Ratings

Health best-health-company-ratings
Overall Rating info icon info icon
Claims Processing
Customer Service
Value for Price
Website and Apps
% Who Would Recommend to a Friend
82%
% Who Plan to Renew
90%
AM Best Financial Strength Ratings info-icon info-icon November 08, 2020
C+
HOW WE WEIGH OUR SCORE
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.

Reasons for Buying

Customers of EmblemHealth originally decided to purchase from the company for these reasons:
26%
It's a health plan my employer offers
16%
Recommended by friend or family member
14%
Reputation
11%
Offered best price
11%
Saw TV commercial
9%
Saw online ad
6%
My parent's health company
5%
The company website and mobile apps are easy to use and helpful
2%
I have/had other insurance with this company
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Customer Complaint Ratio

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Group Health
1.36
0 1 3 10+
Lower number is better
0 to 1.00
1.01 to 3.00
3.01 and above

Best health insurance companies 2021: EmblemHealth

EmblemHealth is one largest nonprofit health plans in the U.S and currently serves over 3 million people in New York City and the tristate area. They have been in business for over 80 years and generated revenue of over $10 billion last year.

EmblemHealth was established in 2006 when Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP) merged. These companies worked separately in the New York area since 1937 and 1947.

One of the unique features of EmblemHealth is their Neighborhood Care. EmblemHealth Neighborhood Care provides in-person customer support, access to community resources, and programming to help the entire community learn healthy behaviors. Both members and non-members can visit Neighborhood Care to take advantage of the classes, resources, and face-to-face support offered.

How EmblemHealth stacks up

EmblemHealth earned a solid 3.5 out of 5-star rating in our annual review of Best Health Insurance Companies. They got 3.5 ratings across the board in claims, price and customer service and website & apps.

When we asked EmblemHealth customers if they would recommend the company to others, 82% said yes and 90% said they planned to renew their plan.

How likely to recommend?

46%
I would definitely recommend this company
36%
I would probably recommend this company
10%
Neutral
6%
I would probably not recommend this company
2%
I would not recommend this company

Would you renew?

90% Yes
10% No

Ratings on Website & Apps

Completely satisfied / Outstanding website & apps that give me what I need and more
37%
Fairly satisfied / Fulfills my needs OK
26%
Average website and apps
20%
Unsatisfied / website and/or apps are not fulfilling my needs
8%
Very unsatisfied / digital offering is severely lacking
7%

How do you prefer to deal with insurer and policy?

Phone
37%
In person
33%
Interactive website
13%
Mobile App
9%
Email
8%

EmblemHealth coverages

  • Health insurance for individuals and families
  • Medicare plans, Medicare advantage plans
  • Medicare supplement plans
  • Medicaid
  • Enhanced Care Plus (HARP)
  • Child Health Plus (CHPlus)
  • Health insurance plans offered via employers
  • Dental
  • Vision

About EmblemHealth

Emblem came into being in 2006 when Group Health Incorporated (GHI) and the Health Insurance Plan of Greater New York (HIP) merged.

In 1999, looking to expand their reach, GHI established GHI HMO as an incorporated entity in New York State and also acquired certain assets of Well Care Management Group, Inc. in the same year. In 2005, GHI Select HMO acquired the assets, of ABC Health Plans and in 2006, merged with Health Insurance Plan of Greater New York (HIP) to form Emblem.

In 1943, New York City mayor Fiorello LaGuardia and David M. Heyman brought together a number of people to explore offering pre-paid medical services to New Yorkers of “moderate means.” This led to the creation of HIP in 1994 which served as the first health insurance plan for public service workers in New York City.

In 2012, EmblemHealth started its Neighborhood Care program which established a community presence in its service area with care coordination and wellness programs.

Neighborhood Care facilities are now located in Harlem, Cambria Heights, Queens, Chinatown and Crown Heights.

In which states is EmblemHealth health insurance available?

AL AK AZ AR CA CO CT DC DE FL GA HI ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY

Contact EmblemHealth

Corporate Headquarters

55 Water Street

New York, NY 10041

(646) 447-5000

Member services: (800) 624-2414

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