As we mentioned in previous newsletters, nearly 250,000 Medicare-eligible City of New York retirees are eligible to be transferred to the NYC Medicare Advantage Plus plan starting in 2022. The NYC Medicare Advantage Plus plan is a Medicare Advantage PPO group retiree offering through The Alliance, a collaboration between EmblemHealth and Empire BlueCross BlueShield. The plan allows retirees to visit any doctor nationally that accepts Medicare, while ensuring providers get paid their negotiated contractual rate or 100% of the Medicare-allowable rate if non-contracted (less any member copay).
To help you better manage these members in the new year, we have collected some important resources that you may find useful:
- Frequently Asked Questions
- Plan overview, including information about claims and services requiring preauthorization
- List of webinars where providers can learn more about this product. Sessions are scheduled through January 2022.