OCTOBER 2012 Volume I -- Issue 7  
IN THIS ISSUE
Introducing HealthEssentials EPO:
A Low-Cost Alternative
for Small Groups
  New Underwriting Guidelines for Small Groups
  Serving Your Clients in Their Neighborhoods
  Better Outcomes, Reduced Costs
  We Have Big Plans for Western NY
  New Program Lowers Hospital Readmissions, Reduces Costs

Introducing HealthEssentials EPO:
A Low-Cost Alternative for
Small Groups

If your small group clients are looking for an alternative to higher-priced products, EmblemHealth's new HealthEssentials EPO plan is a great choice. It's available for small groups in the downstate region, including New York City, Westchester and Rockland counties, and Long Island.

This exciting new plan provides coverage for full preventive care, as well as hospital-billed services within our National Network of facilities. The plan also covers the following services:

  • Hospital inpatient services (performed and billed by a hospital or facility)
  • Preventive care (including all PPACA services, covered in full in network)
  • Outpatient services (performed and billed by a hospital or facility)
  • Inpatient and outpatient treatment for chemical dependency and mental health (performed and billed by a hospital or facility)
  • Generic prescription drug coverage with a small copay

Except for preventive care, medical services that are billed by a physician (rather than a network hospital or surgical center) are not covered under this plan.

A sales sheet with 4th quarter 2012 rates is now available. A brief summary of the plan can be found in the Health Plans section of our Web site, under the "EPO Plans" heading.

For details, please contact your EmblemHealth Sales representative.

 

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