Business Details
50+ Years
experience
Emergency
services
Your Trusted Health Insurance Partner in New York
Emblem Health has been dedicated to improving New Yorkers' health and well-being for over 85 years. As one of the nation's largest not-for-profit health insurers, we prioritize community needs through affordable coverage and personalized care. Our history dates back to the Great Depression, when health insurance was first conceived to protect families from financial hardship. Today, we combine this legacy with modern solutions, offering a wide range of plans including Medicare, Medicaid, and the $0 Premium Essential Plan. Our partnerships with top institutions like Memorial Sloan Kettering Cancer Center and Hospital for Special Surgery ensure access to world-class care.Through Neighborhood Care locations, we provide free wellness classes and localized support to address health barriers. Our 24/7 Nurse Line and pharmacy management programs reflect our commitment to comprehensive, accessible care. As a not-for-profit, we reinvest in our members and communities to promote long-term health outcomes. Our value-based approach prioritizes quality over quantity, ensuring patients receive tailored solutions. With a network spanning New York State, we empower over half a million individuals to achieve their health goals through AdvantageCare Physicians and other integrated services.
Services
Health Insurance Plans
Medicare Advantage
Medicaid Managed Care
AdvantageCare Physicians
Neighborhood Care Centers
24/7 Nurse Line
Pharmacy Management
Wellness Programs
Telehealth Services
Care Coordination
Details
- Year established: 1930
Highlights and features
- 85 years of serving New York communities with health insurance expertise
- Not-for-profit reinvestment in member wellness programs and community health
- Free wellness classes and localized support at 850+ Neighborhood Care locations
- 24/7 Nurse Line for immediate medical guidance and triage
- Partnerships with nationally ranked institutions like Memorial Sloan Kettering Cancer Center
What people say
Affordable plans
Excellent network
Helpful staff
Free wellness resources
24/7 support
Services
Health Insurance Plans
We offer comprehensive health insurance solutions across New York State, including Medicare Advantage, Medicaid Managed Care, and Affordable Care Act-compliant plans. Our $0 Premium Essential Plan provides accessible coverage for eligible individuals through a network of 850+ Neighborhood Care locations and 50+ AdvantageCare Physicians clinics. As a not-for-profit organization, we reinvest savings into member benefits and community health initiatives while maintaining partnerships with top-tier medical institutions.
Neighborhood Care Centers
Our 850+ Neighborhood Care locations deliver localized health support through free wellness classes, chronic condition management, and preventive care services. These community-based centers help address social determinants of health by providing culturally competent care and connecting members with local resources. Staffed by bilingual professionals, they serve as accessible hubs for health education and preventive screenings across New York's diverse neighborhoods.
24/7 Nurse Line
Available round-the-clock, our Nurse Line connects members with trained professionals for immediate medical guidance. This service helps determine appropriate care levels, provides symptom management advice, and directs patients to urgent care when needed. The triage system reduces unnecessary ER visits while ensuring timely access to critical care, operating as a vital resource for after-hours medical concerns.
Pharmacy Management
Our pharmacy benefit program manages medication costs through negotiated pricing and home delivery options. We coordinate with Express Scripts and NYRx to ensure affordable access to prescriptions, including specialized therapies. The program includes medication therapy management for chronic conditions and formulary optimization to balance clinical effectiveness with cost efficiency across our member population.
AdvantageCare Physicians
This integrated network of 50+ clinics provides value-based primary and specialty care to over half a million patients. Our patient-centered medical homes emphasize preventive care, care coordination, and chronic disease management. The practice employs evidence-based protocols for conditions like diabetes and hypertension while offering convenient telehealth options and extended office hours to improve access to care.
Questions
What health insurance plans do you offer?
We provide Medicare Advantage, Medicaid Managed Care, Child Health Plus, the $0 Premium Essential Plan, and Qualified Health Plans through the NY State of Health Marketplace.
How can I find in-network providers?
Use our online provider directory or contact our 24/7 Nurse Line to locate in-network doctors, specialists, and facilities across New York State.
Do you offer telehealth services?
Yes, we provide virtual care options through AdvantageCare Physicians and partner providers for convenient access to medical consultations.
Are there wellness programs available?
We offer free wellness classes, fitness programs, and chronic condition management support at Neighborhood Care locations and online.
How do I get prescription coverage?
Pharmacy benefits are included in all our plans with access to home delivery through Express Scripts and NYRx for Medicaid members.
What emergency services are covered?
All emergency room visits are covered 24/7 without preauthorization requirements across our network hospitals.
