Through collective bargaining agreements, the City of New York and the Municipal Unions have cooperated in choosing health plans and designing the benefits for the City’s Health Benefits Program. These benefits are intended to provide you and your eligible dependents with the fullest possible protection that can be purchased with the available funding.
The OLR website and the NYC Health Benefits Program Summary Program Description (SPD) provide you with information about your benefits under the New York City Health Benefits Program.
During the Annual Transfer Period, employees may transfer into any health plan for which they may be eligible, add or drop Optional Rider coverage, or add or drop dependents in their present plan.
Health Benefits Applications are available through NYCAPS Central (212-487-0500) for employees of agencies with centralized health benefits. Department of Education employees should contact HR Connect at (718) 935-4000. All other employees can obtain an application by contacting their agency personnel office.
All changes will take effect on the first day of the first payroll period in January 2017.
During this period, all retirees may transfer from their current health plan to any other plan for which they are eligible, or they may add Optional Rider coverage to their present plan (the Optional Rider can be dropped at any time).
Exception: When transferring into a Medicare HMO plan other than during a Transfer Period, transfers will become effective on the first day of the month following the processing of the special health plan application provided by the health plan
Changes requested during the Transfer Period are effective January 1, 2017.
Effective July 1, 2016
Through the joint efforts of the City of New York Office of Labor Relations and the City’s Unions, represented by the Municipal Labor Committee, there are important changes to the GHI Comprehensive Benefits Plan (CBP) and Empire BlueCross BlueShield Plan and the HIP HMO plan that became effective on July 1, 2016.
Learn more about the GHI-CBP/EBCBS Services Requiring Pre-Certification (effective January 1, 2016)
Use the links below to visit your health plan where you will be able to find an in-network doctor, urgent care center, lab or pharmacy.
|Important Changes to HIP HMO Effective July 1. Learn More|
|Important Changes to DC 37 Med-Team Effective July 1. Learn More|
Important Changes to GHI-CBP Effective July 1. Learn More
NOTE: Hospitalization coverage for GHI CBP is underwritten and administered by Empire BlueCross BlueShield (EBCBS).
View the EBCBS Directory of participating NY, NJ, CT hospitals*
Listed are the non-Medicare Health Plans offered by the New York City Health Benefits Program to its employees and non-Medicare retirees. View the List of Health Plans
Aetna EPO Basic Plan
Aetna EPO Basic Plan with Prescription Drugs
Cigna HMO Basic Plan
Cigna HMO Basic Plan with Prescription Drugs
DC 37 Med-Team
Empire BlueCross BlueShield EPO Plan with Prescription Drugs
Empire BlueCross BlueShield EPO Plan without Prescription Dugs
Empire BlueCross BlueShield HMO with Prescription Drugs
Empire BlueCross BlueShield HMO without Prescription Drugs
Empire BlueCross BlueShield PPO with Prescription Drugs (Hawaii and Alaska Only)
Empire BlueCross BlueShield PPO without Prescription Drugs (Hawaii and Alaska Only)
Empire BlueCross BlueShield Hospital Plan Only (Companion to GHI CBP Medical Coverage)
GHI CBP Basic Plan
GHI CBP Basic Plan with Enhanced Schedule and Prescription Drugs (Optional Rider)
GHI HMO Basic Plan
GHI HMO Basic Plan with Prescription Drugs
HIP HMO Basic Plan
HIP HMO Basic Plan with DME and PDN
HIP HMO Basic Plan with Prescription Drugs
HIP POS Basic Plan
HIP POS Basic Plan with Prescription Drugs
Vytra Basic Plan
Vytra Basic Plan with Prescription Drugs
Anthem, Inc., the parent company of Empire Blue Cross and Blue Shield, one of the City’s health insurance providers, was the victim of a highly-sophisticated cyber-attack. Anthem has informed us that its member data was accessed, and could include that of City employees. Anthem has created a website – www.anthemfacts.com, and a hotline, 1-877-263-7995, for its members to call for more information about the cyber-attack.