Your important plan documents below include coverage and costs for medical products and services and prescription drugs that will start on January 1, 2025.
We are Here for You
Your important plan documents below include coverage and costs for medical products and services and prescription drugs that will start on January 1, 2025.
Bronx, Queens and New York
Richmond (Staten Island) and Nassau
Suffolk and Westchester
Kings
Bronx, Kings, New York, and Queens
Nassau, Richmond, Suffolk, Capital Region, and
Hudson Valley
Bronx, Kings, New York, and Queens
Nassau, Richmond, Suffolk, and Westchester
EmblemHealth (National Drug Plan (PDP), EmblemHealth VIP Dual (HMO D-SNP), EmblemHealth VIP Dual Enhanced (HMO D-SNP) and EmblemHealth VIP Dual Reserve (HMO D-SNP), select EmblemHealth Group Access Rx (PPO) plans and, EmblemHealth VIP Premier (HMO) group plans with standard pharmacy benefit)
Last Updated: 10/23/2024EmblemHealth (VIP Rx Saver (HMO), EmblemHealth VIP Gold (HMO), EmblemHealth VIP Gold Plus (HMO), and select EmblemHealth VIP Premier (HMO) group plans)
Last Updated: 10/23/2024Prior 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.
Coming Soon
Your important plan documents below include coverage and costs for medical product and services and prescription drugs that will start on January 2024.
Bronx, Kings (Brooklyn), Queens and New York
Richmond (Staten Island) and Nassau
Suffolk
Westchester
(National Drug Plan (PDP), VIP Dual (HMO D-SNP), and VIP Dual Reserve (HMO D-SNP), select EmblemHealth Group Access Rx (PPO) plans and VIP Premier (HMO) group plans with standard pharmacy benefit)
Last Updated: 10/21/2024(VIP Rx Saver (HMO), VIP Gold (HMO), VIP Gold Plus (HMO), and select VIP Premier (HMO) group plans)
Last Updated: 10/21/2024Prior 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.
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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). From Oct. 1 to March 31, you can call us seven days a week from 8 a.m. to 8 p.m. From April 1 to Sept. 30, you can call us Monday through Saturday from 8 a.m. to 8 p.m. We will be happy to help you.
Last Updated 10/01/2024
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