Caring for New York Since 1944
EmblemHealth is one of the nation's largest not-for-profit health insurers, serving over 3 million members across the New York tri-state area. Their Medicare portfolio includes Medicare Advantage HMO and PPO plans with access to an extensive network of NYC-area physicians and hospitals, including major academic medical centers. EmblemHealth's GHI and HIP brands are among the most recognized in New York health insurance.
Service Area: New York City metro area (NYC, Long Island, Westchester, New Jersey, Connecticut)
States Served: NY, NJ, CT
CMS Star Rating: 4 out of 5 stars
AM Best Rating: A-
Broker Support Line: 646-799-1153
Agent Portal: https://broker.emblemhealth.com
EmblemHealth offers the following plan types for eligible Medicare beneficiaries and insurance consumers:
Independent agents must complete the required annual certification before selling EmblemHealth plans. AHIP certification is a prerequisite. Carrier-specific product certification is also required each plan year.
Certification Platform: EmblemHealth Broker Portal
Annual AHIP certification required. EmblemHealth requires annual product certification for Medicare Advantage plans via the Broker Portal. Separate GHI and HIP plan certifications may apply.
Independent insurance agents looking to contract with EmblemHealth can get started through Producers Arena. We provide contracting support, certification guidance, and ongoing agent resources for markets. Producers Arena works with both captive and independent agents to simplify the contracting and onboarding process.
Commission Notes: EmblemHealth pays CMS maximum allowable commissions on Medicare Advantage. Medicare Supplement commissions follow state-approved New York schedules. Contact your FMO or EmblemHealth broker support for current rates.
EmblemHealth supports multiple enrollment methods for licensed agents: