At EmblemHealth, we offer a variety of coverage options 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.
Medicare Advantage Plans
in New York
Choose the Right Plan
EmblemHealth VIP Dual (HMO D-SNP)
For Medicaid Recipients
A plan for those eligible for both Medicare and Medicaid.
Access to care from top doctors and hospitals in our VIP Bold Network.
- $0 primary care provider (PCP) copays.
- $0 specialist copays.
- $0 preventive and comprehensive dental.
- $0 vision and hearing.
- $40 monthly for over‑the‑counter (OTC) items.
Also includes prescription drug coverage, $0 preventive care, and a SilverSneakers® membership.
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.
$0 monthly premium
$0 medical deductible
EmblemHealth VIP Dual (HMO D-SNP)
For Medicaid Recipients
A plan for those eligible for both Medicare and Medicaid.
Access to care from top doctors and hospitals in our VIP Bold Network.
- $0 primary care provider (PCP) copays.
- $0 specialist copays.
- $0 preventive and comprehensive dental.
- $0 telemedicine.
Also includes prescription drug coverage and $0 preventive care.
Available in the following counties: Bronx, Kings, New York, and Queens.
$0 monthly premium
$0 medical deductible
EmblemHealth VIP Dual Reserve (HMO D-SNP)
For Medicaid Recipients
A plan with extras if you’re eligible for both Medicare and Medicaid.
Access to care from top doctors and hospitals in our VIP Reserve Network.
- $0 primary care provider (PCP) copays.
- $0 specialist copays.
- Preventive and comprehensive dental with no annual limit.
- Hearing and vision coverage.
- $80 monthly for over-the-counter (OTC) items.
Also includes prescription drug coverage, $0 preventive care, and a SilverSneakers® membership.
Available in the following counties: Bronx, Kings, New York, and Queens.
$0 monthly premium
$0 medical deductible
EmblemHealth VIP Dual Enhanced (HMO D-SNP)
For Medicaid Recipients
A highly integrated plan for members enrolled in our Enhanced Care plans.
Access to care from top doctors and hospitals in our VIP Bold Network.
- $0 primary care provider (PCP) copays.
- $0 specialist copays.
- $0 preventive and comprehensive dental.
- $0 vision and hearing.
- $40 monthly for over‑the‑counter (OTC) items.
Also includes prescription drug coverage, $0 preventive care, and a SilverSneakers® membership.
Available in the following counties: Nassau, Richmond, Suffolk, and Westchester.
$0 monthly premium
$0 medical deductible
EmblemHealth VIP Dual Enhanced (HMO D-SNP)
For Medicaid Recipients
A highly integrated plan for members enrolled in our Enhanced Care plans.
Access to care from top doctors and hospitals in our VIP Bold Network.
- $0 primary care provider (PCP) copays.
- $0 specialist copays.
- $0 preventive and comprehensive dental.
- $0 telemedicine.
Also includes prescription drug coverage and $0 preventive care.
Available in the following counties: Bronx, Kings, New York, and Queens.
$0 monthly premium
$0 medical deductible
EmblemHealth VIP Gold (HMO)
A good choice if you want benefits and extras to help you stay healthy.
Access to care from top doctors and hospitals in our VIP Bold Network.
- $0 primary care provider (PCP) copays.
- $25 specialist copays.
- Preventive and comprehensive dental with no annual limit.
- Vision and hearing coverage.
Also includes prescription drug coverage, $0 preventive care, and a SilverSneakers® membership.
Available in the following counties: Suffolk and Westchester.
$175 monthly premium
$0 medical deductible
EmblemHealth VIP Gold (HMO)
A good choice if you want benefits and extras to help you stay healthy.
Access to care from top doctors and hospitals in our VIP Bold Network.
- $0 primary care provider (PCP) copays.
- $25 specialist copays.
- Preventive and comprehensive dental with no annual limit.
- Vision and hearing coverage.
Also includes prescription drug coverage, $0 preventive care, and a SilverSneakers® membership.
Available in Nassau County.
$114 monthly premium
$0 medical deductible
EmblemHealth VIP Gold (HMO)
A good choice if you want benefits and extras to help you stay healthy.
Access to care from top doctors and hospitals in our VIP Bold Network.
- $0 primary care provider (PCP) copays.
- $25 specialist copays.
- Preventive and comprehensive dental with no annual limit.
- Vision and hearing coverage.
Also includes prescription drug coverage, $0 preventive care, and a SilverSneakers® membership.
Available in Kings County.
$49 monthly premium
$0 medical deductible
EmblemHealth VIP Gold Plus (HMO)
A good option if you want $0 copays for most doctor visits.
Access to care from top doctors and hospitals in our VIP Bold Network.
- $0 primary care provider (PCP) copays.
- $0 specialist copays.
- Preventive and comprehensive dental with no annual limit.
- Vision and hearing coverage.
Also includes prescription drug coverage, $0 preventive care, 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.
$252 monthly premium
$0 medical deductible
EmblemHealth VIP Value (HMO-POS)
A smart choice if you want a $0 premium.
Access to care from top doctors and hospitals in our VIP Bold Network.
- $0 primary care provider (PCP) copays.
- $35 specialist copays.
- Up to $2,000 per year for in‑network and out‑of‑network dental care.
- Vision and hearing coverage.
- $80 quarterly for over-the-counter (OTC) items.
Also includes prescription drug coverage, $0 preventive care, and a SilverSneakers® membership.
Available in the following counties: Albany, Broome, Columbia, Delaware, Dutchess, Greene, Orange, Rensselaer, Saratoga, Schenectady, Warren, and Washington.
$0 monthly premium
$0 medical deductible
Learn About Medicare
Find important information about Medicare, what sets EmblemHealth apart, and how to enroll when you’re ready.
Health Insurance Plan of Greater New York (HIP) is an HMO/HMO-POS plan with a Medicare contract and an HMO D-SNP plan with a Medicare contract and a contract with the New York State Department of Health. Enrollment in HIP depends on contract renewal. HIP is an EmblemHealth company.
Out-of-network/non-contracted providers are under no obligation to treat Plan members, except in emergency situations. Please call our customer service number or see your Evidence of Coverage for more information, including the cost-sharing that applies to out-of-network services.
Every year, Medicare evaluates plans based on a 5-star rating system.
SilverSneakers is a registered trademark of Tivity Health, Inc. © 2026 Tivity Health, Inc. All rights reserved.
Teladoc® and related marks are trademarks of Teladoc Health, Inc. and are used by EmblemHealth with permission.
Last Updated: 06/30/2026
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