EmblemHealth Health Insurance Ratings

Customer Satisfaction Ratings (based on 95 survey results)

Product

Health

Overall

82.18 out of 100

Product	HOW WE WEIGH OUR SCORE Price 35% Customer service 25% Claims 20% Website and app 10% Renew/Recommend 10% Overall	Claims Processing	Customer Service	Value for Price	Website and Apps	% Who Would Recommend to a Friend	% Who Plan to Renew	WHAT IS THIS RATING? A.M. Best's Financial Strength Rating is an independent opinion of an insurer's financial strength and ability to meet its ongoing insurance policy and contract obligations. A.M. Best's rating is NOT used to calculate the overall score but it is important information to consider when choosing an insurance company. AM Best Financial Strength Ratings October 31, 2019
Health	82.18 out of 100	Claims Processing 87.86	Customer Service 82.53	Value for Price 78.32	Website and Apps 81.43	% Who Would Recommend to a Friend 74%	% Who Plan to Renew 88%	C+

AM Best Financial Strength RatingsOctober 31, 2019

C+

Other Companies to Consider:

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Reasons for Buying from EmblemHealth

Customers of EmblemHealth originally decided to purchase from the company for these reasons:

It's a health plan my employer offers	40%
Offered best price	17%
Reputation	14%
Recommended by friend or family member	7%
Saw TV commercial	6%
I have/had other insurance with this company	5%
Saw online ad	5%
Was the company my parents had	4%
The company website and mobile apps are easy to use and helpful	1%

How likely are you to recommend this company to a friend, coworker or family member?

I probably would recommend this company. 42%

I would definitely recommend this company. 32%

Neutral 22%

I probably would not recommend this company. 3%

I would not recommend this company. 1%

Would you renew?

Yes 88%

No 12%

Website and Apps

How easy to use and how helpful they are

41%

Satisfied - Fulfills my needs okay

29%

Completely satisfied - Gives me what I want and more

14%

Neutral - No good or bad feelings on this

12%

Never visited or used website or mobile app

Not Satisfied - Is not a good website or app

Very unsatisfied - Their digital offerings are not good at all or nonexistent

How You Prefer to Deal with Insurers

59%

Phone

18%

Interactive website

17%

In person

Mobile App

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About EmblemHealth

Best Health Insurance Companies 2020: How EmblemHealth Measures Up

Emblemhealth did fair in the 2020 Best Health Insurance Company survey placing 9th overall with a score of 82.18. EmblemHealth’s best ranking was 4th for handling of claims. It also obtained 5th place for ease of use for website and apps and 6th place for customer service. Price seemed to be a pain point for policyholders with a ranking of 12th. A good amount of consumers still wanted to renew with EmblemHealth, 88%, while only 74% would recommend the company to others.

Gauging an insurance company

Before buying with a company it is wise to check on a company's financial strength and complaint record. The A.M. Best rating listed above gives you an idea of Emblemhealth's financial strength to pay claims. A complaint ratio can be found on the National Association of Insurance Commissioners (NAIC) site. The median complaint ratio from the NAIC is always 1.00. This means half of the insurers have a complaint ratio of under 1.00 and half have a ratio above. Basically, numbers lower than 1.00 are better with fewer complaints than the median and a number higher than 1.00 has more complaints than the median. For health insurance, EmblemHealth (NAIC# 55247) had a complaint ratio of 0.00 for individual health and 0.00 for group health for 2018. 2019 complaint numbers will be available in 2020.

Company Background

An history of firsts

EmblemHealth was created when two successful companies, Group Health Incorporated and Health Insurance Plan of Greater New York came together with complementary fortes.

GHI was the first in the country to offer dental coverage as well as the first insurer to cover preventative medicine, such as annual exams and well-baby care.

The success of HIP is largely attributed to New York’s City mayor at the time, Fiorello LaGuardia.

