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Claims Address:    PO BOX 3000
                                   New York, NY 10116-3000

Customer Service: 1-877-411-3625
http://www.emblemhealth.com

At EmblemHealth, we know that nothing is more important than access to quality doctors and health care facilities. Doctors who have specialized expertise. Doctors affiliated with great hospitals. Doctors who speak your language.

That is why we work hard to attract and keep the best doctors and hospitals in each network.

You can select a network that includes our physician group practices. They offer on-site labs and radiology, primary care physicians and specialists who work together, and a full range of commonly used health services, providing coordinated care at one convenient location.

We also know that quality health coverage means helping to keep you healthy, not just providing coverage when you are sick.

That is why all of our EmblemHealth plans cover preventive care and offer a broad range of resources for living a healthy life or coping with a chronic medical condition. With online tools and resources to help you better understand and manage your health, to incentives for healthier living, we work hard to keep you healthy.

Find A Provider

Formulary

Small Group Health Benefits Waiver Form

Claim Form

Employer Set-Up Form

Health Savings Account Application

HSA Employer Contribution Worksheet

Guidelines

Age 29 Election Form

Traditional Benefit Plan Summaries
Cost Sharing
EPO 40/1000A
EPO 40/2000
EPO 40/1000
EPO 30/1000
EPO 30/500
PPO 40/2000
PPO 40/2000A
Non Cost Sharing
EPO 40/1000
EPO 30/1000A
EPO 30/1000
EPO 30/500
EPO 20A
EPO 20
PPO 25/1000
PPO 30/1000
PPO 30/1000A
HMO Comprehealth Plans:
HMO 30/50 1000
HMO 30/50 500
HMO 25/40 500A
HMO 25/40 500
HMO 20/25 200
Consumer Driven Plan Summaries
HSA High Deductible EPO Plans
EPO 1200/90% INDEXED
EPO 2500/70% INDEXED
EPO 3000/100% INDEXED
EPO 5800/100% INDEXED
EPO 1500/100% INDEXED
Non HSA High Deductible EPO Plans
EPO 10000/100%
HSA High Deductible PPO Plans with Shared Deductibles
PPO 1200/80% INDEXED
PPO 2500/100%
PPO 2500/80%
PPO 5000/100%
Sole Proprietor Benefit Plan Summaries
Emblem PPO HSA $5,000/$10,000-100%/80%
Emblem EPO $10,000
Emblem EPO HSA $5,800/100%
 
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