State-Sponsored Programs

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CHOOSE THE RIGHT PLAN

EmblemHealth is happy to offer state-sponsored coverage options to eligible individuals and families at little or no cost with no required Primary Care Provider (PCP) referrals for in network specialty care.

Medicaid Managed Care

If you’re eligible for Medicaid, then you may qualify for one of EmblemHealth’s state-sponsored Medicaid Managed Care plans, which offer low-or no-cost health, vision and dental coverage.

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Enhanced Care Plus (HARP)

Enhanced Care Plus is our state-sponsored Health and Recovery Plan, or HARP. A HARP plan provides Medicaid members with additional health care resources to help members take care of all their physical health, behavioral health, and non-medicaid support needs. There is no monthly premium payment for this plan. Members get access to excellent doctors within the EmblemHealth network.

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Child Health Plus (CHPlus)

There are no copayments for any CHPlus benefits, but you may have a monthly payment depending on your family's monthly income and your family size compared to the most current Federal Poverty Level (FPL) guidelines.

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2019
2018

2019 Plan Subcategory 1

2019 Value Plan

Good for people and families seeking moderate amounts of primary or specialty care and want reduced care costs.

Copay: PCP: $15 | Specialist: $50

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2019 Standard Plan

Good for families seeking care fairly often and would prefer a lower deductible with some upfront services.

This plan has the highest monthly premium of all our Individual/Family plans.

Copay: PCP: $15 | Specialist: $50

2018 Plan Subcategory 1

2018 Value Plan

Good for people and families seeking moderate amounts of primary or specialty care and want reduced care costs.

Copay: PCP: $15 | Specialist: $50

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additional resources

Electronic Notice Option for Medicaid and HARP

Learn about electronic notices for service authorization, plan appeals, complaints, and complaint appeals.

Join Our Member Advisory Panel

Your opinion matters. The Member Advisory Panel is a great way to share your thoughts with us.

Understanding Medicaid, HARP, and CHPlus

Learn more about these state-sponsored coverage options.

Special Services for Children

Learn about additional services for children/youth under age 21.

The EmblemHealth Difference

See how EmblemHealth sets itself apart from the competition.

Enroll Now

We're Here to Help

We have information and resources to make the process as easy as possible.

See EligibilitySee Eligibility

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2019
2018

2019 Plan Subcategory 1

2019 Value Plan

Good for people and families seeking moderate amounts of primary or specialty care and want reduced care costs.

Copay: PCP: $15 | Specialist: $50

View PlanView Plan

2019 Standard Plan

Good for families seeking care fairly often and would prefer a lower deductible with some upfront services.

This plan has the highest monthly premium of all our Individual/Family plans.

Copay: PCP: $15 | Specialist: $50

2018 Plan Subcategory 1

2018 Value Plan

Good for people and families seeking moderate amounts of primary or specialty care and want reduced care costs.

Copay: PCP: $15 | Specialist: $50

View PlanView Plan