The Fund pays the cost of prescription drug option premiums on behalf of Medicare-eligible retirees (and their Medicare-eligible spouses or domestic partners) enrolled in qualified Medicare HMO plans, where such a cost would otherwise be paid by the member through pension deductions.

The Fund pays the monthly premium directly to the HMO on the member's behalf. The Medicare HMO member, however, is still responsible for co-payments for office visits and drug prescriptions.

Eligibility
To be eligible for this benefit, basic City health coverage must be provided by a qualified Medicare HMO; the member and/or spouse must be enrolled in Medicare Parts A and B; and, the member and/or spouse must live at their present address for at least nine months of the year.

Contact the New York City Employee Health Benefits Program for details on qualified Medicare HMO plans.

Get Health Benefits Program contact information

Switching Plans
If a member would like to switch to a Medicare HMO Plan and take advantage of the Fund Retiree Medicare HMO Drug Benefits, he or she should call the Retiree Health Benefits Program at (212) 513-0470.

Download this section of the Fund Booklet (PDF)
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