At EmblemHealth, we offer a variety of plans to fit different needs and budgets. Learn how our Medicare Advantage Prescription Drug plans can give you the benefits you want, at a price you can afford. And when you’re ready to enroll, we’ll make it easy. We are here to help you every step of the way.
Plan availability varies by location. Please enter your ZIP Code to see plans available in your area.
You will pay $0 to see your primary care doctor and $25 to see specialists. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers ® membership.
Available in the following counties: Bronx, Kings, New York, and Queens
Primary Care Physician: $0 Specialist: $25
You will pay $0 to see your primary care doctor and $25 to see specialists. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers® membership.
Available in the following counties: Suffolk and Westchester
Primary Care Physician: $0 Specialist: $25
You will pay $0 to see your primary care doctor and $25 to see specialists. You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers ® membership.
Available in the following counties: Richmond and Nassau
Primary Care Physician: $0 Specialist: $25
You will pay $0 for many medical services, such as when you see your primary care doctor or specialists or get urgently needed services.
You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, and a SilverSneakers ® membership.
Available in the following counties: Bronx, Dutchess, Kings, Nassau, New York, Orange, Putnam, Queens, Richmond, Rockland, Suffolk, Sullivan, Ulster, and Westchester
Primary Care Physician: $0 Specialist: $0
You will pay $0 to see your primary care doctor and $25 to see specialists. This plan does not have an annual deductible on Tier 1, Tier 2, Tier 3, and Tier 6 drugs. In addition, you will get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, $125 for over-the-counter (OTC) items monthly through mail order and a SilverSneakers ® membership.
Available in the following counties: Albany, Broome, Columbia, Delaware, Greene, Rensselaer, Saratoga, Schenectady, Warren, and Washington
Primary Care Physician: $0 Specialist: $25
This is a special needs plan (HMO D-SNP) for people enrolled in Medicare and who have full New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan.
You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, $0 for 10 additional acupuncture visits, and a SilverSneakers ® membership.
Available in the following counties: Bronx, Kings, New York, and Queens
Primary Care Physician: $0 Specialist: $0
This is a special needs plan (HMO D-SNP) for people enrolled in Medicare and who have full New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan.
You will also get benefits Medicare does not cover, like comprehensive dental, hearing aid allowance, eyewear allowance, $0 for 10 additional acupuncture visits, a SilverSneakers ® membership, and $60 for over-the-counter (OTC) items monthly, including healthy food items and produce.
Available in the following counties: Albany, Broome, Columbia, Delaware, Dutchess, Greene, Nassau, Orange, Putnam, Rensselaer, Richmond, Rockland, Saratoga, Schenectady, Suffolk, Sullivan, Ulster, Warren, Washington, and Westchester
Primary Care Physician: $0 Specialist: $0
This is a special needs plan (HMO D-SNP) for people enrolled in Medicare and who have full New York State Medicaid. You may pay as little as $0 each month for this plan based on your Low-Income Subsidy (LIS) level. You pay $0 for covered services in this plan.
You will also get benefits Medicare does not cover, like $20 monthly for over-the-counter (OTC) items, including healthy food items and produce.
Available in the following counties: Bronx, Kings, New York, and Queens
Primary Care Physician: $0 Specialist: $0
