EmblemHealth insurance ratings and review 2026

EmblemHealth is the No. 13 health insurance company for 2026 with a score of 3.75 out of 5. Emblem has low rates, but fared below average in most customer service areas of our survey.

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Our Take

EmblemHealth is ranked No. 13 on our list of the Best Health Insurance Companies of 2026, with an overall score of 3.75 stars out of 5. Emblem shines on price and delivers a strong digital experience, but its low service metrics, high complaint volume and low financial strength rating keep it near the bottom of our rankings.

  • We’re impressed by Emblem’s affordability; it’s No. 1 in our survey for cost (83% satisfaction) and is rated No. 2 for price/affordability. For budget-focused shoppers, that’s hard to ignore.
  • Policyholders also rated Emblem highly for its online tools, earning it a digital experience score that places it in the top three for website and app usability.
  • However, Emblem was rated last for policy offerings, suggesting fewer or less satisfying plan choices. That could be a significant issue if you require specialized care or greater flexibility. 
  • Most concerning, Emblem posted an extremely high NAIC Complaint Index of 10.90 and holds an A.M. Best rating of C, both of which indicate financial and customer-experience issues.

Below is our review of EmblemHealth. It’s based on third-party metrics and an in-depth survey of insurance customers. Find the full methodology here.

13
EmblemHealth
3.75 Insure.com Score
Price/Affordability
Customer Survey
NCQA
AM Best Rating
C
Effective date:
Pros and cons
Pros:
  • Excellent affordability: Emblem ranks highly for cost (No. 1) and price/affordability (No. 2), making it one of the best options for budget-conscious shoppers
  • Strong digital experience: An 88% website/app score puts Emblem near the top for easy online account management
Cons:
  • Very high complaint volume: A NAIC Complaint Index of 10.90 is by far the highest in our analysis and exponentially higher than expected for a company of its size
  • Financial strength is a concern: Emblem’s AM Best rating of C is the lowest of the carriers we ranked

Who should buy EmblemHealth insurance?

EmblemHealth is a good choice for you if:

  • Value low cost above all
  • Prioritize a seamless online experience for policy management

It might not be the best choice if:

  • You need an insurer with an extensive range of policy offerings
  • An insurer’s financial strength and complaint index score are of utmost concern

How much EmblemHealth insurance costs

Price is the most important factor people consider when choosing health insurance, and according to those surveyed, EmblemHealth represents a good bargain. It scored 4.06 stars out of 5, just a hair behind category leader Humana (4.07 stars).

CompanyPrice/affordability stars
Humana4.07
EmblemHealth4.06
Kaiser Permanente3.99
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Below is a comparison of EmblemHealth’s rates in Connecticut with those of Elevance Health. These are 2026 healthcare exchange rates for a single, 40-year-old man in excellent health with an annual income of $70,000.

CompanyRate/MonthPlan
Elevance Health $827.47Metal’ PPO Standard Pathway
EmblemHealth$1,036.44Value ‘Metal’ Standard POS
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How EmblemHealth scores for customer service, digital experience and policy offerings 

Consumers say good customer service is another important consideration when buying health insurance. In this category, EmblemHealth’s survey score of 72% placed in the lower third of companies we ranked. Humana led this category with a score of 83%. 

A company’s digital offerings, its website and app, can also sway policyholder opinion. In this category, Emblem’s score of 88% placed it in third place, tied with Cigna. Only HCSC (92%) and Molina Healthcare (94%) scored higher.

Robust policy offerings are also important for customers who may have special health needs or financial concerns. Here, Emblem scored lower among those surveyed, placing last with 61%. Horizon BCBS of New Jersey (90%) led this category.

CompanyCustomer serviceDigital experiencePolicy offerings
EmblemHealth72%88%61%
Aetna71%80%73%
UnitedHealthcare72%78%73%
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How EmblemHealth scores on customer recommendations, trust and renewals

A customer who’s willing to recommend their insurer is a satisfied customer. EmblemHealth’s score of 83% for customer recommendations was low for this category; only Molina Healthcare (82%) and UnitedHealthcare (80%) scored lower. Horizon BCBS of New Jersey placed first with a score of 100%.

