EmblemHealth

EmblemHealth’s Denial Is Not Healthcare I usually share positive posts, but this needs to be said. My doctor determined that I meet the medical criteria for Zepbound and documented that it is medically necessary. EmblemHealth continues to deny coverage without a valid clinical reason. When an insurer overrides a physician’s judgment and blocks FDA approved, evidence based care, it interferes with patient care. Cost saving policies should not replace individualized medical decisions. These denials are documented. The Appeals process is a joke, but I am prepared to escalate this matter further (NYS Attorney General's office). Healthcare should not require endurance or silence. EmblemHealth, respect clinical judgment and put patients first. #PatientRights #HealthcareAccountability #Ins

Amazing doctors! I had care with them throughout my life. Also, the insurance is good too.

Emblem cares about their customers. They are thorough and are always pleasant when needed.

Shout out to Irine, she call me today 5/16/25 at 1:53 pm. She was very politely and thorough when she renew my insurance and provided me a list of doctors. Thank you Irine!!!!!! You were so kind!!!

I have had this insurance my entire life. The key is to be proactive and not just assume the doctors know how your coverage works. The wait times in the offices are short. The doctors, nurses and staff are professional and courteous and the facilities are clean. They’re located in very convenient locations. They have great wellness programs and it’s fast and easy to schedule appointments. My only issue is they sometimes there is a lack of communication between the physicians and the diagnostic testing offices. Sometimes the results don’t get to my doctor in a timely fashion and I hate how expensive the prescription rider is. But overall I love this health plan🏥