There are many preventive services that Medicare and EmblemHealth cover at no extra cost to you, including:
For more information on preventive services covered at no cost to you, see your Medicare plan’s Evidence of Coverage (EOC).
No referrals are required on individual Medicare plans. Please check the front of your ID card for more information.
To learn more, please refer to the Cost Sharing Guide on the member portal or see your Medicare plan’s Evidence of Coverage (EOC).
To learn more, click here.
Preferred pharmacies are network pharmacies where you can save on prescription drugs. Check our Pharmacy Locator to find a local pharmacy and their preferred status. Some preferred pharmacies we work with include Rite Aid, Costco, Walgreens/Duane Reade, Sam's Club, Price Chopper Pharmacy, and Safeway.
For more information, or to find the nearest lab here.
Most of our plans include dental services, but the type of dental (preventive only; comprehensive only; preventive and comprehensive) varies by plan and whether you’ve purchased an optional rider. Find participating dentists here. Some services may require a prior authorization. Your dentist is responsible for submitting the request.
For more information on services covered, see your Medicare plan’s Evidence of Coverage (EOC) or the Cost Sharing Guide on the member portal.
Our Medicare plans cover medically necessary durable medical equipment and supplies that are covered by Medicare.
Covered items include:
Please note certain items will have to be returned and some will be owned by you, such as prosthetics
If you have an emergency while outside the country:
Yes, it’s always a good idea to choose a primary care doctor to coordinate your care and help you when you need to see a specialist. At EmblemHealth, we will select a primary care doctor for you if one is not chosen.
EmblemHealth recommends that you schedule your first primary care doctor visit within the first 90 days of being a member. This way, your doctor can get to know you and your medical history and can recommend preventive care and screenings. Also, once you are a patient, it will be easier for you to schedule a sick visit if you need one.
Last Updated: 10/01/2025
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