Members 2017 Important Plan Documents

Your important plan documents below include coverage and costs for medical benefits and prescription drug benefits, that will be effective on January 2017.

Annual Notice of Change

2017

EmblemHealth Medicare VIP Essential (HMO)

Nondiscrimination Policy


EmblemHealth Medicare VIP Gold (HMO)

Nondiscrimination Policy


EmblemHealth Medicare VIP Gold Plus (HMO)

Nondiscrimination Policy


EmblemHealth VIP Dual (HMO SNP)

Nondiscrimination Policy


EmblemHealth Medicare Supplemental COST Plan

Nondiscrimination Policy


Evidence of Coverage


Nondiscrimination Policy


Provider Directory

Essential Provider Directories

Monthly Provider Directory Updates
This document includes recent additions, deletions and changes to the provider network for all the counties

HMO Provider Directories

Monthly Provider Directory Updates
This document includes recent additions, deletions and changes to the provider network for all the counties

Pharmacy Directory

Formulary


Nondiscrimination Policy


Multi-Language Insert


Nondiscrimination Policy

Notice of Nondiscrimination Policy


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