NYC Health Benefits Program

Summary of Benefits and Coverage (SBC)

 

Listed below are pdfs of summaries for each non-Medicare Health Plan offered by the New York City Health Benefits Program to its employees and non-Medicare retirees.

 

Aetna EPO Basic Plan  

Aetna EPO Basic Plan with Prescription Drugs (Optional Rider) 

Cigna HMO Basic Plan 

Cigna HMO Basic Plan with Prescription Drugs (Optional Rider) 

DC 37 Med-Team 

Empire BlueCross BlueShield EPO Plan with Rx (Optional Rider) 

Empire BlueCross BlueShield EPO Basic Plan 

Empire Blue Access Gated EPO with Prescription Drugs (Optional Rider)

Empire Blue Access Gated EPO Basic Plan

Empire BlueCross BlueShield Hospital Plan Only (Companion to GHI-CBP Medical Coverage)

GHI-CBP Basic Plan 

GHI-CBP Basic Plan with Enhanced Schedule (Rider Other) 

GHI-CBP Basic with Enhanced Schedule & Prescription Drugs (Rider Other) 

GHI HMO Basic Plan 

GHI HMO Basic Plan with Prescription Drugs (Optional Rider) 

HIP HMO Preferred Basic Plan 

HIP HMO Preferred Basic Plan with DME and PDN (Rider Other) 

HIP HMO Preferred (Grandfathered - closed to new hires as of 7/1/2019) Rx Plan, DME & PDN (Optional Rider) 

HIP HMO Preferred (Standard) Rx Plan, DME and PDN (Optional Rider) 

HIP POS Basic Plan 

HIP POS Basic Plan with Prescription Drugs (Optional Rider) 

MetroPlus Gold Basic Plan 

MetroPlus Gold with Prescription Drugs  (Optional Rider)

MetroPlus Gold with Prescription Drugs (Grandfathered - closed to new enrollments as of 8/1/21)

Vytra Basic Plan 

Vytra Basic Plan with Prescription Drugs (Optinal Rider)