This New York-based provider serves approximately 3.4 million New Yorkers, making it the largest health insurer in the state. Groups and individuals can select from many levels of PPO, EPO and HMO coverage plans, as well as the ability to choose prescription drug, dental and vision insurance.

Contact information

Corporate headquarters
55 Water Street
New York, NY 10041
(646) 447-5000

Member services: (800) 624-2414

Feedback of Surveyed Policyholders

Our survey asked policyholders to share experiences or give feedback that they would like to share with others looking to potentially buy from their current insurance company. Here's what they had to say:

Positive
Feedback
Neutral / Negative
Feedback

"Agents are very good in providing you the policy with proper information and suggestions "

-Age 18-36, Connecticut

"It's high class service"

-Age 18-36, Connecticut

"Good network, I find easy to get benefits of the policy"

-Age 18-36, Connecticut

"I got the best support and help from them"

-Age 18-36, Connecticut

"I guess motto of this company is customer satisfaction that's why such nice results"

-Age 18-36, Connecticut

"It was the best decision to purchase a policy from this company"

-Age 18-36, Connecticut

"Plans and policies are very effectively designed"

-Age 18-36, Connecticut

"The customer service here is very good and I am very happy and satisfied with the decision I have taken"

-Age 18-36, Connecticut

"I am really impressed with the high level services that these guys have maintained"

-Age 18-36, Massachusetts

"I am very much happy about the staff attitude towards me"

-Age 18-36, Massachusetts

"Policies are excellent "

-Age 18-36, Massachusetts

"It's an amazing company"

-Age 18-36, New York

"An easy to use mobile app that is user friendly and helpful for any of your insurance needs."

-Age 18-36, New York

"Exactly what I need"

-Age 18-36, New York

"Good service"

-Age 18-36, New York

"Offer good coverage"

-Age 18-36, New York

"i like the many things that it offers us"

-Age 18-36, New York

"I was very anxious looking for a good plan and suddenly heard about this company and now am happy"

-Age 18-36, New York

"Incentive schemes are good"

-Age 18-36, New York

"It is very good, it is really a reliable company!"

-Age 18-36, New York

"I've never had a problem using my insurance and the rate is low enough for my family"

-Age 18-36, New York

"My experience is fantastic"

-Age 18-36, New York

"Good premium that I pay"

-Age 18-36, New York

"I like that I get to have my preferred provider"

-Age 18-36, New York

"Reliability, coverage, customer service, experience."

-Age 18-36, New York

"The customer service is very attentive and answers the pertinent questions in a professional manner giving solutions to their customer."

-Age 18-36, New York

"My experience has been good and I talk to reliability people."

-Age 18-36, New York

"Customer service has great people to talk to "

-Age 18-36, New York

"They are easy to work with."

-Age 18-36, New York

"Until now, all my doubts and questions have had a real answer, honest and simple"

-Age 18-36, New York

"Very affordable and my whole family uses them"

-Age 18-36, New York

"Best value for your money"

-Age 37-52, Connecticut

"Fantastic insurance brand in the market"

-Age 37-52, Connecticut

"I must say it's a complete different experience with this company, a positive one for sure"

-Age 37-52, Connecticut

"If you are looking for no tension future plan, go for this company policy"

-Age 37-52, Connecticut

"My total experience is good for this company"

-Age 37-52, Connecticut

"Quick to act on the feedbacks"

-Age 37-52, Connecticut

"Should have better service"

-Age 37-52, Connecticut

"Suggestions from agents are very beneficial for me"

-Age 37-52, Connecticut

"Systematic procedure for settling claims and helping customers is good"

-Age 37-52, Connecticut

"Work as per the promises I received"

-Age 37-52, Connecticut

"Are realistic in pricing the plans"

-Age 37-52, Massachusetts

"Best choice I have made for healthcare"

-Age 37-52, Massachusetts

"I can say that my company is my companion in this healthcare mess and treats me well"

-Age 37-52, Massachusetts

"Provide good service to the people"

-Age 37-52, Massachusetts

"They will always come up with a better plan for your needs"

-Age 37-52, Massachusetts

"Very efficient staff, not rude at all"

-Age 37-52, Massachusetts

"Comparatively gives superior health coverage than other companies and remains sensitive to the health condition of its customers."

