GHI Senior Care

If you are a Medicare-eligible retiree, you have the option of enrolling in the GHI/Empire BlueCross BlueShield Senior Care program, a Medicare Supplement program.

After you have satisfied the Medicare Part B deductible, you will be responsible for an additional $50 of covered Senior Care services per individual, per calendar year. GHI then pays the Medicare Part B coinsurance (that is, 20% of Medicare Allowed Charges) for covered services for that calendar year.

Please note that the separate $25 calendar year deductible for private duty nursing, ambulance, and durable medical equipment will remain unchanged.

Enollment and Customer Service 800-624-2414
seven days a week (excluding major holidays), 8 am to 8 pm.

 

New Member ID Cards

Be on the lookout for a new member ID card, which will be mailed to you and your dependents in June. Be sure to start using it when this year’s plan goes into effect, on July 1, 2020. You'll notice your new member ID card has a different ID number for you, and each eligible dependent has received their own card and ID number. The contact information on the back of the card is also new. Be sure to share the new card with your health care providers when you go after June 30, 2020.

 

You’ll be able to download your ID card from your myEmblemHealth member portal after June 30th. If you’re already registered on the portal, you don’t need to do anything. To register, go to the sign-in page, click “Register,” and fill in the required information. You’ll be able to see your prescription plan benefits, request a new member ID card, update your communications preferences, choose a preferred language, and more.

 

Get support

If you have questions, call the Customer Service number on your member ID card. A representative will be happy to help.

Plan Details

Under this plan, GHI supplements Medicare for the following benefits, subject to a deductible:

  • Office visits
  • $0 copay at an AdvantageCare Physicians provider or Montefiore faculty-based center
  • In-home nursing services
  • In-hospital physician services
  • Laboratory tests
  • Outpatient hospital services
  • Radiation therapy
  • Specialist consultations
  • Speech therapy
  • Surgery and anesthesia
  • X-ray examinations

You can enhance your Senior Care program with the following services:

  • Enhanced Medicare Part D benefits for prescriptions received at network pharmacies and home delivery service
  • Increased inpatient hospital benefit to 365 days (underwritten by and provided through Empire BlueCross BlueShield)

Plan Details


Provider Coverage

With our robust network of quality doctors, you can get care from many of the region’s leading doctors, clinicians and facilities, including hospitals and urgent care centers.

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The Right Care, Right in Your Neighborhood

AdvantageCare Physicians are the newest addition to the EmblemHealth family and are now one of the largest primary and specialty care practices in New York City. With 37 locations throughout New York City and Long Island, you can find a convenient location near home or work.