Emblem HealthCare

Our Mission and Values
To ensure we live up to our mission and achieve our goals, we embrace values that guide our behavior and provide a framework for our actions.


Our Networks
Finding the right doctor is key.With a majority of New York Magazine's "best doctors" and up to 92,000 physicians in 150,000 locations, finding a quality physician near where a member lives and works is easy, especially with our online tools.


What type of plan are you looking for?
PPO Plans

Provide in and out of network benefits with no referrals.
EPO Plans

Provide in network only benefits with no referrals.
Coordinated Care Plan

A plan delivered in convenient physician group practices. Primary care provider (PCP) referrals required or recommended depending on plan selection. Includes preventive dental.
PPO Plans

PPO Overview

  • No copays for kids for office visits and diagnostics
  • No copay for generic drugs
  • In and out of network benefits
  • More than 150,000 provider locations in New York, New Jersey, and Connecticut and additional provider locations available nationwide

InBalance PPO Overview

  • No copays for kids for office visits and diagnostics
  • No copay for generic drugs
  • In and out of network benefits
  • An affordable plan with special cost-sharing features
  • More than 150,000 provider locations in New York, New Jersey, and Connecticut and additional provider locations available nationwide

ConsumerDirect PPO Overview

  • First dollar coverage for preventive care
  • An affordable plan with high deductibles for other services
  • Coinsurance may also apply
  • In and out of network benefits
  • More than 150,000 provider locations in New York, New Jersey, and Connecticut and additional provider locations available nationwide

EPO Plans
EPO Overview

  • No copays for kids for office visits and diagnostics
  • No copay for generic drugs
  • In network only coverage
  • More than 150,000 provider locations in New York, New Jersey, and Connecticut and additional provider locations available nationwide

InBalance EPO Overview

  • No copays for kids for office visits and diagnostics
  • No copay for generic drugs
  • In network only coverage
  • An affordable plan with special cost-sharing features
  • More than 150,000 provider locations in New York, New Jersey, and Connecticut and additional provider locations available nationwide

ConsumerDirect EPO Overview

  • First dollar coverage for preventive care
  • An affordable plan with a high deductible for other services
  • Coinsurance may also apply
  • In network only coverage
  • More than 150,000 provider locations in New York, New Jersey, and Connecticut and additional provider locations available nationwide

Coordinated Care Plan
CompreHealth Overview

  • No copays for kids for office visits and diagnostics
  • No copay for generic drugs available
  • In network only coverage
  • PCP referrals required for specialists
  • Thousands of quality physicians near where you live and work
  • Preventive Dental Coverage
Nexus Benefits Health Insurance