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 Prescription Drugs (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 Plan with Enhanced Schedule and 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) Prescription Drugs, DME and PDN (Optional Rider)

HIP HMO Preferred (Standard) Prescription Drugs, 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)

Vytra Basic Plan 

Vytra Basic Plan with Prescription Drugs  (Optional Rider)