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EmblemHealth Millennium, Platinum, ST, INN, Millennium Network, Dep29, Pediatric Dental

EmblemHealth
by EmblemHealth
2026 health insurance plan
Monthly Premium

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PlatinumHMO
Deductible · ind / family $0 / $0
Max out-of-pocket · ind / family $2,000 / $4,000
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Estimated yearly cost

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Coverage details

Deductible · individual $0 /yr
Deductible · family $0 /yr
Max out-of-pocket · individual $2,000 /yr
Max out-of-pocket · family $4,000 /yr
Includes child dental Yes
Includes adult dental No

Benefit details and out-of-pocket costs

Doctor visits

Preventive care & screenings No charge
Primary care visit $15 Copay
Specialist visit $35 Copay

Hospital & emergency

Emergency room $100 Copay
Inpatient facility $500 Copay per Stay
Inpatient physician $100 Copay

Prescription drugs

Tier 1 · Generic $10 Copay
Tier 2 · Preferred brand $30 Copay
Tier 3 · Non-preferred brand $60 Copay
Tier 4 · Specialty $60 Copay

Plan documents & tools

* Figures shown are only for in-network medical costs.

** Please check with the insurance company if copay and coinsurance rates are before or after the deductible.

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