EMBLEMHEALTH SILVER PLANS

EMBLEMHEALTH SILVER 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 SILVER PREMIER

Rates are for new and renewing groups effective 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,148.88
Employee/Spouse (DP)
$2,291.82
Employee/Child(ren)
$1,948.94
Family (DP)
$3,263.31

PLAN HIGHLIGHTS

  • PCP/Specialist: 1 free PCP visit then $35/$75
  • Deductible, Coinsurance: $5,800/$11,600, 40% - OON $8,000/$16,000, 50%
  • Max OOP: $9,200/$18,400 - OON $18,000/$36,000
  • Rx: $20/$40/$115 after $250/member Rx deductible (n/a Tier 1)

EMBLEMHEALTH SELECT CARE SILVER HSA

Rates are for new and renewing groups effective 4/1/2025 — 6/1/2025

PLAN RATES (MONTHLY)

Employee
$1,119.30
Employee/Spouse (DP)
$2,232.65
Employee/Child(ren)
$1,898.65
Family (DP)
$3,178.99

PLAN HIGHLIGHTS

  • PCP/Specialist: Deductible then $30/$50
  • Deductible, Coinsurance: $3,100/$6,200, 40%
  • Max OOP: $7,800/$15,600
  • Rx: Deductible then $15/$45/$85

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.