EMBLEMHEALTH PLATINUM PLANS

ABOUT EMBLEMHEALTH PLATINUM PLANS

EmblemHealth believes in the care and support for a healthier you. Through their expansive network and partnerships, EmblemHealth offers access to quality care, support and resources.

EMBLEMHEALTH SELECT CARE PLATINUM PREMIER

Rates are for new and renewing groups effective 1/1/2025 — 3/1/2025

PLAN RATES (MONTHLY)

Area of Coverage

Employee

$1,670.39

Employee/Spouse (DP)

$3,334.83

Employee/Child(ren)

$2,835.49

Family (DP)

$4,749.60

PLAN HIGHLIGHTS

PCP/Specialist: 3 free PCP visits then $10/$35
Deductible, Coinsurance: $250/$500, 20% - OON $4,000/$8,000, 50%
Max OOP: $2,550/$5,100 - OON $10,000/$20,000
Rx: $5/$30/$75 after $100/member Rx deductible (n/a Tier 1)

Carrier rates are subject to NYS Department of Financial Services approval and final verification at enrollment.
All plans above include $5.95 for HealthPass Program Benefits (non-carrier/agent services) and a 2.9% billing and administrative fee.