. State taxes may vary.

HRAs are not portable, but the employer may allow members to roll over a portion of any unused funds to the following plan year.

Learn more about HRAs.

Coordinated Care Plan

Our CompreHealth EPO plan is designed for businesses in the New York metropolitan area. It offers affordable, coordinated coverage through established, multispecialty physician group practices and a select group of individual practitioners. It also covers preventive dental.

CompreHealth EPO Overview



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