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Emblem Health Insurance

EmblemHealth knows that nothing is more important than access to quality doctors and health care facilities. Doctors who have specialized expertise. Doctors affiliated with great hospitals. Doctors who speak your language.

That is why Emblem works hard to attract and keep the best doctors and hospitals in each network. Networks include:

  • Virtually every acute care hospital in the region, including highly regarded names like Memorial Sloan-Kettering, Montefiore Medical Center, Lenox Hill Hospital, North Shore-Long Island Jewish Health System, and Albany Medical Center.
  • More than 92,000 quality practitioners in more than 150,000 locations in the New York area.
  • The majority of "Top Docs" listed by New York Magazine.

What's more, you can select a network that includes our physician group practices. They offer on-site labs and radiology, primary care physicians and specialists who work together, and a full range of commonly used health services, providing coordinated care at one convenient location.

We also know that quality health coverage means helping to keep you healthy — not just providing coverage when you are sick.

That is why our plans cover preventive care and offer a broad range of resources for living a healthy life or coping with a chronic medical condition. From online tools and resources to help you better understand and manage your health incentives for healthier living, we want to keep you healthy.

Some EmblemHealth plans offer*:
  • Reminders to you and your physician when appointments are due for important diagnostic examinations and screenings such as mammograms and colonoscopies.
  • Flu shot reminders.
  • Quit smoking programs.
  • Heart-healthy screening events.
  • Discounts on popular health-related services such as Weight Watchers® and gym memberships.
  • Confidential professional counseling, education, and referral services through Emblem's 24/7 toll-free Employee Assistance Program (EAP) hotline.


EmblemHealth goes beyond health care coverage to encourage you to be proactive about your health.

*Availablity of the referenced programs may vary based upon EmblemHealth product(s) selected.

For more information on Emblem Health Insurance click the link below

Find a Provider

Emblem PLANS

EPO In-Balance
In Network Only

Rates as low as:

Individual: $325.13
Family: $947.09

Downstate rates displayed with discount Rx only. Rates may be even lower in other NYS regions. See rate charts for details.

Downloads:

EPO
In Network Only

Rates as low as:

Individual: $354.97
Family: $1,033.64

Downstate rates displayed with discount Rx only. Rates may be even lower in other NYS regions. See rate charts for details.

Downloads:

PPO
In & Out of Network

Rates as low as:

Individual: $632.13
Family: $2,033.31

Downstate rates displayed. Rates may be even lower in other NYS regions. See rate charts for details.

Downloads:

PPO In-Balance
In & Out of Network

Rates as low as:

Individual: $493.59
Family: $1,435.64

Downstate rates displayed. Rates may be even lower in other NYS regions. See rate charts for details.

Downloads:

Consumer Direct EPO 2+
In Network Only

Rates as low as:

Individual: $162.72
Family: $471.89

Downstate rates displayed. Rates may be even lower in other NYS regions. See rate charts for details.

Downloads:

EPO Consumer Direct Sole Proprietor
In Network Only

Rates as low as:

Individual: $187.11
Family: $542.60

Downstate rates displayed. Rates may be even lower in other NYS regions. See rate charts for details.

Downloads:

PPO Consumer Direct 2+
In & Out of Network

Rates as low as:

Individual: $319.01
Family: $925.13

Downstate rates displayed. Rates may be even lower in other NYS regions. See rate charts for details.

Downloads:

PPO Consumer Direct Sole Proprietor
In & Out of Network

Rates as low as:

Individual: $366.82
Family: $1,063.79

Downstate rates displayed. Rates may be even lower in other NYS regions. See rate charts for details.

Downloads:

CompreHealth
In Network Only

Rates as low as:

Individual: $260.37
Family: $755.08

Only downstate rates available. Plan is not available in other NYS regions. Plan is shown with a $15 copay for a generic-only Rx plan.

Downloads:

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All health plan, insurance coverage information, or otherwise is subject to carrier approval and/or NYSID approval.
For complete coverage information, always refer to the certificate of insurance. Neither Conference Associates, Inc. (CAI)/ELITE Programs Inc. (ELITE), nor its web administrators may be held libel for typographical errors.