Vytra Health Plans offers New York City
employees and retirees an opportunity to access quality healthcare in Queens,
Nassau and Suffolk counties. More than 13,000 private practice physicians and
provider locations are available in the tri-county service area. Through a
strict credentialing process and an ongoing quality assurance program, Vytra
Health Plans ensures that members receive the best medical care available.
At the heart of Vytraâ€™s healthcare plan is
your Primary Care Physician (PCP). This is a family practitioner or internist or
in the case of children, a pediatrician, whom you select from our extensive
medical directory. Your PCP coordinates all your healthcare needs. This includes
providing routine care, prescribing medication, arranging for referrals to
specialists, laboratory testing, X-rays and hospital stays when necessary. When
you enroll in Vytra Health Plans, you become a member of a comprehensive health
care plan designed to promote good health, as well as the delivery of quality
care in times of illness or injury.
Care - Preventive Care, including physical examinations, is covered
through your PCP. You pay $5 for each visit to your PCP. Well-child visits are
also covered through PCPs. No co-payment is required for well-child visits for
members from birth through 18 that are scheduled within the standards of the
American Academy of Pediatrics.
Care - Medically necessary emergency care is covered anywhere in the
world. You can call Vytra Health Plans for guidance on emergency care 24 hours a
day, 7 days a week. There is a $25 co-pay for medically necessary emergency
treatment. This is waived if admitted to the hospital.
Care - In addition to routine medical care, your PCP helps you get the
specialty care you need through a large network of participating providers. When
specialty services are necessary, your PCP will refer you to the appropriate
specialist. Specialist consultations and treatment, short-term physical,
occupational or speech therapy, and allergy testing and treatments are provided
at $5 per visit.
OB/GYN - Female members also have the option to
select a participating Vytra Health Plans Obstetrician/Gynecologist (OB/GYN) who
provides care within his/her specialty without a referral from the PCP. Routine
exams, mammography and Pap tests are covered with a $5 co-payment.
Maternity care -
including prenatal visits, delivery, hospital stay and post-natal care - is
Coverage - Your admission to any of the tri-county hospitals is based
upon your participating physicianâ€™s admitting privileges. You will find this
information in the Vytra Health Plans medical directory. Hospital services,
including pre-admission testing, unlimited room and board in a semiprivate room,
physician services for surgery and anesthesiology, prescribed medications and
diagnostic services are covered at 100%. Skilled nursing facility care for up to
45 days per calendar year is covered at 100%. Mental health and substance abuse
services are also offered.
Promotion - Vytraâ€™s commitment to service is demonstrated in various
health and wellness programs designed to make staying well easy and convenient.
A quarterly wellness magazine, Pulse, provides health, wellness and life-style
information, as well as information about your Vytra plan benefits. Wellness
Seminars, featuring topic experts, are provided to teach you how to feel well
and maintain a healthy life-style. Other health improvement programs include
Healthier Living care management, Prime of Our Lives dedicated to womenâ€™s health
for those over age 45, and Little Stars prenatal and pregnancy management
program. Vytraâ€™s Healthy Savings program offers discounts on fitness and
health-related services from local Long Island participating businesses. From
fitness centers to vision centers, swimming lessons to sailing lessons, over two
dozen organizations take part in this discount program.
Vytra Health Plans offers an optional rider for
prescription drug coverage that is accepted at over 90% of the pharmacies in the
United States. See the Vytra Health Plans medical directory for a complete
listing of tri-county area pharmacies. There is a $7 co-pay per prescription
(brand and generic) after an annual $50 per person deductible has been met.
There is no annual limit.
Please see rate chart for payroll and pension deductions.
See the rate page
To speak with a New York City
Account Representative, call Vytra Health Plans at (631) 694-6565 or (800)
406-0806, Monday through Friday, 8:30 am - 5:30 pm or write to:
Vytra Health Plans
395 North Service Road
Melville, New York 11747-3127
Visit the Plan Web site