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NYC HBP Medicare Advantage FAQs

The City and the Municipal Labor Committee selected an alliance between Empire BlueCross BlueShield and Emblem Health to provide the NYC Medicare Advantage Plus Plan to retirees and their eligible dependents. 

The Plan will replace the current Senior Care program, which is a supplement to traditional Medicare, as the program that is free to all retirees. Retirees will automatically be enrolled with an effective date of January 1, 2022. Retirees will have the ability to opt-out of the NYC Medicare Advantage Plus Plan and buy up to another plan including the Senior Care program and HIP VIP in September and October before the program start date.

Checklist: How to Enroll or Opt Out of the Alliance Medicare Advantage Plus Program

Didn't get any mailings about the Medicare Advantage Plan? All the info & opt-out forms are on the NYC Health Benefits Program website.

***The PSC-CUNY Welfare Fund Silverscript Medicare Part D Prescription Plan will not be affected by your decision to accept the Medicare Advantage Plus plan or to opt out & keep your current coverage***

Enrollment Guide: The City has changed the opt out and enrollment dates to September 15 – October 31 from the original 9/1 to 10/15 dates. It has published an enrollment guide online "intended for retirees currently on the GHI/Empire BlueCross BlueShield Senior Care plan. Additional versions of the enrollment guide will be mailed to all City of New York retirees, and will be posted on the NYC Health Benefits Program website closer to the time of the mailings.

See Retiree Chapter Meeting 9/13/21---General Answers to Questions Raised in Chat

View the Zoom Video of the PSC Retirees Chapter Mtg, Sept. 13

View the PSC Video of the August 30th Zoom Information Session on Retiree Healthcare

View the Welfare Fund FAQs compiled from PSC Retiree Chapter meetings.

NEW View the FAQs from the NYC Office of Labor Relations, updated on Sept. 29. Here are 2 important points:

Is the retiree program still premium-free? Yes. The NYC Medicare Advantage Plus Plan replaces the current GHI/EBCBS Senior Care program, which is a supplement to traditional Medicare, as the program that is premium-free to all Medicare-eligible retirees. The HIP VIP plan will also be available as a premium-free option, but it is only open to those retirees enrolled in the HIP VIP plan on December 31, 2021.

Can I choose another plan or is the NYC Medicare Advantage Plus plan my only choice? You can choose to remain in your current plan by opting out of the NYC Medicare Advantage Plus plan during the opt-out period between September 15 – October 31. By opting out of the NYC Medicare Advantage Plus plan, you will be responsible for the full cost of the premium difference between the NYC Medicare Advantage Plus plan and your current plan’s cost. The cost for the Senior Care plan will be $191.57 per person per month for the basic plan and $2.83 for the 365-day hospital rider. Costs for other current plans will be provided in the enrollment package sent to you in September. 

View the Plan Comparison Chart

For additional information, you can call the special call center at 1-833-325-1190, Monday to Friday, 8 a.m. to 9 p.m.

If you have a question about the Medicare Advantage plan not addressed by the links or contacts above, send it to communications@psccunywf.org.

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