EmblemHealth Medicare Supplement Plans

EmblemHealth offers a variety of Supplement Plans if you choose not to select a Medicare Advantage plan.

EmblemHealth Medicare Supplement Plans Information

Although Original Medicare, which includes Parts A and B, covers many health services, a Medigap policy can assist in covering such costs as deductibles, coinsurance and copayments. This plan supplements the Original Medicare (Medicare Parts A and B). It makes the coverage provided by Original Medicare more complete.

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Plan A

  • Hospitalization: EmblemHealth pays Part A coinsurance* plus coverage for 365 additional days in your lifetime after Medicare stops paying.
  • Medical Expenses: EmblemHealth pays Part B coinsurance* (20 percent of Medicare-approved expenses), Medicare pays 80 percent.
  • Blood: First three pints of blood each year.
  • Hospice care: EmblemHealth pays Part A coinsurance.*
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Plan B

  • Hospitalization: EmblemHealth pays Part A coinsurance* plus coverage for 365 additional days in your lifetime after Medicare stops paying.
  • Medical Expenses: EmblemHealth pays Part B coinsurance* (20 percent of Medicare-approved expenses), Medicare pays 80 percent.
  • Blood: First three pints of blood each year.
  • Hospice care: EmblemHealth pays Part A coinsurance.*
  • Part A inpatient deductible** per benefit period: $1,364 in 2019.
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Plan C

  • Hospitalization: EmblemHealth pays Part A coinsurance* plus coverage for 365 additional days in your lifetime after Medicare stops paying.
  • Medical Expenses: EmblemHealth pays Part B coinsurance* (20 percent of Medicare-approved expenses), Medicare pays 80 percent.
  • Blood: First three pints of blood each year.
  • Hospice care: EmblemHealth pays Part A coinsurance.*
  • Coinsurance* for skilled nursing facility care.
  • Part A inpatient deductible** per benefit period: $1,364 in 2019.
  • Part B annual deductible***: $185 in 2019.
  • Emergency care rendered during the first 60 days of foreign travel.
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Plan F

  • Hospitalization: EmblemHealth pays Part A coinsurance* plus coverage for 365 additional days in your lifetime after Medicare stops paying.
  • Medical Expenses: EmblemHealth pays Part B coinsurance* (20 percent of Medicare-approved expenses), Medicare pays 80 percent.
  • Blood: First three pints of blood each year.
  • Hospice care: EmblemHealth pays Part A coinsurance.*
  • Coinsurance* for skilled nursing facility care.
  • Part A inpatient deductible** per benefit period: $1,364 in 2019.
  • Part B annual deductible***: $185 in 2019.
  • 100% of Part B excess charges – Plan pays 100% of Part B excess charges.
  • Emergency care rendered during the first 60 days of foreign travel.
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Plan F+

  • Hospitalization: EmblemHealth pays Part A coinsurance* plus coverage for 365 additional days in your lifetime after Medicare stops paying.
  • Medical Expenses: EmblemHealth pays Part B coinsurance* (20 percent of Medicare-approved expenses), Medicare pays 80 percent.
  • Blood: First three pints of blood each year.
  • Hospice care: EmblemHealth pays Part A coinsurance.*
  • Coinsurance* for skilled nursing facility care.
  • Part A inpatient deductible** per benefit period: $1,364 in 2019.
  • Part B annual deductible***: $185 in 2019.
  • 100% of Part B excess charges – Plan pays 100% of Part B excess charges.
  • Emergency care rendered during the first 60 days of foreign travel.
  • SilverSneakers® membership
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Disclaimers

EmblemHealth Medicare supplement plans are underwritten by Group Health incorporated (“GHI”), an Emblem Health company. Coverage is subject to all terms, conditions, limitations and exclusions set forth in the applicable EmblemHealth Medicare Supplement plan contract.

Special Notice
Each EmblemHealth Medicare Supplement Insurance plan meets the minimum standards for Medicare Supplement Insurance as defined by the New York State Department of Financial Services. The expected benefit ratio for each of these policies is 90 percent. This ratio is the portion of future premiums which GHI expects to return as benefits when averaged over all people with the policy.

IMPORTANT NOTICE — A CONSUMER’S GUIDE TO HEALTH INSURANCE FOR PEOPLE ELIGIBLE FOR MEDICARE MAY BE OBTAINED FROM YOUR LOCAL SOCIAL SECURITY OFFICE OR FROM EMBLEMHEALTH.

This advertisement is not connected with or endorsed by the U.S. Government or the federal Medicare program.

This is a solicitation of insurance. A licensed insurance agent/producer may contact you. Group Health Incorporated (GHI), HIP Health Plan of New York (HIP), HIP Insurance Company of New York and EmblemHealth Services Company, LLC are EmblemHealth companies. EmblemHealth Services Company, LLC provides administrative services to the EmblemHealth companies.

This information is not a complete description of benefits. Call 877-287-7151 (TTY:711) for more information.

ATTENTION: If you speak other languages, language assistance services, free of charge, are available to you. Call 877-287-7151 (Medicare Supplement Customer Service) (TTY: 711). ATENCIÓN: Si usted habla otros idiomas, tiene a su disposición, gratis, servicios de ayuda para idiomas. Llame al 877-287-7151 (Medicare Supplement Servicios de atención al cliente) (TTY: 711).

The SilverSneakers® fitness program is provided by Tivity Health, Inc., an independent company. 

© 2018. All rights reserved.

Last Updated 10/29/18
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