HIP Prime HMO
HIP Health Plan of New York was created more than 57 years ago to provide city workers and union members with high quality, affordable health insurance. Today, HIP remains committed to offering city employees and retirees a full range of coverage for medical and hospital services.
HIP's network has grown to over 22,000 participating providers in more than 33,000 service locations, including thousands of private practice offices and convenient neighborhood health care centers. Members have access to top quality health care providers through HIP's alliances with outstanding medical groups and hospitals, including Montefiore Medical Center, Lenox Hill Hospital, St. Barnabas Hospital, St. Luke's Roosevelt Hospital and Beth Israel Medical Center.
HIP Prime® HMO
HIP Prime HMO offers members choice, convenience and access to quality health care. You and each member of your family choose a primary care physician (PCP) practicing in his/her private or group office or at any of the health care centers throughout HIP's service area. HIP's service area includes the five boroughs of New York City as well as Nassau, Suffolk, Westchester, Rockland and Orange counties.
You can choose a different PCP for each family member. You may visit your PCP as often as necessary without charge. Simply call for an appointment. Whether it is a routine physical or a specific medical treatment, your PCP coordinates your care and works with specialists from virtually every area of medical practice to provide you with the health care you need.
As a HIP Prime member, you and your dependents will be covered for a broad range of hospital and medical services that include routine examinations, medical screenings, X-rays, mammography services, inpatient hospital rehabilitation and skilled nursing facility care, outpatient rehabilitation (physical therapy, occupational therapy, speech therapy), dialysis, home care, well-child care, urgent care, mental health services and a preventive dental program.
HIP provides coverage for emergency services around-the-clock, whenever and wherever needed. If you experience a medical emergency when traveling outside of the HIP service area - anywhere in the world - you are covered for hospital and medical care. Simply obtain the care you need and notify HIP within 48 hours.
Special programs focus on the importance of a healthy life-style and preventive health care. HIP offers programs to help you lose weight, stop smoking, reduce stress and exercise regularly. HIP will also help you learn how to prevent illness and manage chronic conditions such as diabetes, heart disease and asthma.
Value Added Programs
Members also have access to value added programs at discounted rates, including laser vision correction, an alternative medicine program, preventive dental services and fitness club memberships. These are not covered benefits, but HIP members have access to a network of providers that offers these services at a discounted rate.
HIP's web site is now available in English, Spanish, Chinese and Korean.
Prescription drug coverage is available under the Optional Rider. Copays are $5 generic/$15 formulary drug which can be filled at any of HIP's participating pharmacies and $5 generic/$15 formulary for 60-day supply at mail order. You can also choose a rider for durable medical equipment and in-hospital private duty nursing.
Please see rate chart for payroll and pension deductions.
See the rate page
For More Information
Please call (800) HIP-NYC9 (800-447-6929) to speak with a HIP representative available Monday through Friday, 9:00 am - 6:00 pm. You may also write to HIP at:
7 West 34th Street
New York, NY 10001
Attn: Labor & Government
Visit the Plan Web site (en ingles y enspañol)
Updated to reflect prescription drug benefit change effective July 1, 2007.