EmblemHealth - New Jersey | HealthLuminate

Health Plan Overview

Insurance Company	EmblemHealth
State	New Jersey
Website	emblemhealth.com
Number of Hospitals in Network	29
Number of Plans Offered	6

Network Hospital Locations

Hospitals in Network (29)

Newark Beth Israel Medical CenterHoly NameClara Maass Medical CenterMorristown Medical CenterChrist HospitalChilton Medical CenterRWJ University Hospital RahwayBayonne Medical CenterTrinitas Regional Medical CenterNewton Medical CenterDeborah Heart and Lung CenterRobert Wood Johnson University HospitalHoboken University Medical CenterCommunity Medical CenterEnglewood HealthRobert Wood Johnson University Hospital SomersetOverlook Medical CenterBergen New Bridge Medical CenterSaint Peter's University HospitalJersey City Medical CenterMonmouth Medical CenterCooperman Barnabas Medical CenterMonmouth Medical Center Southern CampusRobert Wood Johnson University Hospital HamiltonCentraState Medical CenterHackettstown Medical CenterChildren's Specialized HospitalRutgers University Behavioral HealthcareEssex County Hospital Center

Available Plans

Exclusive Provider Organization

1 plan

Health Maintenance Organization

1 plan

HMO

1 plan

Point of Service

1 plan

PPO

1 plan

Preferred Provider Organization

1 plan

Plan Details

Plan Name	Plan Type
NA	Preferred Provider Organization
NA	Health Maintenance Organization
NA	Exclusive Provider Organization
NA	Point of Service
NA	PPO
NA	HMO

Recent News

2025-01-22

EmblemHealth provides health coverage to residents of Connecticut, New Jersey, New York State, and the tri-state New York City area, offering various health plans including Medicaid and Medicare, and private plans. They focus on a whole-person method of healthcare, ensuring access to mental health services and addiction treatment, though coverage levels vary based on state and plan.

2025

A summary document outlining EmblemHealth's companies, lines of business, networks, and benefit plans for 2025 mentions the inclusion of QualCare in New Jersey within the Prime Network and Choice Network, and also references the Bridge Program which provides members access to multiple networks, including in the tristate area.

State Leadership

Jeffrey Chansler

Senior Vice President, Chief Legal Officer And Corporate Secretary

Also listed as a Board Member. [2] Located in New Jersey. [10]

Mike Palmateer

President, CEO (effective Jan 1, 2025)

Licensed Certified Public Accountant in the state of New Jersey. [12] Has over 40 years of insurance industry experience and has served in various roles at EmblemHealth, including EVP, Chief Business Officer, and CFO. [6, 12]