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 10/1/2025 — 12/1/2025

PLAN RATES (MONTHLY)

Employee
$1,819.44
Employee/Spouse (DP)
$3,632.93
Employee/Child(ren)
$3,088.88
Family (DP)
$5,174.39

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.