New York State of Health Document Upload

NYC Wellness Benefits Program

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Information and Updates regarding the NYC Medicare Reward Plus Plan

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Scan Coronavirus-Related Information

• For information on Covid-19, including how and where to get tested or vaccinated, visit https://www1.nyc.gov/site/coronavirus/index.page
• To acquire more about COVID-nineteen or to make an engagement to get vaccinated, visit AdvantageCare Physicians (ACPNY) or telephone call 646-680-4227.

Important Find

The Health Benefits Retiree client service walk-in center remains closed to visitors.

Delight submit inquiries and documents as follows:

1) Forms and documents can be submitted electronically through LeapFILE.

• Before you begin, you may wish to view instructions and a short video on how to submit your forms/documents.
• When you are ready, use the post-obit link to submit your forms and documents: https://nycemployeebenefits.leapfile.net
• Delight do NOT submit your course/document more than in one case. This will only delay processing.
• Y'all will immediately receive notification stating "Success! Your file has been received" upon completion of your certificate upload.  You volition not receive a dissever email confirmation.
• Please allow xxx-45 days from the day you submit your document(south) for them to exist processed. Coverage volition be retroactive to the effective date of retirement.
• Also, please do not transport forms or documents via express post.

2) Inquiries and questions can exist emailed to: healthbenefits@olr.nyc.gov - exercise not send forms through email (come across #ane above)

3) For questions regarding the PICA prescription drug benefit program please call 1-800-467-2006.

4) If yous are a HIP-HMO member turning 65 or on Medicare due to a disability, please contact HIP at i-800-447-9169 to enroll over the phone. Please identify yourself equally 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 notation that agile employees can contact NYCAPS Key by:

1) Phone - (212)487-0500

2) Email - nycapscentral@dcas.nyc.gov Or HealthBenefits@dcas.nyc.gov

Please check our website periodically for updates.

Download Adobe Scan to convert your documents into PDFs. Use your smart phone or tablet camera to take a picture of your paper class and Adobe Browse will catechumen it to a PDF. Adobe Scan mobile app is available for iPhone and Android.

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Introduction

Through collective bargaining agreements, the Metropolis of New York and the Municipal Unions accept cooperated in choosing health plans and designing the benefits for the City's Health Benefits Program.

Coverage for Employees 65+

If you're over 65, nevertheless working for the City and enrolled in the NYC Wellness Benefits Program, do not employ your Medicare card when you visit your doctor's function. Instead, be certain to employ the member ID card provided to you past your electric current HBP health plan.

These benefits are intended to provide you and your eligible dependents with the fullest possible protection that tin can be purchased with the available funding.

The OLR website and the NYC Health Benefits Program Summary Program Description (SPD) provide you with data nearly your benefits under the New York Metropolis Health Benefits Plan.

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Health Plan Websites

Employ the links beneath to visit your health plan where you will be able to find an in-network doc, urgent care center, lab or chemist's shop.

		Annotation: 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 data independent in the Empire BlueCross BlueShield Directory is updated on a regular basis and may take changed. Therefore, please cheque with your provider before scheduling your appointment or receiving services to confirm participation.

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24/7 Telemedicine Programme with Teladoc

(For Those Covered Nether the EmblemHealth GHI-CBP, GHI HMO, HIP HMO, HIP POS, and VYTRA plans)

With Teladoc, you can talk with a doctor within minutes rather than days or hours. Teladoc doctors tin can diagnose, treat and prescribe medication (when medically necessary) for not-emergency medications. This includes treatments for the flu, sore pharynx, allergies, stomach aches, eye infections, bronchitis, and much more. Copays are waived during the COVID outbreak. To gear up your account now and then y'all can talk with 1 of Teladoc'southward board-certified doctors anytime when yous don't experience well, telephone call 1-800-Teladoc (1-800-835-2362) or visit Teladoc.com/emblemhealth

View the Teladoc Registration Guide for instructions on setting upwards your account on Teladoc's website or mobile app.

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List of Health Plans

Listed are the non-Medicare Health Plans offered past the New York City Wellness Benefits Program to its employees and not-Medicare retirees. View the List of Health Plans

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Aetna EPO Basic Program
Aetna EPO Basic Plan with Prescription Drugs
Cigna HMO Bones Plan
Cigna HMO Basic Plan with Prescription Drugs
DC 37 Med-Team
Empire BlueCross BlueShield Gated EPO Plan with Prescription Drugs
Empire BlueCross BlueShield Gated EPO Plan without Prescription Drugs
Empire BlueCross BlueShield Hospital Program Just (Companion to GHI CBP Medical Coverage)
GHI CBP Basic Programme
GHI CBP Basic Plan with Enhanced Schedule and Prescription Drugs (Optional Rider)
GHI HMO Basic Plan
GHI HMO Bones Plan with Prescription Drugs
HIP HMO Bones Plan
HIP HMO Basic Plan with DME and PDN
HIP HMO Basic Program with Prescription Drugs
HIP POS Bones Programme
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.

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Course 1095-C for Calendar Twelvemonth 2021

Form 1095-C is a tax form under the Affordable Care Human action ("ACA") which contains information about your wellness care insurance coverage. Form 1095-C is distributed to all full-time employees working an average of thirty hours or more per calendar week, for all or part of the calendar year. For information about Course 1095-B, please contact your health care provider straight. The 1095-B will include all dependent information.

Please note that the 1095-C for the calendar yr 2021 will exist bachelor for employees in February 2022. Please bank check Employee Cocky-Service (ESS), if applicable, in February 2022 in order to obtain the Form 1095-C, or contact your payroll department.

Acquire more near Form 1095-C

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Source: https://www1.nyc.gov/site/olr/health/healthhome.page

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