2019 EmblemHealth 
EmblemHealth, formerly GHI and HIP, has recapitalized and reloaded dynamic plan offerings for 2019. They have had recent 3 years of single digit increases. Emblem has added significant new small group plans for 2019 thats fits the needs and budgets of small businesses. Each plan offers quality coverage with comprehensive benefits and network access.
New Expanded Prime Network: Access to a narrow and broad network
NYS – EmblemHealth has expanded small group Prime Network to include both the QualCare Network in New Jersey another ConnectiCare Network in Connecticut. This is in addition to the current HIP Prime Network in New York. Members can choose from over 90,000 private and group practice health professionals, facilities, and 144 hospitals in 28 New York State counties — all five boroughs of New York City (the Bronx, Brooklyn, Manhattan, Queens, and Staten Island), plus Nassau, Suffolk, Orange, Rockland, and Westchester counties, and upstate areas that stretch north of Albany.
CT – The ConnectiCare HMO Network has 17,000 primary care providers and specialists, and 33 hospitals in all eight counties in the State of Connecticut.
NJ – The QualCare HMO Network includes 26,000 primary care providers and specialists, and 76 hospitals in all 21 counties across the State of New Jersey.
New Select Care Network
It is a smaller subset of the larger Prime Network. It includes over 41,000 health care professionals, facilities, and hospitals throughout 28 counties in New York State. PRIME vs. SELECT NETWORK: Click Here
New Plan Features
- 3 free copays for PCP on selected plans.
- Urgent Care no deductible
- Labs no deductible
- Adult & pediatric preventive dental no deductible
- FREE Telemedicine through Teledoc. Members can get non-urgent medical care. It’s convenient, immediate, and available 24 hours a day, 365 days a year. Telemedicine doctors can even prescribe certain medicines.
- FREE Acupuncture
- Vision Included – free annual exam and lenses at 20% coinsurance.
- Gym Reimbursements – up to $400 for member and $200 for spouse.
Emblem has been a NYS mainstay for 80 years. They insure 612,000 members. Notable clients are Union plans such as the NYC Teachers Union.
DOCTOR SEARCH: Click Here
PRIME vs. SELECT NETWORK: Click Here
BENEFITS SUMMARY: Platinum Premier, Gold Choice, Silver Plus(gated) and Bronze Plus HSA (gated)
EMBLEMHEALTH SMALL BUSINESS OVERVIEW. Click Here
Group Sample Rates:
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