If you are a retiree with Medicare Parts A and B, you can enroll in our GHI Senior Care program. This plan supplements your Medicare benefits.
You will have a deductible to pay before your plan starts to pay. Preventive care, such as you annual physical, are fully covered, with no out-of-pocket costs. With this plan, Senior Care will cover the services below.
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seven days a week (excluding major holidays), 8 am to 8 pm.
Effective Jan. 1, 2022, after you have met your annual $233 Medicare Part B and $50 Senior Care deductibles, some services will also have a $15 copay.
You will continue to have a $25 annual deductible for private duty nursing (PDN), durable medical equipment (DME), and ambulance services. Your annual maximum benefit for all three services is $2,500.
Below are some commonly used services that will now have a $15 copay.*
*Please note this is not a full list. For specific benefit questions, call the number on the back of your member ID card.
You can enhance your Senior Care program with the following services:
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.
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.
