EMBLEMHEALTH SILVER PLANS

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 4/1/2026 — 6/1/2026

PLAN RATES (MONTHLY)

Employee
$1,220.28
Employee/Spouse (DP)
$2,434.62
Employee/Child(ren)
$2,070.32
Family (DP)
$3,466.80

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 4/1/2026 — 6/1/2026

PLAN RATES (MONTHLY)

Employee
$1,187.72
Employee/Spouse (DP)
$2,369.47
Employee/Child(ren)
$2,014.95
Family (DP)
$3,373.97

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.