GHI Senior Care | EmblemHealth

Switch to:

GHI Senior Care

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.

This plan will pay some of your Medicare costs after you paid your annual deductible. Preventive care, such as your wellness visits, are fully covered, with no additional costs to you.* With this plan, Senior Care will cover the services below.

*An annual physical may lead to additional tests that may cost extra. Speak with your physician at the time of your visit.

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

Plan Details

You will continue to have a $25 annual deductible for each of the following services: private duty nursing (PDN), durable medical equipment (DME), and ambulance services. Your annual maximum benefit for all three services is $2,500. You can continue to get DME and ambulance services after you met your annual benefit maximum, covered by Medicare and pay 20% coinsurance.

Below are some commonly used services we cover.*

  • Office visits (primary care provider (PCP) or specialist)
  • X-rays
  • Laboratory tests
  • Allergy testing/injections
  • Chiropractic services (Medicare-covered)
  • Podiatry (Medicare-covered)
  • Mental health and use disorder treatment
  • Urgent care 
  • Physical, occupational, and speech therapy
  • Cardiac rehabilitation services
  • Pulmonary rehabilitation services
  • Complex diagnostic test and radiology
  • Radiation therapy
  • Vision care (Medicare-covered)

*Please note this is not a full list. For specific benefit questions, call 800-624-2414 (TTY: 711), 8 a.m. to 8 p.m., seven days a week.

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

  • Medicare Prescription Drug Plan for City of New York retirees.
  • Increased inpatient hospital benefit to 365 days (underwritten by and provided through Empire BlueCross BlueShield)

 

Plan Documents

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.

immunizations

A partner in wellness

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. 

>