Trustworthiness is another factor that can indicate a customer’s level of satisfaction with their insurer. In this category, Emblem again came up below average at 82%. Only UnitedHealthcare (81%) scored lower. Humana (96%) took first place.

Renewals can also be an indication of policyholder satisfaction. Emblem’s survey score of 94% is in the middle of the rankings for this category. Molina Healthcare was the only company not to score at least 90% in this category, which BCBS of Florida won with 98%.

CompanyCustomer recommendationsTrustworthinessRenewals
EmblemHealth83%83%94%
Aetna83%83%92%
UnitedHealthcare80%81%90%
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How EmblemHealth scores on low deductibles, its provider network and ease of payments

Low deductibles can make health insurance more affordable; however, none of the insurers in our survey performed particularly well in this category. EmblemHealth’s score of 63% puts it toward the bottom of the list, with BCBS of Michigan (62%) and Horizon BCBS of New Jersey (60%). Humana did best at 75%

A wide network of providers can make obtaining healthcare more convenient, especially when specialized care is needed. In this category, Emblem (72%) again scored lower than average, with only BCBS of North Carolina (71%) and Molina Healthcare (64%) scoring lower. Highmark and BCBS of Florida performed best, with 89% each.

A smooth payment process is another thing that customers appreciate. EmblemHealth’s score of 71% was the lowest among all ranked carriers; Humana (88%) placed first.

CompanyLow deductiblesProvider networkEase of making payments (billing process)
EmblemHealth63%72%71%
Aetna64%78%83%
UnitedHealthcare64%76%78%
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Types of health insurance offered by EmblemHealth

EmblemHealth provides a variety of health insurance plans. Plan details and availability vary by state, but include the following:

  • Insurance for individuals and families
  • Health insurance through employers
  • Medicare and Medicaid plans
  • Prescription drug plans

Other EmblemHealth services 

EmblemHealth also offers the following coverages; availability varies by state and plan:

  • Dental 
  • Vision
  • Telemedicine
  • Wellness programs

States where EmblemHealth offers coverage

Graph
Table

States where EmblemHealth offers coverage
Connecticut
Massachusetts
New Jersey
New York
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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

Available
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How to reach EmblemHealth

Policyholders can reach EmblemHealth by logging into their online account. The insurer can also be reached by phone; hours vary.

EmblemHealth
  • Customer service: 1-800-447-8255
  • Policy sales: 1-888-225-6133
  • Employer services: 1-866-614-6040

Resources and Methodology

Methodology

In 2025, Insure.com surveyed more than 2,000 insurance consumers through independent research firm Dynata. Customers named their life insurer and rated it on customer satisfaction, ease of service, policy offerings, billing, and their experience across different applicant types (seniors, middle-aged adults, young adults, people with pre-existing conditions, people who are overweight, and people who prefer no-exam coverage). We also asked whether they planned to keep their policy, would recommend their insurer, and trusted their insurer.

For insurers with enough survey responses, we added:

  • AM Best financial strength ratings, which measure a company’s ability to meet long-term obligations
  • NAIC complaint index scores, calculated using weighted complaint data based on each company’s annual written premium
  • Life insurance rate data from Compulife to assess overall pricing competitiveness, though this wasn’t included in the final score

With guidance from Prof. David Marlett, Ph.D., Managing Director of the Brantley Risk and Insurance Center at Appalachian State University, we applied the following weights to determine each company’s final score:

  • Customer survey: 60%
    • 10% customer satisfaction
    • 10% ease of service
    • 10% policy offerings
    • 10% likelihood to recommend
    • 10% likelihood to renew
    • 10% trust
  • AM Best: 25%
  • NAIC complaints: 15%

Each insurer received a rating between 0.5 and 5 stars, with 5 stars representing the highest performance.

author image
Scott Nyerges
Managing Editor

 
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Scott Nyerges is an insurance expert and managing editor, insurance. Previously, he was a senior insurance editor and content strategist at U.S. News & World Report, and worked for Consumer Reports, MSN and Cheapism.com.

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