EMBLEMHEALTH SILVER PLANS

EmblemHealth believes in the care and support for a healthier you. Through their expansive network and partnerships, EmblemHealth offers access to quality care, support and resources.

EMBLEMHEALTH SELECT CARE SILVER PREMIER

Rates are for new and renewing groups effective 10/1/2026 — 12/1/2026

PLAN RATES (MONTHLY)

Area of Coverage

Employee

$1,219.03

Employee/Spouse (DP)

$2,432.12

Employee/Child(ren)

$2,068.19

Family (DP)

$3,463.24

PLAN HIGHLIGHTS

PCP/Specialist: 1 free PCP visit then $35/$75
Deductible, Coinsurance: $6,200/$12,400, 40% - OON $8,000/$16,000, 50%
Max OOP: $10,000/$20,000 - OON $18,000/$36,000
Rx: $20/$50/$120 after $250/member Rx deductible (n/a Tier 1)

EMBLEMHEALTH SELECT CARE SILVER HSA

Rates are for new and renewing groups effective 10/1/2026 — 12/1/2026

PLAN RATES (MONTHLY)

Area of Coverage

Employee

$1,186.51

Employee/Spouse (DP)

$2,367.08

Employee/Child(ren)

$2,012.90

Family (DP)

$3,370.57

PLAN HIGHLIGHTS

PCP/Specialist: Deductible then $30/$50
Deductible, Coinsurance: $3,500/$7,000, 40%
Max OOP: $8,000/$16,000
Rx: Deductible then $15/$45/$100

Carrier rates are subject to NYS Department of Financial Services approval and final verification at enrollment.
All plans above include $5.95 for HealthPass Program Benefits (non-carrier/agent services) and a 2.9% billing and administrative fee.