If you are a Medicare-eligible retiree
enrolled in either GHI-CBP/EBCBS or GHI Type C/EBCBS, Senior Care supplements
your Medicare coverage. After you have satisfied the Medicare Part B deductible
(currently $135), you will be responsible for an additional $50 of covered
Senior Care services per individual, per calendar year. GHI then pays the
Medicare Part B coinsurance (that is, 20% of Medicare Allowed Charges) for
covered services for that calendar year. Empire BlueCross BlueShield supplements
your Medicare coverage for inpatient hospital services, and pays the Medicare
Part A inpatient deductible less a $300 deductible per admission (maximum $750
per year). Empire also supplements Medicare Part B coverage for
ambulatory/surgical procedures, emergency room and pre-surgical testing. The
subscriber is responsible for the Part B deductible.
Prescription Drug Coverage - Optional Rider
From GHI:
Optional Rider - Pharmacy Benefit:
There is no deductible under this plan.
Member is responsible for 25% of eligible prescription drug expenses between $0 and $2,250.
$2,251 through $7,729 member is responsible for 60% of prescription drug costs.
If member reaches $3,850 in out-of-pocket costs,
member will receive unlimited coverage of rxs subject to a copay of $2.15 for
generic/$5.35 for brand-name drugs or 5% coinsurance (whichever is
greater).
From Empire BlueCross
Blue Shield: 365-day Hospital Coverage.
Cost
There is no cost for the basic plan. The cost for the optional rider can be viewed on the rate page.
See the rate page
For More Information
GHI
441 Ninth Avenue
New York, NY 10001
(212) 501-4444
Visit the Plan Web site
EBCBS
City of New York Dedicated Service Center
PO Box 1407 Church Street Station
New York, NY 10008-1407
(800) 767-8672
Visit the Plan Web site
Updated to reflect
changes to Prescription Drug Benefit effective January 1,
2007.