The links below open PDF files of the listed material. To request a complimentary stock of professionally printed versions of any of these pieces for your office, please contact your EmblemHealth representative.

2019 Individual Plan Documents

2019 EmblemHealth Platinum
2019 EmblemHealth Gold
2019 EmblemHealth Gold Value
2019 EmblemHealth Silver
2019 EmblemHealth Silver Value
2019 EmblemHealth Bronze
2019 EmblemHealth Basic

2019 Individual Rates

2019 Individual Rates Sheet Download (PDF)

Dental Information

Direct Pay Plan Download (PDF)

Individual Plan Forms

Individual Off-exchange Paper Application Download (PDF)

2019 Marketing Materials

2019 Sales Brochure



Small Group Marketing Materials

Caring For Your Small Business Download (PDF)
Guide to SHOP Download (PDF)
Go Paperless With MyEmblemHealth Download (PDF)
Telemedicine through Teledoc - English Download (PDF)
Telemedicine through Teledoc - Spanish Download (PDF)
Using your Telemedicine Benefit Download (PDF)
Acupuncture Download (PDF)
Dental Plans: Did You Know Download (PDF)
Healthy Discounts Download (PDF)
ASPCA Pet Health Insurance Download (PDF)
Small Group Prime and Select Care Network brochure Download (PDF)
Health Savings Account Member Education Site Website
2019 Small Group Pharmacy at a Glance Download (PDF)

2019 Small Group Plan Documents

2019 EmblemHealth Platinum Premier
2019 EmblemHealth Platinum Choice
2019 EmblemHealth Gold Premier
2019 EmblemHealth Gold Premier 1
2019 EmblemHealth Gold Plus
2019 EmblemHealth Gold Plus 1
2019 EmblemHealth Gold Choice
2019 EmblemHealth Gold Value
2019 EmblemHealth Silver Premier
2019 EmblemHealth Silver Premier 1
2019 EmblemHealth Silver Plus
2019 EmblemHealth Silver Plus 1
2019 EmblemHealth Silver Choice
2019 EmblemHealth Silver Value
2019 Bronze Plus HSA
2019 EmblemHealth Bronze Value
2019 EmblemHealth Healthy NY Gold

2019 Small Group Rates

2019 Q4 Small Group Rates Sheet Download (PDF)
2019 Q3 Small Group Rates Sheet Download (PDF)
2019 HNY Rates Sheet Download (PDF)

Small Group Dental Information

Q3 2019 Download (PDF)
Groups of 5 - 50 Eligible Employees (Contributory) Download (PDF)
Groups of 5 - 50 Eligible Employees (Voluntary) Download (PDF)
Groups of 2 - 4 Eligible Employees Download (PDF)
Q2 2019 Download (PDF)
Groups of 5 - 50 Eligible Employees (Contributory) Download (PDF)
Groups of 5 - 50 Eligible Employees (Voluntary) Download (PDF)
Groups of 2 - 4 Eligible Employees Download (PDF)
Preferred Dental Plan Download (PDF)
Preferred Dental with $1000 yearly maximum Download (PDF) 
Preferred Dental with $1500 yearly maximum Download (PDF) 

Small Group Forms

Download (PDF)
2019 Small Group Application Download (PDF)
2019 HNY Application Download (PDF)
2019 Transaction Form Download (PDF)
2019 Small Group Commission Schedule Download (PDF)
2019 Small Group HMO Certificate Download (PDF)
2019 Small Group Underwriting Guidelines Download (PDF)
2019 Small Group Business Checklist Download (PDF)
2019 Small Group New Business Late Submission Form Download (PDF)

*Pediatric dental is included on all small group plans

Plan comparisons, rate sheets and more for groups with 100 or fewer eligible employees

Small Group Hospital/Medical Plans

2018 Plans Benefits Summaries
EmblemHealth Bronze HSA Download (PDF)
EmblemHealth Bronze Value Download (PDF)
EmblemHealth Gold HMO 4060 Download (PDF)
EmblemHealth Gold Open Access Download (PDF)
EmblemHealth Platinum HMO 1535 Download (PDF)
EmblemHealth Silver Value Download (PDF)

*For 2018 small group plans, adult dental and adult vision are included only on Silver Value, Bronze Value, and Gold Open Access Plans.

Small Group Dental Information

EmblemHealth Preferred Dental Download (PDF)
Benefit Summary for groups with $1,500 yearly maximum Download (PDF)
Benefit Summary for groups with $1,000 yearly maximum Download (PDF)
Groups of 2 - 50 employees Download (PDF)
Q3 2018
Groups of 5 - 50 Eligible Employees (Contributory) Download (PDF)
Groups of 5 - 50 Eligible Employees (Voluntary) Download (PDF)
Groups of 2 - 4 Eligible Employees Download (PDF)
Q4 2018
Groups of 5 - 50 Eligible Employees (Contributory) Download (PDF)
Groups of 5 - 50 Eligible Employees (Voluntary) Download (PDF)
Groups of 2 - 4 Eligible Employees Download (PDF)

*Pediatric dental is included on all small group plans

Other Small Group Marketing Materials

Marketing Materials Download (PDF)
Guide to SHOP Download (PDF)
EmblemHealth Tristate Network Download (PDF)
Go Paperless With MyEmblemHealth Download (PDF)
Prime Network vs. Select Care Network Download (PDF)
Telemedicine through Teledoc Download (PDF)
Acupuncture Download (PDF)
Caring for Your Small Business Download (PDF)
Dental Plans: Did You Know Download (PDF)
Healthy Discounts Download (PDF)
ASPCA Pet Health Insurance Download (PDF)
Health Savings Account Member Education Site

Plan comparisons, rate sheets and more for groups with 101 or more eligible employees

Large Group Medical Plans Download (PDF)
Plans at a Glance Download (PDF)
Large Group Dental Plan Highlights Flyers
EmblemHealth Dental Brochure Download (PDF)
Preventive Dental Access Program Download (PDF)
Dental Access Download (PDF)
Preferred Dental Download (PDF)
Preferred Plus Dental Download (PDF)
HIP Preventive Dental Download (PDF)
Did You Know About EmblemHealth Preferred Dental? Download (PDF)
AdvantageCare Physicians
AdvantageCare Physicians Brochure Download (PDF)
Other Large Group Marketing Materials
EmblemHealth Tristate Network Download (PDF)
MultiPlan Network Download (PDF)
Telemedicine through Teledoc Download (PDF)
Acupuncture Download (PDF)
Dental Plans: Did You Know? Download (PDF)
Healthy Discounts Download (PDF)
ASPCA Pet Health Insurance Download (PDF)
Health Savings Account Member Education Site
Vision Care
HIP Download (PDF)
GHI Download (PDF)
EmblemHealth Vision Discount Program Download (PDF)
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