EmblemHealth, Inc. — 2026 Medicare Advantage plans
EmblemHealth, Inc. filed 10 individual Medicare Advantage plan segments for 2026 under 2 CMS contracts, available across 1 state and 24 counties. This page reports CMS filings; MedicareBenefits.care is not affiliated with or endorsed by EmblemHealth, Inc. and does not rank or recommend plans.
EmblemHealth, Inc. Summaries of BenefitsEvery indexed SoB for this carrier, linked from its own site.
View SoBsAll 10 EmblemHealth, Inc. plans filed for 2026
| Plan | Type | Premium | In-network MOOP | Overall stars |
|---|---|---|---|---|
| EmblemHealth VIP Value (HMO-POS) H3330-048-000 · SoB ✓ | HMO-POS | $0 | $7,500 | 4.0out of 5 stars, Above average |
| EmblemHealth VIP Gold (HMO) H3330-021-005 · SoB ✓ | HMO | $49 | $9,250 | 4.0out of 5 stars, Above average |
| EmblemHealth VIP Dual (HMO D-SNP) H5991-012-001 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | 3.0out of 5 stars, Average |
| EmblemHealth VIP Dual (HMO D-SNP) H5991-012-002 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | 3.0out of 5 stars, Average |
| EmblemHealth VIP Dual Enhanced (HMO D-SNP) H5991-013-001 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | 3.0out of 5 stars, Average |
| EmblemHealth VIP Dual Enhanced (HMO D-SNP) H5991-013-002 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | 3.0out of 5 stars, Average |
| EmblemHealth VIP Dual Reserve (HMO D-SNP) H5991-010-000 · SoB ✓ | HMO D-SNP | $58.80 | $9,250 | 3.0out of 5 stars, Average |
| EmblemHealth VIP Gold (HMO) H3330-021-002 · SoB ✓ | HMO | $114 | $9,250 | 4.0out of 5 stars, Above average |
| EmblemHealth VIP Gold (HMO) H3330-021-003 · SoB ✓ | HMO | $175 | $9,250 | 4.0out of 5 stars, Above average |
| EmblemHealth VIP Gold Plus (HMO) H3330-038-000 · SoB ✓ | HMO | $252 | $9,250 | 4.0out of 5 stars, Above average |
What the star rating means. CMS rates every Medicare Advantage contract (the "H" number in the plan ID — all plans under it share the rating) on a 1-to-5 scale each October, from about 40 measures of care quality, member experience, complaints and appeals, customer service and, for plans with drug coverage, drug safety and pricing. The 2026 rating is largely based on performance measured in 2024.
5 Excellent4 Above average3 Average2 Below average1 Poor
Not rated means CMS published no overall rating — usually a contract too new to be measured or with too few members ("not enough data"); it is not a low score. A 5-star contract can be joined outside the normal enrollment windows (the 5-star Special Enrollment Period, Dec 8 – Nov 30). Medicare.gov flags contracts rated below 3 stars for three years running as low-performing. Stars describe the contract's past performance as CMS measured it; they are not a recommendation, and they do not tell you whether a plan's network, drugs or costs fit you.