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 HSA

Rates are for new and renewing groups effective 4/1/2024 — 6/1/2024

PLAN RATES (MONTHLY)

Area of Coverage

Employee

$1,039.35

Employee/Spouse (DP)

$2,072.77

Employee/Child(ren)

$1,762.74

Family (DP)

$2,951.16

PLAN HIGHLIGHTS

PCP/Specialist: Deductible then $30/$50
Deductible, Coinsurance: $3,500/$7,000, 40%
Max OOP: $7,500/$15,000
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.