EmblemHealth
EmblemHealth is a leading not-for-profit health insurer serving over three million people in New York City and the tristate area, offering a wide range of health plans and community support services.
Services
EmblemHealth provides a wide range of health insurance services to over three million individuals in New York City and the tristate area. The company offers various Medicare Advantage Prescription Drug plans that include benefits such as comprehensive dental, hearing aid allowance, eyewear allowance, and SilverSneakers® membership. EmblemHealth’s Medicare Supplement plans offer options like Plan A, Plan B, Plan C, Plan F, Plan F+, Plan G, Plan G+, and Plan N. Additionally, EmblemHealth offers free language services, including interpreters and information in other languages, and provides various programs to enhance the quality of life for its members.
Subsidiaries and Affiliates
EmblemHealth operates a family of companies that include ConnectiCare, AdvantageCare Physicians, and WellSpark. ConnectiCare is known for its customer-focused healthcare services. AdvantageCare Physicians is a multi-specialty physician group practice that provides primary and specialty care. WellSpark focuses on wellness programs and health coaching. Together, these subsidiaries support EmblemHealth's mission to offer comprehensive and community-focused healthcare solutions.
Community Programs
EmblemHealth Neighborhood Care provides in-person and virtual customer support, connecting members to community resources and offering programming to promote healthy behaviors. Neighborhood Care locations offer free wellness and fitness classes aimed at helping the entire community stay fit and learn healthy habits. These centers also assist members in understanding their plan benefits, finding local doctors, and managing claims.
Medicare Advantage Plans
EmblemHealth offers a range of Medicare Advantage plans including VIP Gold, VIP Gold Plus, VIP Rx Saver, VIP Dual, and VIP Dual Reserve. These plans provide various benefits tailored to meet the needs of Medicare beneficiaries. The company’s Medicare Advantage plans often include additional features like comprehensive dental, hearing aid allowance, eyewear allowance, and SilverSneakers® membership, ensuring comprehensive coverage for their members.
Fraud Prevention
EmblemHealth has a dedicated Special Investigations Unit (SIU) tasked with investigating instances of potential fraud. The SIU collaborates closely with Federal, State, and local law enforcement agencies to address fraudulent activities. This unit ensures that the integrity of EmblemHealth's services is maintained, protecting both the company and its members from the consequences of fraud.