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The right plan for you
Choosing an EmblemHealth Medicare Plan
We’ve been serving the health insurance needs of New Yorkers for more than 80 years, so we know the kind of coverage you’re looking for. We offer a variety of plans that are accepted by doctors and hospitals across New York.
Lock in your 2021 Medicare plan with benefits you want:
Plans may include benefits like acupuncture, comprehensive dental plans with no annual limit, SilverSneakers® fitness program, and access to a doctor 24 hours, seven days a week with Teladoc®. EmblemHealth can also help you apply for Extra Help.
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$0 and low premiums
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$0 and low primary care doctor visits
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$0 preferred generic drugs by mail order
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See how to make the most of Medicare. And when you’re ready, we make enrolling easy.
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. Enrollment in HIP depends on contract renewal. HIP is an EmblemHealth company. EmblemHealth Medicare PDP is a PDP plan with a Medicare contract. Enrollment in EmblemHealth Medicare PDP depends on contract renewal. 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.
SilverSneakers® is a registered trademark 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.
For accommodations of persons with special needs at meetings call [VDNPHONE] (TTY: 711).
Last Updated 10/1/2020
Y0026_201136_M Accepted 9/29/2020
To speak with a Medicare specialist, call toll-free [VDNPHONE] (TTY: 711).
Every year, the Medicare Annual Enrollment Period is October 15 to December 7. Are you ready to enroll this year? To make the process as easy as possible for you, here’s more information.
To join an EmblemHealth Medicare plan, you must:
- Qualify and be enrolled in Medicare Part A (you are 65 or older, or under 65 with certain disabilities); and
- Be enrolled in and continue to pay for Medicare Part B; and
- Live in EmblemHealth’s service area for that plan; and
- Not have End-Stage Renal Disease (permanent kidney disease requiring dialysis or a kidney transplant), except under certain limited circumstances.
View EmblemHealth's HMO Service Area map which include the following counties in New York: Albany, Broome, Bronx, Columbia, Delaware, Dutchess, Greene, Kings, Nassau, New York, Orange, Putnam, Queens, Rensselaer, Richmond, Rockland, Saratoga, Schenectady, Suffolk, Sullivan, Warren, Washington, Westchester and Ulster
EmblemHealth HMO Medicare Service Area Map
Download PDF: English | Español | 中文
Initial Coverage Election Period
You can enroll when you first become eligible for Medicare (three months before the month you turn age 65 until three months after the month you turn age 65). If you get Medicare due to a disability, you can join from three months before to three months after your 25th month of cash disability payments.
Medicare beneficiaries may enroll only during specific times of the year. Visit our Medicare Enrollment Periods page to see the best time to enroll and other details about enrollment timelines.
What happens after I enroll?
We will mail you a letter confirming that we received your application. After that, we will send your application to the Centers for Medicare and Medicaid Services (CMS), the federal agency that runs the Medicare program, for approval.
When am I officially an EmblemHealth member?
You should get your EmblemHealth member ID card and Welcome Kit in the mail about seven business days after you receive our confirmation letter. An EmblemHealth Customer Service Representative will also call you to answer your questions and help you understand your benefits.
During one of these calls, you will be asked some questions about your health. This is because CMS asks all Medicare Advantage plans to do a Health Risk Assessment (HRA) for members. It will not affect your membership in EmblemHealth in any way. And your answers may help EmblemHealth to serve you better.