-Age 37-52, New York

"Doesn't charge you extra like for policy maintenance charges, etc. like other companies have done"

-Age 37-52, New York

"Have great plans for the advantage of the customers"

-Age 37-52, New York

"I have always had the necessary coverage when I have been presented with some situation that has required me to use it, The company has always supported me correctly"

-Age 37-52, New York

"It's good for my needs"

-Age 37-52, New York

"It shows me informative things that I need to know about healthcare"

-Age 37-52, New York

"It's a good company"

-Age 37-52, New York

"Many services are available in the one roof/ one window provides good coverage, premium reasonable and attractive."

-Age 37-52, New York

"Most effective plans to choose from"

-Age 37-52, New York

"My recommendation to go for best suited insurance like this one"

-Age 37-52, New York

"Que es una compa????a excelente y confiable"

-Age 37-52, New York

"They gave me the best offer."

-Age 37-52, New York

"They give you unique benefits"

-Age 37-52, New York

"They help you with your health insurance and more"

-Age 37-52, New York

"They pay my medical providers promptly and I have had no issues with the plan."

-Age 37-52, New York

"They understand the needs and questions of their clients. It is easy to reach a live person. They have a wide range of services and coverage that fit my needs."

-Age 37-52, New York

"This insurance company is one of the best that I have been using and it serves me very well. Reputation is great with a good price and a high quality."

-Age 37-52, New York

"Thoughtful and innovative people"

-Age 37-52, New York

"Timely response is the best help that one can think of getting"

-Age 37-52, New York

"When needed they promptly covered all the things for me"

-Age 37-52, New York

"It is an excellent company that meets the expectations of many"

-Age 37-52, New York

"Providing good services and policy price is reasonable"

-Age 53+, New York

"They are a good company for my needs"

-Age 53+, New York

"They are clear, efficient, fast"

-Age 53+, New York

"Works with networks, group of doctors, clinics, hospital and other health care providers."

-Age 53+, New York

"Excellent service with very good price."

-Age 53+, Connecticut

"High quality of innovative service"

-Age 53+, Massachusetts

"I got things in simple and effective manner"

-Age 53+, Massachusetts

"Its coverage are less costly, not cheap but within my budget"

-Age 53+, Massachusetts

"Paperless claim process is nice."

-Age 53+, Massachusetts

"Gives you the best service by taking care of all your concerns and needs"

-Age 53+, New York

"Good coverage for what I pay"

-Age 53+, New York

"I got customize policy with unbeatable price."

-Age 53+, New York

"It offers a variety of valuable rewards and discounts can help buyers in saving even more."

-Age 53+, New York

"A bit expensive "

-Age 18-36, Connecticut

"They increased my insurance coverage price"

-Age 18-36, Massachusetts

"Although I have a good experience with the insurer I prefer to change since the cost is somewhat expensive"

-Age 18-36, New York

"Bad but not good as compare to other companies."

-Age 18-36, New York

"In some occasions the service is somewhat slow and difficult but with time they get to solve the problem"

-Age 18-36, New York

"More than anything, I feel that we need to be clear, for example don't make so much text to explain one little thing."

-Age 18-36, New York

"I have never seen them misguiding the customer"

-Age 37-52, Connecticut

"Fair experience I can say"

-Age 37-52, Massachusetts

"Everything is stable with this company I feel"

-Age 37-52, Massachusetts

"I find it difficult to get an answer to basic questions"

-Age 37-52, New York

"It's fine, nothing great"

-Age 37-52, New York

"Rise in the standards of service"

-Age 53+, New York

"The seriousness they present when they do everything I appreciate"

-Age 53+, New York