You’re so golden. That’s why we’re shining up your HMO Preferred plan with a new national network beginning Jan. 1, 2026.
2026 benefit information will be available soon. In the meantime, you can view 2025 benefit details here.
Welcome to the
Gold Standard
Your HIP HMO Is Golden!
National Network in 2026
The EmblemHealth network you know and depend on in New York state — plus coverage in all 50 states, so you can get the care you need wherever you are.
As of August 2025, our national network includes:
- 1,000,000+ health care professionals.
- 285,000+ primary care providers (PCPs).
- 998,000+ specialists.
- 6,000+ hospitals.
Savings You Can See
For PCP and specialist visits, HMO Preferred members have $0 copays at preferred doctors and just $10 at nonpreferred doctors.
| Benefit | Preferred | Nonpreferred |
|---|---|---|
| Primary care provider (PCP) office visit | $0 | $10 |
| Specialist office visit | $0 | $10 |
| Urgent care services | $50 | $50 |
| Emergency care | $150* | $150* |
| Hospital | $100 | $100 |
| Teladoc Health® telemedicine | $10 per visit | $10 per visit |
*Waived if admitted.
The above is only a brief overview of plan benefits. Coverage is subject to all terms, conditions, limitations, and exclusions set forth in the certificate of coverage. Refer to HIP form # - 155-23-LGTIERCONTRACT (12-24).
By the Numbers
When you’re covered by HMO Preferred, the numbers speak for themselves:
1,000,000+
Number of health care professionals available through our national network.
83,000+
Number of in-network doctors and specialists in New York state as of Sept. 2025.
36
AdvantageCare Physicians (ACPNY) locations throughout New York City and Long Island. They’re preferred providers who care for the whole you.
24/7
View your myEmblemHealth portal anytime for plan benefits, claim details, and more.
2
Centers of Excellence Hospitals — Hospital of Special Surgery and Memorial Sloan Kettering.
1
Dedicated customer service line to answer all your questions. 833-CNY-GOLD (TTY: 711).
$0
The amount you pay for in-network preventive services with a preferred doctor — and the amount deducted from your payroll/pension.
Plan Documents
Select plan document type ...
- Summary of Benefits and Coverage
- Certificate of Coverage
Your Summary of Benefits and Coverage (SBC) summarizes what your plan covers and any cost-sharing you may have.
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Summary of Benefits and Coverage (Base Plan)
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Summary of Benefits and Coverage (Base Plan + DME)
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Summary of Benefits and Coverage (Standard Rx)
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Summary of Benefits and Coverage (Grandfathered Rx)
Dedicated Gold Line Service
Call our award-winning member Gold Line, 833-CNY-GOLD (833-269-4653) (TTY: 711), where our specially trained Gold Line agents will answer your call. We’re available 8 a.m. to 8 p.m., Monday through Friday, and 8 a.m. to 1 p.m. on Saturday.
A Partner in Wellness and Community Support
One of the largest primary and specialty care practices in New York City with 35+ locations.
One-on-one customer service and free, personalized health and wellness support.
Coaching from a trained health coach or nurse wellness coach, at no extra cost.
Access to Memorial Sloan Kettering Cancer Center and Hospital for Special Surgery.
Mental Health Support
Support When You Need It
EmblemHealth's HIP HMO Preferred Plan covers mental health and substance abuse programs and services, with confidential help available 24/7.