What types of small group health plans does EmblemHealth offer?
Off the NY State of Health Marketplace, we offer plans in 28 counties throughout New York State. Here's a look at the types of small group plans we offer:
- Both Standard and Nonstandard plans: Standard plans are those whose benefits and out-of-pocket costs are defined by New York State and are the same across insurers offering these plans in the State. Nonstandard plans are those whose benefits and out-of-pocket costs are defined by the health insurer offering the plans and are unique to that insurer.
- Off the Marketplace: We offer two standard metal plan (EmblemHealth Bronze HSA and EmblemHealth HMO 15/35 [Platinum]) and four nonstandard metal plans (Emblemhealth Silver Value, EmblemHealth Bronze Value and EmblemHealth HMO 40/60 [Gold] and EmblemHealth Gold Open Access). The EmblemHealth Silver Value and Bronze Value plans and Gold open Access plan include dental and vision coverage for adults. All small group plans include dental and vision coverage for kids.
- Do you have employees who visit the doctor often? You may want to offer a choice of plans that cost more per month (like Platinum or Gold), but have lower cost-sharing.
- Do your employees see the doctor only rarely? You might offer a choice of plans that cost less per month (like Silver or Bronze), but have higher cost-sharing.
Which doctors are in EmblemHealth's medical network?
EmblemHealth's small group medical plans use our Prime network, a tailored network of experienced primary care physicians and specialists plus facilities and leading hospitals throughout 28 New York counties, including the five NYC boroughs, Westchester, Long Island and regions stretching north of Albany.
The Prime network includes AdvantageCare Physicians, a multispecialty physician group practice focused on personalized, team-based care, with locations throughout New York City and Long Island. Learn more.