Emblem Health

Emblem, officially known as EmblemHealth, is one of the United States' largest nonprofit health insurers. Established through the merger of Group Health Incorporated (GHI) and Health Insurance Plan of Greater New York (HIP) in 2006, EmblemHealth has a longstanding history of providing affordable and accessible healthcare coverage. Headquartered in New York City, EmblemHealth serves millions of members across the metropolitan area and its surrounding regions.

EmblemHealth offers a diverse range of health insurance plans designed to meet the needs of individuals, families, and businesses. Their plan offerings typically include Health Maintenance Organization (HMO) plans, Preferred Provider Organization (PPO) plans, and other plan types like Exclusive Provider Organization (EPO) and Medicare Advantage. EmblemHealth strives to provide comprehensive coverage options that include preventive care, wellness programs, and access to a broad network of healthcare providers and facilities, ensuring that members receive quality care.

Frequently Asked Questions

What is the difference between an HMO and a PPO plan?

An HMO (Health Maintenance Organization) plan typically requires you to use doctors and hospitals within its network and get a referral from your primary care physician (PCP) to see a specialist. A PPO (Preferred Provider Organization) plan offers more flexibility to see both in-network and out-of-network providers without a referral, usually at a higher cost.

How can I find a doctor that accepts Emblem?

The best way to find an in-network provider is to use the 'Find a Doctor' or 'Provider Directory' tool on the official Emblem website. You can also call the member services number on the back of your insurance card for assistance.

What is a 'deductible'?

A deductible is the amount you must pay out-of-pocket for covered health care services before your insurance plan starts to pay. For example, if you have a $1,000 deductible, you pay the first $1,000 of covered services yourself.

Specialists Accepting Emblem Health