EmblemHealth — health Insurance Complaints
Analysis of 393 health insurance complaints filed against EmblemHealth, based on public NAIC and state DOI data.
Key Statistics
- health Complaints: 393
- Total Complaints (All Types): 393
- health Share: 100.0%
- NAIC Complaint Ratio: 1.12
- AI Risk Score: 75/100
health Complaint Issues
| Issue Type | Complaints | % of Total |
|---|---|---|
| Premium increase | 82 | 20.9% |
| Prior authorization | 76 | 19.3% |
| Coverage gap | 72 | 18.3% |
| Claim denial | 56 | 14.2% |
| Billing error | 54 | 13.7% |
| Network dispute | 53 | 13.5% |
health Complaints by State
| State | Complaints |
|---|---|
| Nebraska | 16 |
| Texas | 15 |
| New Mexico | 14 |
| Ohio | 12 |
| Iowa | 12 |
| Wisconsin | 12 |
| New York | 11 |
| Oklahoma | 11 |
| New Jersey | 11 |
| West Virginia | 11 |
| Oregon | 10 |
| Alabama | 10 |
| South Dakota | 10 |
| Delaware | 10 |
| Virginia | 10 |
Recent health Complaints Against EmblemHealth
- health Complaint #IC-MOCS8SA4-X1APO6 — Ohio (2026-04-15)
- health Complaint #IC-MOCS8SA4-HVMA85 — Arkansas (2026-04-07)
- health Complaint #IC-MOCS8SA4-GHQNXO — New Mexico (2026-04-03)
- health Complaint #IC-MOCS8SA4-DSS07O — Montana (2026-04-02)
- health Complaint #IC-MOCS8SA4-1A9OT4 — Pennsylvania (2026-03-28)
- health Complaint #IC-MOCS8SA4-ZD64W6 — Indiana (2026-03-21)
- health Complaint #IC-MOCS8SA4-8SW2YF — Louisiana (2026-03-16)
- health Complaint #IC-MOCS8SA4-83KELT — Montana (2026-03-08)
- health Complaint #IC-MOCS8SA4-1AK730 — Alaska (2026-03-03)
- health Complaint #IC-MOCS8SA4-ZVC063 — Vermont (2026-02-28)
Frequently Asked Questions
How many health complaints does EmblemHealth have?
EmblemHealth has 393 health insurance complaints on file, according to NAIC and state DOI data.
What are the most common health complaint issues with EmblemHealth?
The most common health complaint issues for EmblemHealth are: Premium increase (82), Prior authorization (76), Coverage gap (72), Claim denial (56), Billing error (54).
Which states have the most health complaints against EmblemHealth?
The states with the most health complaints against EmblemHealth are: Nebraska (16), Texas (15), New Mexico (14), Ohio (12), Iowa (12).
health Complaints by State
EmblemHealth Complaints by State
- EmblemHealth Complaints in California
- EmblemHealth Complaints in Texas
- EmblemHealth Complaints in New York
- EmblemHealth Complaints in Florida
- EmblemHealth Complaints in Illinois
- EmblemHealth Complaints in Pennsylvania
- EmblemHealth Complaints in Ohio
- EmblemHealth Complaints in Georgia
- EmblemHealth Complaints in North Carolina
- EmblemHealth Complaints in New Jersey