We want to update you regarding the new April 1, 2022 effective date for the NYC Medicare Advantage Plus offering for The City of New York retirees.
On April 1, more than 200,000 Medicare-eligible City of New York retirees will transition to the NYC Medicare Advantage Plus Plan offered by an alliance between Empire BlueCross BlueShield (Empire) and EmblemHealth.
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 payment. 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.
The NYC Medicare Advantage Plus Plan offers the same hospital and medical benefits that Original Medicare covers, as well as additional benefits that Original Medicare does not provide, such as an annual routine physical exam, hearing exams, health and fitness tracking, LiveHealth Online, and SilverSneakers®.
Are you in-network? If you are contracted with any of the following networks, you are already an in-network provider participating in this plan. You should continue to see your City of New York retiree patients and submit claims to Empire or your local BlueCross BlueShield plan:
- EmblemHealth’s Medicare Choice PPO
- Empire MediBlue PPO
- BlueCross BlueShield (BCBS) Medicare Advantage PPO Network
Are you out-of-network? No problem. You can see City of New York retirees and will still get paid 100% of the Medicare-Allowed rate. No contract required.
- You can continue seeing our members as long as you are eligible to receive payments from Medicare.
- Your reimbursement is the same as under Original Medicare.
- Our members are not required to obtain a referral before they see a provider.
Please take advantage of our upcoming provider webinar to help you better understand these upcoming changes. Registration link: https://bit.ly/2Y9DrBj
For more information about this plan, including an informative Frequently Asked Questions (FAQ), please visit our dedicated NYC Medicare Advantage Plus Plan page.
