EmblemHealth HMO Plus:
An Addition to Tradition!

Date Issued: 1/10/2017

Our new EmblemHealth HMO Plus is a traditional HMO with the addition of an upfront-deductible, which must be satisfied before copayments are applied.

The deductible does not apply to the following:

  • Services provided by a Primary Care Physician (PCP)
  • Preventive services
  • Diabetic equipment, supplies and self-management
  • Maternity services
  • Outpatient mental health/substance abuse care
  • Treatment for Autism Spectrum Disorder

There is a separate deductible for:

  • Prescription Drugs
    — Pharmacy may or may not be subject to a separate deductible
  • Equipment and Devices
    — The equipment and devices deductible is combined for durable medical equipment and braces, prosthetics and shoe inserts

Click here for complete HMO Plus Benefit Summaries.

EmblemHealth Pharmacy Services

Learn more about how to make the most of your prescription benefit.

Health and Wellness

Helping members stay healthy, get well and live better.

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