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Choose the Right Medicare Advantage Plan in New York

At EmblemHealth, we know choice matters. See how our 2021 Medicare Advantage Prescription Drug plans can give you the benefits you’ve earned — at a price you can afford. And when you’re ready, we make enrolling easy.

CHOOSE THE RIGHT MEDICARE PLAN

At EmblemHealth, we know choice matters. Our Medicare Advantage and Medicare Part C plans are designed to provide you with personalized health care at prices you can afford. 

Find your Medicare Advantage plan, made in
New York for New Yorkers

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Plan availability varies by location. Please enter your ZIP Code to see plans available in your area.

2021 EmblemHealth Medicare Advantage Plans

EmblemHealth VIP Value (HMO)

You will pay $0 each month for the plan — a $0 premium. With EmblemHealth VIP Value, you will pay $15 to see your primary care doctor, and $50 to see specialists. You will also get benefits Medicare does not cover, like up to $450 yearly in routine eyewear. 

This plan offers Optional Supplemental benefits, where you have the option to add SilverSneakers® fitness and/or comprehensive dental benefits at a low cost.

Primary Care Physician: $15 Specialist: $50

EmblemHealth VIP Essential (HMO)

Depending on where you live, you will pay either $0 each month or a low set amount each month (a premium). You will pay $0 to see your primary care doctor and $45 to see specialists.

This plan provides benefits Original Medicare does not cover, like comprehensive dental, hearing aids, vision,and  a SilverSneakers® membership.

Primary Care Physician: $0 Specialist: $45

EmblemHealth VIP Part B Saver (HMO)

You will pay $0 each month for the plan — a “$0 premium.” With EmblemHealth VIP Part B Saver, you will pay $25 to see your primary care doctor and $50 to see specialists. You can also get up to $500 in annual savings toward your Part B premium. This plan offers Optional Supplemental benefits – where you have the option to add SilverSneakers® fitness and/or comprehensive dental benefits at a low cost.

Primary Care Physician: $25 Specialist: $50

EmblemHealth VIP Rx Saver (HMO)

You will pay $5 to see your primary care doctor and $35 to see specialists. This plan does not have an annual deductible on Tier 1, Tier 2, and Tier 3 drugs. In addition, you will get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $5 Specialist: $35

EmblemHealth VIP Go (HMO-POS)

This plan provides in-network and out-of-network coverage for select services. You will pay $10 to see your primary care doctor and $45 to see specialists in-network. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $10/$30 Specialist: $45/$65 In and out of network

EmblemHealth VIP Gold (HMO)

You will pay $0 to see your primary care doctor and $25 to see specialists.
You will also get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $0 Specialist: $25

EmblemHealth VIP Gold Plus (HMO)

You will pay $0 for many medical services, such as when you see your primary care doctor or specialists, or get urgently needed services.

You will also get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $0 Specialist: $0

EmblemHealth VIP Dual (HMO D-SNP)

This is a special needs plan (D-SNP) for people enrolled in both Medicare and New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan.

You will also get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, $0 for 10 additional acupuncture visits, a SilverSneakers® membership, and $125 for over-the-counter(OTC) items monthly.

Primary Care Physician: $0 Specialist: $0

EmblemHealth VIP Passport (HMO)

You will pay $42.30 each month for the plan. With this plan, you will pay $10 to see your primary care doctor and $40 to see specialists in-network. You will also get benefits Medicare does not cover, like preventive dental, hearing aids, vision,and  a SilverSneakers® membership.

Primary Care Physician: $5 Specialist: $35

EmblemHealth VIP Passport NYC (HMO)

You will pay $42.30 each month for the plan. With this plan, you will pay $10 to see your primary care doctor and $40 to see specialists in-network. You will also get benefits Medicare does not cover, like preventive dental, hearing aids, vision,and  a SilverSneakers® membership.

Primary Care Physician: $10 Specialist: $40

EmblemHealth VIP Dual Select (HMO D-SNP)

This is a special needs plan (D-SNP) for people enrolled in both Medicare and New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan.

You will also get benefits Original Medicare does not cover, like comprehensive dental, hearing aids, vision, and $65 for over-the-counter(OTC) items monthly.

Primary Care Physician: $0 Specialist: $0

EmblemHealth VIP Solutions (HMO D-SNP)

This is a special needs plan (D-SNP) for people enrolled in both Medicare and who have partial or full New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You may pay $0 or low copays depending on your level of Medicaid for covered services in this plan.

You will also get benefits Medicare does not cover, like preventive dental, $0 for 10 additional  acupuncture visits , hearing aids, and vision.

Primary Care Physician: $0 Specialist: $0 or $25

EmblemHealth VIP Essential (HMO)

Depending on where you live, you will pay either $0 each month or a low set amount each month (a premium). You will pay $0 to see your primary care doctor and $45 to see specialists.

This plan provides benefits Original Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $0 Specialist: $45

EmblemHealth VIP Essential (HMO)

Depending on where you live, you will pay either $0 each month or a low set amount each month (a premium). You will pay $0 to see your primary care doctor and $45 to see specialists.

