Silver Bold D by EmblemHealth
Scroll down to the Summary of Benefits PDF
Plan Information
- Plan Name
- Silver Bold D
- Insurance Company
- EmblemHealth
In Network Benefits
- Office Co-pay
- $35($0 first 3 visits)
- Specialist Co-pay
- $70
- Hospital Co-pay
- $0 after deductible
- Emergency Room
- $0 after deductible
- Referrals Needed
- Yes
- Rx: Generic/Brand/High Brand
- $15 (deductible waived)$0/$0 after deductible
- In-Network Deductible (single/family)
- $6,100/$12,200
- In-Network Co-Insurance
- 0%
- Max Out of Pocket (single/family)
- $6,100/$12,200
Out Of Network Benefits
- Co-Insurance
- N/A
- Deductible
- N/A
- Out of Pocket Max (single/family)
- N/A
Other Benefits
- Vision/Dental
- Vision and Dental
- Renewal Date
- 12-31-2020
- HSA Eligible
- No
Check if you qualify for this Health Insurance plan:
Or give us a call, our expert agents will be happy to assist you. It's toll-free!