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Important Plan Documents

Members 2021 Important Plan Documents

Your important plan documents below include coverage and costs for medical product and services and prescription drugs that will start on January 2021.

Click here to view 2020 Important Plan Documents.

What are you looking for?

2021 EmblemHealth Annual Notice of Changes

Evidence of Coverage

Comprehensive and Preventive Dental Benefits

Medicare HMO and HMO-POS Provider Directory - Bold Network

Medicare HMO and HMO-POS Provider Directory - Reserve Network

Medicare HMO and HMO-POS Provider Directory - VIP Prime Network

Dental Directory

Pharmacy Directory

  • Medicare Pharmacy Directory (Broad Network)

    (VIP Dual (HMO D-SNP), VIP Dual Select (HMO D-SNP), VIP Solutions (HMO D-SNP), and VIP Dual Reserve (HMO D-SNP), National Drug Plan (PDP), select EmblemHealth Group Access Rx (PPO) plans and VIP Premier (HMO) group plans with standard pharmacy benefit)

  • Medicare Pharmacy Directory (Value Network)

    (VIP Value (HMO), VIP Part B Saver (HMO), VIP Essential (HMO), VIP Rx Saver (HMO), VIP Go (HMO-POS), VIP Gold (HMO), VIP Gold Plus (HMO), VIP Passport (HMO), VIP Passport NYC (HMO), VIP Rx (PDP), VIP Rx Plus (PDP), VIP Reserve (HMO) and select VIP Premier (HMO) Group Plans)

Formulary

List of Covered Drugs

  • 2021 EmblemHealth HMO and PDP Drug Formulary

  • 2021 EmblemHealth VIP Dual (HMO D-SNP) Drug Formulary

  • 2021 Recent Changes to EmblemHealth's HMO and PDP Drug Formulary

  • 2021 Recent Changes to EmblemHealth's HMO D-SNP Drug Formulary

Prior Authorization

Prior Authorization means that you will need to get approval from your plan before you fill your prescriptions. If you do not get an approval, your plan may not cover the drug. Below is a list of drugs that require prior-authorization.

  • 2021 EmblemHealth Medicare Part D Prior Authorization (HMO)

Step Therapy

Step Therapy means you may need to try a different or more common drug first. Below is a list of drugs that require Step Therapy.

  • 2021 EmblemHealth Medicare Part D Step Therapy

Evidence of Coverage for Group Plans

  • EmblemHealth VIP Rx Carveout (HMO) – Group

  • EmblemHealth VIP Premier (HMO) – Group

  • EmblemHealth Group PPO- Group Access Rx/Access Rx National (PPO)

  • EmblemHealth National Drug Plan (PDP) CNY/ EmblemHealth National Drug Plan (PDP)

Enrollment Applications

Thank you for your interest in EmblemHealth. To request a Formulary, EOC, or Provider/Pharmacy Directory, please call Customer Service at 877-344-7364 (TTY: 711). We are open seven days a week from 8 am to 8 pm. We will be happy to help you.

 

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Nondiscrimination Policy for Medicare | Disaster Events Policy for Medicare

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.