This plan provides benefits Original Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $0 Specialist: $45

EmblemHealth VIP Rx Saver (HMO)

You will pay $5 to see your primary care doctor and $35 to see specialists. This plan does not have an annual deductible on Tier 1, Tier 2, and Tier 3 drug. In addition, you will get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $5 Specialist: $35

EmblemHealth VIP Go (HMO-POS)

This plan provides in-network and out-of-network coverage for select services. You will pay $10 to see your primary care doctor and $45 to see specialists in-network. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $10/$30 Specialist: $45/$65 In and out of network

EmblemHealth VIP Gold (HMO)

You will pay $0 to see your primary care doctor and $25 to see specialists. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $0 Specialist: $25

EmblemHealth VIP Gold (HMO)

You will pay $0 to see your primary care doctor and $25 to see specialists. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $0 Specialist: $25

EmblemHealth VIP Gold (HMO)

You will pay $0 to see your primary care doctor and $25 to see specialists. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $0 Specialist: $25

EmblemHealth VIP Dual (HMO D-SNP)

This is a special needs plan (D-SNP) for people enrolled in both Medicare and New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan.

You will also get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, $0 for 10 additional acupuncture visits, a SilverSneakers® membership, and $50 for over-the-counter(OTC) items monthly, depending on where you live.

Primary Care Physician: $0 Specialist: $0

EmblemHealth VIP Dual (HMO D-SNP)

This is a special needs plan (D-SNP) for people enrolled in both Medicare and New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan.

You will also get benefits Medicare does not cover, like comprehensive dental, hearing aids, vision, $0 for 10 additional  acupuncture visits, a SilverSneakers® membership, and $100 for over-the-counter(OTC) items monthly.

Primary Care Physician: $0 Specialist: $0

EmblemHealth VIP Rx (PDP)

With VIP Rx, you get $2 preferred generic drugs at preferred pharmacies nation-wide. You pay small a premium of $49.30 per month.

$2 preferred Generics at preferred pharmacies nation-wide

EmblemHealth VIP Rx Plus (PDP)

With VIP Rx Plus, you get $0 preferred generic and generic drugs at preferred pharmacies nation-wide and when you use our mail order pharmacy. The deductible does not apply to drugs on Tiers 1, 2 and 3, so you save on the medicines you need.

$0 preferred Generics at preferred pharmacies nation-wide

EmblemHealth VIP Essential (HMO)

Depending on where you live, you will pay either $0 each month or a low set amount each month (a premium). You will pay $0 to see your primary care doctor and $45 to see specialists.

This plan provides benefits Original Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $0 Specialist: $45

EmblemHealth VIP Reserve (HMO)

You will pay $0 each month for the plan. With this plan, you will pay $0 to see your primary care doctor and $25 to see specialists in-network.

This plan provides benefits Original Medicare does not cover, like comprehensive dental, hearing aids, vision, and a SilverSneakers® membership.

Primary Care Physician: $0 Specialist: $25

EmblemHealth VIP Dual Reserve (HMO D-SNP)

This is a special needs plan (HMO D-SNP) for people enrolled in both Medicare and New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan.

You will also get benefits Medicare does not cover, $155 for over-the-counter(OTC) items monthly.

Primary Care Physician: $0 Specialist: $0

Additional Medicare Resources

Medicare Provider Directories

Find participating doctor, hospitals, dental and other providers for your Medicare plan.

The EmblemHealth Difference

See how we set ourselves apart from the competition with our network of doctors, Connect Concierge Service, 24 Hour Nurse Hotline, Care Management program, and Neighborhood Care.

Medicare Pharmacy: Additional Information

Learn more about what our over-the-counter benefit, how to get money back for a drug, and more.

Medicare Enrollment Periods

Find out about specific enrollment periods and guidelines.

Medicare Grievances and Appeals

Learn how to file a complaint or appeal using the necessary forms.

Enroll in medicare

Find the Right Plan

We want you to feel comfortable and secure with your Medicare decisions; that’s why EmblemHealth offers many low-cost Medicare Part C and Part D plans - some even at $0 - with a wide range of benefits to meet your needs.  

EMB MB WEB Medicare Banner 1440X450 3 10 20

Health Insurance Plan of Greater New York (HIP) is an HMO/HMO-POS/HMO D-SNP plan with a Medicare contract and a Coordination of Benefits Agreement with the New York State Department of Health. EmblemHealth Plan, Inc. is a PPO plan and a standalone PDP with a Medicare contract. Enrollment in HIP and EmblemHealth Plan, Inc. depends on contract renewal. HIP and EmblemHealth Plan, Inc. are EmblemHealth companies.

Out-of-network/non-contracted providers are under no obligation to treat EmblemHealth members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.

For accommodations of persons with special needs at meetings call Medicare HMO at 877-344-7364 (TTY: 711) and Medicare PDP (VIP Rx and VIP Rx Plus) at 877-444-7241 (TTY: 711) 8 am to 8 pm, seven days a week.

SilverSneakers and the SilverSneakers shoe logotype are registered trademarks of Tivity Health, Inc. © 2020 Tivity Health, Inc. All rights reserved. 

© 2020 Teladoc Health, Inc. All rights reserved. Teladoc and the Teladoc logo are registered trademarks of Teladoc Health, Inc. and may not be used without written permission.

Last Updated: 10/01/2020

Y0026_200570 Accepted 9/29/20

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© 2020 EmblemHealth. All Rights Reserved.

Any information provided on this Website is for informational purposes only. It is not medical advice and should not be substituted for regular consultation with your health care provider. If you have any concerns about your health, please contact your health care provider's office.

Also, this information is not intended to imply that services or treatments described in the information are covered benefits under your plan. Please refer to your Membership Agreement, Certificate of Coverage, Benefit Summary, or other plan documents for specific information about your benefits coverage.