The City of New York, working with the Municipal Labor Committee, intends to implement a Medicare Advantage program for City retirees and their eligible dependents age 65 and over as of September 1, 2023.
RETIREE CLIENT SERVICE CENTER UPDATE: The Retiree Health Benefits Program is happy to announce that it has overhauled its Direct Customer Service Department in order to improve the call center and re-establish the walk-in center as follows:
Effective Immediately: Retirees can speak with a Client Service Representative between 10am and 4pm, Monday through Friday, except holidays, by calling (212) 513-0470. Additional staff have been added to assist callers.
Effective November 2022: The Health Benefits Retiree Client Service Walk-in Center will be open for in-person meetings on Wednesdays only, beginning November 2, 2022, by appointment only. It remains closed to walk-in visitors. To make an appointment to meet with a Client Service Representative call (212) 513-0470. Appointments will be available on a first-come, first-served basis.
Please submit inquiries and documents as follows:
1) Forms and documents can be submitted electronically through LeapFILE.
2) Forms and documents can be mailed to:
NYC Office of Labor Relations
Health Benefits Program
22 Cortlandt Street, 12th Floor
New York, NY 10007
3) Inquiries and questions can be emailed to: email@example.com - do not send forms through email (see #1 and #2 above)
4) For questions regarding the PICA prescription drug benefit program please call 1-800-467-2006.
5) If you are a HIP-HMO member turning 65 or on Medicare due to a disability, please contact HIP at 1-800-447-9169 to enroll over the phone. Please identify yourself as a City of New York retiree or dependent of a retiree. For all other members enrolled in a HMO plan, please contact your health plan at the customer service numbers on the back of your ID card.
Please note that active employees can contact NYCAPS Central by:
1) Phone - (212) 487-0500
2) Email - firstname.lastname@example.org Or HealthBenefits@dcas.nyc.gov
Please check our website periodically for updates.
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Through collective bargaining agreements, the City of New York and the Municipal Unions have cooperated in choosing health plans and designing the benefits for the City’s Health Benefits Program.
If you're over 65, still working for the City and enrolled in the NYC Health Benefits Program, do not use your Medicare card when you visit your doctor's office. Instead, be sure to use the member ID card provided to you by your current HBP health plan.
These benefits are intended to provide you and your eligible dependents with the fullest possible protection that can be purchased with the available funding.
The OLR website and the NYC Health Benefits Program Summary Program Description (SPD) provide you with information about your benefits under the New York City Health Benefits Program.
Use the links below to visit your health plan where you will be able to find an in-network doctor, urgent care center, lab or pharmacy.
Note for GHI-CBP Members: Hospitalization coverage for GHI CBP is underwritten and administered by Empire BlueCross BlueShield (EBCBS). View the EBCBS Directory of participating NY, NJ, CT hospitals*
*Provider information contained in the Empire BlueCross BlueShield Directory is updated on a regular basis and may have changed. Therefore, please check with your provider before scheduling your appointment or receiving services to confirm participation.
Form 1095-C is a tax form under the Affordable Care Act ("ACA") which contains information about your health care insurance coverage. Form 1095-C is distributed to all full-time employees working an average of 30 hours or more per week, for all or part of the calendar year. For information about Form 1095-B, please contact your health care provider directly. The 1095-B will include all dependent information.
Please note that the 1095-C for the calendar year 2022 will be available for employees in February 2022. Please check Employee Self-Service (ESS), if applicable, in February 2023 in order to obtain the Form 1095-C, or contact your payroll department.
On April 9, 2022, Governor Hochul signed Chapter 56 of the Laws of 2022 relating to the New York State budget for the 2022-2023 state fiscal year. Part TT of the 2022-2023 Budget Bill amended the Retirement and Social Security Law (RSSL) to lower the minimum number of years required for Tier 6 members to vest for service retirement from 10 years to 5 years of credited service.
IMPORTANT: Eligibility for Retiree City Health Benefits has NOT changed by the above Part TT of the Budget Bill. Pursuant to the Section 12-126 of the NYC Administrative Code and New York City Health Benefits Summary Program Description, below summarizes enrollment eligibility for City Health Benefits as a retiree:
View the New York City Health Benefits Program Summary Program Description (SPD)
With Teladoc, you can talk with a doctor within minutes rather than days or hours. Teladoc doctors can diagnose, treat and prescribe medication (when medically necessary) for non-emergency medications. This includes treatments for the flu, sore throat, allergies, stomach aches, eye infections, bronchitis, and much more. Copays are waived during the COVID outbreak. To set up your account now so you can talk with one of Teladoc’s board-certified doctors anytime when you don't feel well, call 1-800-Teladoc (1-800-835-2362) or visit Teladoc.com/emblemhealth
View the Teladoc Registration Guide for instructions on setting up your account on Teladoc’s website or mobile app.
Listed are the non-Medicare Health Plans offered by the New York City Health Benefits Program to its employees and non-Medicare retirees. View the List of Health Plans
Aetna EPO Basic Plan
Aetna EPO Basic Plan with Prescription Drugs
Cigna HMO Basic Plan
Cigna HMO Basic Plan with Prescription Drugs
DC 37 Med-Team
Empire BlueCross BlueShield Gated EPO Plan with Prescription Drugs
Empire BlueCross BlueShield Gated EPO Plan without Prescription Drugs
Empire BlueCross BlueShield Hospital Plan Only (Companion to GHI CBP Medical Coverage)
GHI CBP Basic Plan
GHI CBP Basic Plan with Enhanced Schedule and Prescription Drugs (Optional Rider)
GHI HMO Basic Plan
GHI HMO Basic Plan with Prescription Drugs
HIP HMO Basic Plan
HIP HMO Basic Plan with DME and PDN
HIP HMO Basic Plan with Prescription Drugs
HIP POS Basic Plan
HIP POS Basic Plan with Prescription Drugs
Vytra Basic Plan
Vytra Basic Plan with Prescription Drugs
View the Summary of Benefits and Coverage (SBC) for each Plan.