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 1/1/2026 — 3/1/2026

PLAN RATES (MONTHLY)

Area of Coverage

Employee

$1,352.75

Employee/Spouse (DP)

$2,699.54

Employee/Child(ren)

$2,295.51

Family (DP)

$3,844.32

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: $8,650/$17,300 - OON $12,000/$24,000
Rx: $7/$40/$85 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.