2024 EmblemHealth Millennium Gold | EmblemHealth

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EmblemHealth Millennium Gold

Who's eligible: Individuals and families living within Brooklyn, the Bronx, New York, Queens, Staten Island, Nassau and Suffolk (Long Island), and Westchester counties. Children and young adults can stay on a parent’s plan until age 26.

 

Financial assistance: Tax credits available for qualified individuals to help with premiums and out-of-pocket costs when enrolling on the NY State of Health Marketplace.

  • DENTAL
  • VISION
  • TELEMEDICINE

Benefits Summary

Referralsinfo Required for specialist visits
Deductibleinfo $600 individual/$1,200 family
Out-of-pocket maximum info $5,900 individual/$11,800 family
Out-of-networkicoverage No coverage for non-emergency services
Primary care physicianinfo $25 after deductible
Preventive care info Fully covered
Specialist $40 after deductible
Urgent care  $60 after deductible
Pharmacy $10 generic drugs before deductible
Telemedicineinfo Fully covered
Gym Reimbursement Up to $400 per calendar year if qualified
Dental Pediatric dental care
Vision Pediatric vision benefits

Provider Network

The Gold plan is on EmblemHealth’s Millennium Network. Members are responsible for the total cost of non-emergency care they receive outside their plan’s provider network.


 

Plan Documents

Cost Calculator

Since our Individual/Family and Essential Plans offer network-only coverage, members are responsible for the total cost of non-emergency care they receive outside their plan’s provider network.

 

Use the FAIR Health Calculator* to estimate the cost of non-emergency medical services and procedures by zip code.

 

*FAIR Health, Inc. is an independent nonprofit organization that uses actual provider charges when calculating fees. FAIR Health ensures that its fee information is accurate and complete. Please review the privacy policy and terms and conditions posted on the FAIR Health website.

*The letter "D" after a plan name indicates that the plan is available directly from EmblemHealth, rather than through the NY State of Health Marketplace.