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The deadline for opting out of the NYC Medicare Advantage Plus Program has been extended until further notice.
For Retirees Currently on an NYC Health Benefits Program Medicare Supplemental Health Plan. Those on a Medicare Supplemental Plan other than Senior Care will receive forms and materials around Oct. 1.
If you choose to enroll in the Alliance Medicare Advantage Plus Program:
Do nothing. If you are a retiree covered by an NYC Health Benefits Program (NYC HBP) Medicare supplemental health plan (such as GHI Senior Care), you and the Medicare-eligible dependents currently on your plan will be automatically enrolled in the new Medicare Advantage plan for January 1, 2022. Dependents on your plan who are not Medicare-eligible will continue to be covered by their current insurance plan (such as GHI-CBP).
If you choose to opt out and keep your current plan:
You must complete the opt-out form in the enrollment packet you receive in the mail or download online from the NYC HBP website page. You may pay a premium for your current NYC HBP plan. New plan rates, as of Jan. 1, 2022, are here. If your pension plan is TRS, any monthly premium payment will be deducted from your monthly check (or deposit). For those in TIAA, any monthly premium payment will be paid from your TIAA annuity. If your annuity is not sufficient to pay your premium, the City will arrange direct billing by the insurance company. Please check the Fund website, psccunywf.org, for updates.
You must complete a separate opt-out form for each Medicare-eligible participant (i.e., you, your spouse and/or other dependent). A Medicare-eligible spouse or dependent must also opt out if that is what the retiree member chooses.
If you currently have the GHI/Empire Senior Care 365-day hospital rider you will automatically be enrolled in it. If you do not have the rider you must wait until the fall Transfer period to add it. To see if you have the rider, call 1-800-767-8672.
If you choose to opt out and waive your NYC Health Benefits Program coverage altogether:
Please be aware you will NOT be eligible for the Medicare Part B premium (or IRMAA) reimbursement from the City of New York. And you will not be able to reenroll in NYC HBP retiree health benefits until the next annual health benefits Transfer Period. Consider this, and if you still intend to opt out and waive your NYC Health Benefits, complete the NYC HBP Application/Change Form linked here:
How to submit the opt-out form(s):
The form gives you several choices: electronic submission, mail, fax, phone, or email. Electronic submission and email are encrypted and secure.
How to check on your Medicare Status
Go to the Medicare website medicare.gov. There you can create an account and check the status of your Medicare coverage.
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