In 2024, EmblemHealth small group plans are sold on and off the NY State of Health Marketplace. All plans are underwritten by Health Insurance Plan of Greater New York (HIP) and have access to the Select Care Network (New York only) beginning Jan. 1, 2024, or upon the group renewal.
EmblemHealth Platinum, Gold, and Silver Premier plans have out-of-network coverage for most services.
To help members keep costs down, their cost-sharing responsibilities for the following services may be lower based on place of service:
- Infusion Therapy
- Laboratory Services
- Radiology Services
For example, the highest cost-sharing will apply when the services are provided in an outpatient hospital setting and the lowest cost-sharing will apply when services are provided in freestanding facilities and/or provided by primary care physicians (PCPs) in their offices.
Note: Unlike the 2023 benefit plans that use the Prime Network with reciprocity with ConnectiCare’s Choice Network and QualCare coverage in New Jersey, the Select Care Network is limited to providers in New York.
The following chart summarizes which plans and networks will be offered:
2024 Dental Plans
We are also simplifying our dental plan offerings, and in 2024 small groups will have the option of enrolling in one of four plan choices.