EmblemHealth HMO Plus:
An Addition to Tradition!
Our new EmblemHealth HMO Plus is a traditional HMO with the addition of an upfront-deductible, which must be satisfied before copayments are applied.
The deductible does not apply to the following:
- Services provided by a Primary Care Physician (PCP)
- Preventive services
- Diabetic equipment, supplies and self-management
- Maternity services
- Outpatient mental health/substance abuse care
- Treatment for Autism Spectrum Disorder
There is a separate deductible for:
- Prescription Drugs
— Pharmacy may or may not be subject to a separate deductible
- Equipment and Devices
— The equipment and devices deductible is combined for durable medical equipment and braces, prosthetics and shoe inserts
Click here for complete HMO Plus Benefit Summaries.