The Health Benefits Retiree client service walk-in center is closed. Due to the closure of the office, if you mailed or faxed forms or correspondence March 11, 2020 or after, we cannot access or process that form. Please resubmit your documents as follows:
1) Inquiries and questions can be emailed to email@example.com
2) Forms/documents can be sent via email to NYCRetireesHBP@emblemhealth.com
Please do NOT include your Social Security number, include your Employee ID or pension number only.
3) For questions regarding the PICA prescription drug benefit program please call 1-800-467-2006.
4) If you are a HIP-HMO member turning 65 or on Medicare due to a disability, please contact HIP at (800) 447-9169 to enroll over the phone. Please identify yourself as a City of New York retiree or dependent of a retiree. For all other members enrolled in a HMO plan, please contact your health plan at the customer service numbers on the back of your ID card.
Please check our website periodically for updates.
COBRA Form, Notice of Rights and COBRA Rates - July 2020
COBRA Form, Notice of Rights and COBRA Rates - January 2020
Young Adult Option Through Age 29 (NYS Law Chapter 240) - January 2020
IRMAA Medicare Part B Reimbursement
IRMAA Medicare Part B Reimbursement Application (for 2019, 2018 & 2017) - Reimbursement for 2019 will be issued in October 2020
IRMAA Medicare Part B Reimbursement Application (2016) - This form must be submitted by December 31, 2020