Large Groups

Medium and Large Groups


Quality plans withcost sharing options

 

 

New Group Sizes - Effective January 1, 2016

Broker Focus March April Thumbnail

New group sizes will be defined as:

Small Group = 100 or fewer full-time equivalent eligible employees

Large Group = more than 100 full-time equivalent eligible employees

Commercial Groups

Put in the zip code where your company is located to see the plans available to large business in your area.

Our PPO plans offer the highest level of coverage, including out-of-network, national coverage. No referrals to specialists are needed. The plans provide comprehensive coverage, including medical and pharmacy benefits.

Our highest level of coverage, offering members access to our National Network. Gives comprehensive coverage, including hospital, medical and pharmacy benefits.

InBalance PPO offers members outstanding provider choice in- or out-of-network, with no referrals to specialists needed. The plan features special cost-sharing requirements so members are offered the same provider choice as EmblemHealth PPO — at lower cost. Gives comprehensive coverage, including hospital, medical and pharmacy benefits.

This is a high deductible health plan. It offers affordable premiums and tax savings with HRAs or HSAs. In-network and out-of-network services are available. In-network preventive care is covered in full. Gives comprehensive coverage, including medical and pharmacy benefits.

Our EPO plans offer members in-network, national coverage. No referrals to specialists needed.

EmblemHealth EPO offers members in-network, national coverage. No referrals to specialists needed. Gives comprehensive coverage, including medical and pharmacy benefits.

A plan for experience-rated groups. It doesn’t require referrals to specialists. No PCP selection is required.  Gives comprehensive coverage, including hospital, medical and pharmacy benefits.

InBalance EPO offers members in-network, national coverage. No referrals to specialists needed. The plan features special cost-sharing requirements resulting in  lower costs. Gives comprehensive coverage, including medical and pharmacy benefits.

This is a high deductible health plan. It offers affordable premiums and tax savings with HRAs or HSAs. Preventive services are covered in full. Gives comprehensive coverage, including medical and pharmacy benefits.

Health Essentials Plus is a low-cost EPO hospital plan that offers basic hospital insurance and three (3) office visits per calendar year.

This is the right plan for employers who want to control costs while providing a comprehensive set of benefits to their employees, including hospital, medical and pharmacy coverage.

A cost-effective plan with preventive and complex procedures paid in full. Find out how this unique plan gives your employees the coverage they need at a price you’ll like. And you get full access to our network of more than 8,000 dentists, plus out-of-network coverage

Labor Unions

Today, more than ever, labor unions count on us to meet the diverse health care needs of their members.

Learn More

Higher Education

Institutions of higher education have relied on coverage from EmblemHealth companies for more than 70 years.

Learn More
New for 2016

US Treasury and IRS guidelines for your 2016 Health Savings Accounts (HSAs) and HSA-compatible High-Deductible Health Plans (HDHPs).

View Now
Health Care Reform

Get to know the protections, requirements and opportunities affecting your group.

Alternative Funding Arrangements

EmblemHealth offers conventional and alternative funding arrangements and will consider special funding arrangements as request by prospective customers, including ASO self-insurers, contingent upon group size.

Learn More