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EmblemHealth VIP Gold (HMO)

New York Medicare Advantage Plan (2025 Plan)

Select your County to view details for EmblemHealth VIP Gold (HMO) specific to your location

Overview of EmblemHealth VIP Gold (HMO) in New York

by EmblemHealth

Additional Coverage

HearingVisionDental

Overall Government Star Rating

 3.5
out of 5 stars

Variations of EmblemHealth VIP Gold (HMO) Within New York

EmblemHealth VIP Gold (HMO) is available in 7 New York Counties. Pricing and benefit details can vary by location. Each variation of EmblemHealth VIP Gold (HMO) has a unique Plan ID and benefits which can differ by monthly premium, deductible, out-of-pocket maximum, and other costs such as copays and coinsurance. Each variation of EmblemHealth VIP Gold (HMO) in New York is listed below:

EmblemHealth VIP Gold (HMO) H3330-021-5
Monthly Premium
$54 per month
Deductible
$0
Out-of-Pocket Max
$8,850 In-network
Available in Counties: Kings
EmblemHealth VIP Gold (HMO) H3330-021-3
Monthly Premium
$201 per month
Deductible
$0
Out-of-Pocket Max
$8,850 In-network
Available in Counties: Suffolk, Westchester
EmblemHealth VIP Gold (HMO) H3330-021-1
Monthly Premium
$95 per month
Deductible
$0
Out-of-Pocket Max
$8,850 In-network
Available in Counties: Bronx, New York, Queens
EmblemHealth VIP Gold (HMO) H3330-021-2
Monthly Premium
$125 per month
Deductible
$0
Out-of-Pocket Max
$8,850 In-network
Available in Counties: Nassau

Comparing the Quality Score of EmblemHealth VIP Gold (HMO) to Other Plans in New York

Each year the federal government evaluates the quality of Medicare Advantage and Part D Prescription Drug plans based on a 5-star scoring system. For 2025, EmblemHealth VIP Gold (HMO) received an overall government quality rating of 3.5 stars out of 5 stars.

EmblemHealth VIP Gold (HMO) performed worse than New York’s State average overall quality score of 3.7 stars.

This Plan’s 5-star Gov’t Quality Score
New York State Average Score
Overall Government 5 Star Quality Rating
 3.5
 3.7
Summary rating of health plan quality
 3
 3.7
Staying healthy: screenings, tests, & vaccines
 4
 3.8
Managing chronic (long term) conditions
 3
 3.3
Member experience with health plan
 2
 3.6
Member complaints & changes in the health plan's performance
 5
 4.3
Health plan customer service
 4
 3.9
Summary rating of drug plan quality
 4
 3.8
Drug plan customer service
 5
 4.1
Member complaints & changes in the drug plan's performance
 5
 4.0
Member experience with the drug plan
 3
 3.4
Drug safety & accuracy of drug pricing
 3
 3.6

The government calculates an “Overall star rating” based on ratings for sub components including “Health plan star rating” and “Drug plan star rating”, which includes further subcomponents of each.

EmblemHealth VIP Gold (HMO) received 3 stars for its health plan quality score which is worse than the New York State average health plan quality score of 3.7 stars.

EmblemHealth VIP Gold (HMO) received 4 stars for its drug plan quality score which is better than the New York State average drug plan quality score of 3.8 stars.

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