RTC - Information and Updates on the New Medicare Advantage Plus Plan
Special Notices
- Retirees will remain in their current health plans until further notice
- Judge issues ruling on health care plans - posted March 3, 2022
- NYC Medicare Advantage Plus Plan Update - Feb. 17, 2022
- NYC Medicare Advantage Plus Plan Update - Feb. 10, 2022
- Mayor Adams statement approving City's Medicare Advantage Plus Plan - posted Feb. 6, 2022
- FAQs about prior authorization - posted Feb. 2, 2022
- Municipal Labor Committee Medicare Advantage Memo - posted Jan. 31, 2022
- FAQ from OLR (revised on Jan 22, 2022) - posted on Jan. 28, 2022
- Memorial Sloan Kettering scraps insurance rule that could’ve frozen out NYC municipal retirees - New York Daily News | Jan 25, 2022 at 5:14 PM
- NYC Medicare Advantage Plus Plan Update - January 24, 2022
- Confirmation of MSK participation in NYC Medicare Advantage Plus plan - posted Jan. 22, 2022
- Health plan rate chart for city retirees effective April 1, 2022 - posted on Jan. 18, 2022
- NY Medicare Advantage Plus Plan Ad Featured in the NY Times, Daily News, NY Post and other local newspapers -posted Jan. 14, 2022
- MLC Medicare Advantage Plus Plan letter - posted Jan. 11, 2022
- Mayor Adams - MLC Medicare Advantage Plus Plan letter - posted Jan. 11, 2022
- OLR Medicare Advantage Plus Plan Retiree Letter (January 2022) - posted on Jan. 7, 2022
- Updated Medicare Advantage Plus brochure - posted on Dec. 21, 2021
- OLR Medicare Advantage Plus Plan Retiree Letter (December 2021) - posted on Dec. 20, 2021
- State judge issues ruling on NYC Medicare Advantage Plus Plan - posted on Dec. 14, 2021
- Health plan rate chart for city retirees for Jan. 1-March 30, 2022 - revised as of Dec. 3 and posted on Dec. 6, 2021
- A new update about the NYC Medicare Advantage Plus plan - posted on Dec. 2, 2021
- An update about the NYC Medicare Advantage Plus plan - posted on Nov. 24, 2021
- Recording of Nov. 9 RTC Membership Meeting - posted on Nov. 10, 2021
- Evidence of Coverage for the new MA+ Plan - posted on Nov. 8, 2021
- FAQ for municipal retirees moving to NYC Medicare Advantage Plus for MA PPO Network Sharing - posted on Nov. 8, 2021
- Sample of the MA+ Plan's outreach: New York City Medicare Advantage announcement to Ohio Providers - posted on Nov. 8
- Testimony on changes to municipal retirees' health care plan - posted on Nov. 1, 2021
- Important update about NYC Medicare Advantage Plus Plan - posted on Oct. 22, 2021
- Presentation on the new NYC Medicare Advantage Plus Plan - posted Oct. 13, 2021
- Questions and answers from the Oct. 1 UFT-RTC Webinar - posted on Oct. 13, 2021
- UFT letter to all retirees by regular mail - posted Oct. 12, 2021
- Presentation on the new NYC Medicare Advantage Plus Plan - posted on Oct. 1, 2021
Update on Memorial Sloan Kettering & Hospital for Special Surgery - posted in October, 2021
Memorial Sloan Kettering has signed an agreement to participate with the plan on Oct. 4. The Hospital for Special Surgery signed up on Oct. 21. Doctors connected to those two hospitals will accept the NYC Medicare Advantage Plus Plan.
FAQ posted on the OLR website - posted on Sept. 29, 2021
(OLR subsequently revised this FAQ; see the revised FAQ posted on Nov. 19, 2021)
An FAQ from the city’s Office of Labor Relations (OLR) was posted on its website on Sept. 29. It included answers to these questions:
- Will I be able to transfer to another health plan during the next Transfer Period?
- As a member of the NYC Medicare Advantage Plus Plan, do I need a referral to see a specialist?
- Do any services require preauthorization?
- What if I live out of state?
- Must I have a Medicare Part D prescription drug rider through the NYC Medicare Advantage Plus Plan?
Please read the new FAQ. Do not presume because you read previous versions that you do not need to read the most recent FAQ.
NYC OLR retiree benefits page:
The following links can all be found on the OLR website. We reproduce them here for your convenience.
The NYC Medicare Advantage Plus Plan, a custom program for city retirees, beginning Jan. 1, 2022
The City and the Municipal Labor Committee selected an alliance between Empire BlueCross BlueShield and Emblem Health to provide the NYC Medicare Advantage Plus Plan to retirees and their eligible dependents. The NYC Medicare Advantage Plus Plan is a Medicare Advantage plan which is an alternative to the traditional Medicare program. It will replace the current Senior Care program, which is a supplement to traditional Medicare, as the program that is free to all retirees. Retirees will automatically be enrolled in the new NYC Medicare Advantage Plus Plan with an effective date of January 1, 2022. Retirees will have the ability to opt-out of the NYC Medicare Advantage Plus Plan and buy up to and remain in the health plan they are currently a member of during September and October before the program start date.
For additional information, you can call the special call center at 1-833-325-1190, Monday to Friday, 8 a.m. to 9 p.m.
View Announcement Letter to Retirees
Enrollment Guides
- View the NYC Medicare Advantage Plus Plan Enrollment Guide for Senior Care Members
- View the NYC Medicare Advantage Plus Plan Opt-Out Form for Senior Care Members
- View the NYC Medicare Advantage Plus Plan Enrollment Guide for Non-Senior Care Members (members of health plans other than Senior Care (i.e., Aetna, Cigna, Elderplan, Empire, HIP VIP, United HealthCare)
- View the NYC Medicare Advantage Plus Plan Opt-Out Form for Non-Senior Care Members (members of health plans other than Senior Care (i.e., Aetna, Cigna, Elderplan, Empire, HIP VIP, United HealthCare)
- View the NYC Medicare Advantage Plus Plan Medical Benefits Chart
- FAQ from OLR (revised on Jan 22, 2022) - posted on Jan. 28, 2022
- View the Health Plan Rate Chart for Retirees (Jan. 1, 2022)
- View the Provider Brochure
- View the Prior Authorization FAQs
Plan Design Comparison Charts:
- View the Plan Design Comparison to Aetna Plan for NY, NJ and PA: General
- View the Plan Design Comparison to Aetna Plan for all other areas: General
- View the Plan Design Comparison to Cigna
- View the Plan Design Comparison to Eldercare
- View the Plan Design Comparison to Empire Mediblue Freedom PPO & Empire Medicare Related
- View the Plan Design Comparison to HIP VIP
- View the Plan Design Comparison to Humana HMO
- View the Plan Design Comparison to GHI/EBCBS Senior Care Plan
- View the Plan Design Comparison to United Healthcare Medicare Advantage HMO (union and non union plans)
The full benefit chart is on the OLR site:
Please review the chart and share and disseminate the information and the link.
Upcoming virtual benefit information meetings:
The following materials were prepared by the UFT for members:
Presentation on the new NYC Medicare Advantage Plus Plan - Oct. 1, 2021
Presentation on the new NYC Medicare Advantage Plus Plan - Aug. 30, 2021
Here is a comparison chart of costs for the new NYC Medicare Advantage Plus plan and the GHI/Senior Care plan as of Jan 1, 2022
Provider brochure and prior authorization
Informational fliers from the Alliance on the NYC Medicare Advantage Plus Plan concerning providers and prior authorization.