Information About Our Proposed 2024 Rates

Beginning August 2023, we are releasing notices to community rated Large Group plan members and customers about our rate proposals for community rated plans renewing in 2024.

Beginning in June 2023, we are releasing notices to our Individual and Small Group plan members and customers about our rate proposals for plans renewing in 2024. The New York State Department of Financial Services (DFS) may approve, modify or deny these proposed adjustments. We will notify all impacted subscribers and groups of their final, approved rate at least 60 days before their renewal date.

Why do we need to increase premiums?
We increase premiums due to the rise in the cost of medical care, including the costs of hospital stays, prescription drugs, and other health services. Most of your premium goes toward paying for medical and pharmacy claims for members. In fact, New York State requires that at least 82% of the premium you pay directly covers member medical costs. As the cost and use of pharmacy drugs and medical services go up, so does the cost of medical care we must pay for. 

Contact us or DFS for additional information. Employer groups or brokers should contact their account manager or call Broker Services at 866-614-6040 (TTY: 711). Our hours are 9 a.m. to 6 p.m., Monday to Friday. You may also submit your comments to DFS within 30 days of the date printed on the letter you receive from us. Please see your letter for details on how to submit your comments or questions. To find out more about our rate filings, please click on the narratives below:

• 2024 Large Group Rate Narrative - HMO Preferred Rate Narrative - HMO Prime, HIP Access I, HMO Plus, Vytra HMO, and GHI HMO Plans.
• HMO Preferred Rate Narrative
• 2024 HIP Individual Narrative - For members in 20 New York northern counties, including: Rockland, Delaware, Dutchess, Orange, Putnam, Sullivan, Ulster, Albany, Columbia, Fulton, Greene, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren, Washington, Broome, and Otsego.
  EmblemHealth Platinum, EmblemHealth Gold, EmblemHealth Silver, EmblemHealth Bronze, EmblemHealth Basic, EmblemHealth Platinum D, EmblemHealth Gold D, EmblemHealth Silver D, EmblemHealth Bronze D, EmblemHealth Catastrophic D
• 2024 HIP Individual Narrative - For members in the 5 boroughs of NYC, including: Nassau County, Suffolk County, and Westchester County.
  EmblemHealth Platinum, EmblemHealth Gold, EmblemHealth Silver, EmblemHealth Bronze, EmblemHealth Basic, EmblemHealth Platinum D, EmblemHealth Gold D, EmblemHealth Silver D, EmblemHealth Bronze D, EmblemHealth Catastrophic D
• 2024 HIP Small Group Rate Narrative
  EmblemHealth Platinum Premier-P, EmblemHealth Gold Premier-P, Healthy New York, EmblemHealth Silver Plus H.S.A., EmblemHealth Silver Premier-P, EmblemHealth Bronze Plus H.S.A., EmblemHealth Bronze Premier-P