EmblemHealth Introduces HealthEssentials on October 1, 2012

Date Issued: 9/24/2012

EmblemHealth is pleased to offer HealthEssentials, a new health plan option beginning October 1, 2012. This plan, underwritten by GHI, is for people looking for insurance coverage to protect themselves from the expense of catastrophic injury or illness. HealthEssentials will be available in New York City, Nassau, Suffolk, Westchester and Rockland counties.

HealthEssentials is a hospital plan covering inpatient, outpatient and emergency room services provided in and billed by an in-network hospital or ambulatory surgical center setting, (subject to plan copayments). HealthEssentials also pays for preventive services at 100 percent. To be covered, preventive services, such as well visits, must be rendered by a doctor or practitioner in the EmblemHealth National EPO network. Office visits for services other than preventive services billed by a doctor or practitioner are not covered under this plan. In addition to in-hospital benefits and preventive services, this plan also includes pharmacy coverage for generic drugs only, with a retail copay of $15 for a 30-day supply and a home delivery copay of $30 for 90-day supply.