EMBLEMHEALTH GOLD PLANS

ABOUT EMBLEMHEALTH GOLD 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 GOLD PREMIER

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

PLAN RATES (MONTHLY)

Employee
$1,327.41
Employee/Spouse (DP)
$2,648.87
Employee/Child(ren)
$2,252.43
Family (DP)
$3,772.12

PLAN HIGHLIGHTS

  • PCP/Specialist: 3 free PCP visits then $25/$50
  • Deductible, Coinsurance: $500/$1,000, 30% - OON $6,000/$12,000, 50%
  • Max OOP: $8,000/$16,000 - OON $12,000/$24,000
  • Rx: $6/$40/$80 after $150/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.