Considering EmblemHealth?

Alternative Funding Arrangements

EmblemHealth offers conventional and alternative funding arrangements and will consider special funding arrangements as requested by prospective customers, including ASO self-insurers, contingent upon group size.

Introducing Premium Rewards

Plans with several cost-sharing options

In- and out-of-network benefits

Access to many of the tristate area’s leading physicians, other medical practitioners and acute care hospitals as well as access to physicians and hospitals across all 50 states.

Plans with several cost-sharing options

In- and out-of-network benefits

An affordable plan with cost-sharing features

Access to many of the tristate area’s leading physicians, other medical practitioners and acute care hospitals as well as access to physicians and hospitals across all 50 states.

First dollar coverage for preventive care

An affordable plan with cost-sharing features for other services

Coinsurance may also apply

In- and out-of-network benefits

Access to many of the tristate area’s leading physicians, other medical practitioners and acute care hospitals as well as access to physicians and hospitals across all 50 states.

Optional Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA)

For New York-based employer groups for their employees who reside primarily within the following 10 counties: Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Queens, Rockland, Staten Island, Suffolk and Westchester counties.

No gatekeeper or referrals required

Coverage with a copay or deductible and coinsurance. Deductible and coinsurance are applied to facility services

Optional rider available for purchase that provides up to $200 annual reimbursement for health club membership, as well as an enhanced vision benefit and alternative medicine services, including acupuncture, massage therapy and nutritional counseling

In- and out-of-network coverage benefits

Optional benefit riders are available for purchase which may contain a deductible and coinsurance

Plans with several cost-sharing options

In-network only coverage

Access to many of the tristate area’s leading physicians, other medical practitioners and acute care hospitals as well as access to physicians and hospitals across all 50 states.

Plans with several cost-sharing options

In-network only coverage

An affordable plan with cost-sharing features

Access to many of the tristate area’s leading physicians, other medical practitioners and acute care hospitals as well as access to physicians and hospitals across all 50 states.

An affordable plan with cost-sharing features for other services

In-network only coverage

Access to many of the tristate area’s leading physicians, other medical practitioners and acute care hospitals as well as access to physicians and hospitals across all 50 states.

Compatible with a triple tax-advantaged Health Savings Accounts (HSAs)
or Health Reimbursement Arrangements (HRAs)

No copays for kids for office visits and diagnostics available

No copay for generic drugs available

In-network only coverage

Includes preventive dental coverage

Convenient physician group practices and individual practitioners

For New York based employer groups for their employees who reside primarily within the following 10 counties: Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Queens, Rockland, Staten Island, Suffolk and Westchester counties

No gatekeeper or referrals required

Coverage with a copay or deductible and coinsurance. Deductible and coinsurance are applied to facility services

Optional rider available that provides up to $200 annual reimbursement for health club membership, as well as an enhanced vision benefit and alternative medicine services including acupuncture, massage therapy and nutritional counseling

In-network coverage only

Optional benefit riders are available for purchase which may contain a deductible and coinsurance

Referrals are required for coverage

Little or no paperwork

In-network coverage only

Optional benefit riders are available for purchase which may contain a deductible and coinsurance

Participating providers in the following 10 New York counties: Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Queens, Rockland, Staten Island, Suffolk and Westchester

Referrals are not required. Members select a Primary Care Physician (PCP) to handle basic health care needs, but they can visit specialists on their own or with the help of their PCP. It's their choice

Little or no paperwork

In-network coverage only

Optional benefit riders are available for purchase which may contain a deductible and coinsurance

Participating providers in the following 10 New York counties: Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Queens, Rockland, Staten Island, Suffolk and Westchester

Referrals are not required. Members select a Primary Care Physician (PCP) to handle basic health care needs, but they can visit specialists on their own or with the help of their PCP. It's their choice

Little or no paperwork when using a network provider

In- and out-of-network coverage

Optional benefit riders are available for purchase which may contain a deductible and coinsurance

Participating providers in the following 10 New York counties: Bronx, Kings (Brooklyn), Nassau, New York (Manhattan), Orange, Queens, Rockland, Staten Island, Suffolk and Westchester

The above plans include the following options.

Age 29 Law Rider extends the age of dependency to age 30 (end of month), allowing the group's eligible members' dependents to remain covered under the member's plan.