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Health Benefits
Medicare-Eligible Retirees > GHI/EBCBS Senior Care



GHI/EBCBS Senior Care

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. 

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