EmblemHealth created new health plans for city workers

EmblemHealth created new health plans for city workers

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EmblemHealth has created new health plans for city employees that eliminate out-of-pocket costs when members use Hospital for Special Surgery and Memorial Sloan Kettering Cancer Center for specialty care.

The plan also offers a designated customer service team that a member can reach to help find doctors, make appointments and resolve billing issues.

“As a centerpiece of this new model, we are proud to partner with two nationally-recognized health institutions equally committed to investing in the health and wellness of city workers and their families,” Karen Ignagni, Emblem’s president and CEO said in a statement

Emblem is also deploying its affiliate Care Management Solutions to ensure members get age-appropriate screenings and manage their chronic conditions.

Emblem will begin offering the revamped plan for HMO members on Jan. 1 and roll out to PPO members by July 1. The base HMO Preferred Plan starts at $0 a month.

City workers, including the unionized workforce, are a key constituency for Emblem as it continues to work on a financial turnaround. Last year, Emblem lost $165 million, which represented a $119 million improvement in its underwriting performance from the previous year. The insurer is a partner to the city as it works toward lowering its health benefit costs by $1.1 billion through fiscal 2021. 

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