City of New York Offers Medicare Advantage Option in 2022


The City of New York has awarded their group retiree business to Retiree Health Alliance, an alliance between EmblemHealth and Empire Blue Cross Blue Shield (BCBS). Effective Jan. 1, 2022, approximately 240,000 Medicare-eligible City of New York retirees will transition to Retiree Health Alliance’s NYC Medicare Advantage Plus plan.

The NYC Medicare Advantage Plus plan is a Medicare Advantage PPO plan that allows retirees to receive services from both in-network and out-of-network providers. Out-of-network providers must be eligible to receive Medicare payments. Under this new plan, City of New York retirees will have no difference in cost-share for both in-network and out-of-network services. NYC Medicare Advantage Plus offers the same hospital and medical benefits Medicare covers, as well as additional benefits Medicare does not provide such as an annual routine physical exam, hearing, health and fitness tracker LiveHealth Online, and SilverSneakers®.

In the coming months, provider education materials and training opportunities – specific to the NYC Medicare Advantage Plus plan – will be made available to all providers in both EmblemHealth’s and Empire’s Medicare Advantage networks. We look forward to partnering with the City of New York and Empire BCBS to improve the health of New Yorkers through this opportunity.

Provider Update