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NYC Health Benefits Program


Introduction

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. 


Health Benefits Open Enrollment Period is October 11th through November 11, 2016 for Active Employees


During the Annual Transfer Period, employees may transfer into any health plan for which HBP Active Employees Open Enrollment 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. 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.


Important Changes to Your GHI CBP and HIP HMO Plans

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 Plan Changes

Learn more about the HIP HMO Plan Changes

Learn more about the GHI-CBP/EBCBS Services Requiring Pre-Certification (effective January 1, 2016)


Health Plan Websites

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.

 

  • MetroPlusMetroPlus
  • CignaCigna
  • VytraVytra
  • GHI HMOGHI HMO
  • HIP POSHIP POS
  • HIP VIPHIP VIP
  • Empire Non-Medicare HMOEmpire HMO
  • Empire Non-Medicare EPOEmpire Non-Medicare EPO
  • Empire MediBlue HMOEmpire MediBlue HMO
  • Aetna EPOAetna EPO
  • Aetna PPO-ESAAetna PPO-ESA
  • HumanaHumana
  • ElderplanElderplan
  • AvmedAvmed
  • United Secure HorizonsUnited Secure Horizons
  • BCBS of FloridaBCBS of Florida
    BCBS of Florida

 

  • HIP HMOHIP HMO
Important Changes to HIP HMO Effective July 1. Learn More
 
  • DC 37 Med TeamDC 37 Med Team
Important Changes to DC 37 Med-Team Effective July 1. Learn More
 
  • GHI CBPGHI CBP

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*

*Provider information contained in the Empire BlueCross BlueShield Directory is updated on a regular basis and may have changed. Therefore, please check with your provider before scheduling your appointment or receiving services to confirm participation.


List of Health Plans

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

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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 
MetroPlus Gold 
Vytra Basic Plan  
Vytra Basic Plan with Prescription Drugs 

 

View the Summary of Benefits and Coverage (SBC) for each Plan.


Cyber-Attack Impacting Empire Blue Cross Blue Shield

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.


 

 

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