To enroll in this plan, you must obtain a special enrollment application directly from the health plan.

AvMed Medicare Plan is available to City of New York retirees who are eligible for Medicare Parts A and B, and reside in Broward or Dade counties in South Florida.

As an AvMed member, you gain access to a state-of-the art health care system designed to minimize medical costs without sacrificing the quality of care. You are free to choose a doctor from AvMed's extensive list of physicians.

Please be aware that in order for you to receive payment on coverage for services, the services you receive must be rendered by physicians, hospitals, and other health care providers designated by AvMed. If the services are rendered by a non-AvMed participating physician, hospital, or other health care provider, you may be liable for payment of such services, except for emergency or out-of-the-area urgently needed care conditions.

Additional Benefits
As a AvMed member you are also offered additional benefits such as: Disease Management Programs, smoking cessation and a discount RX card.

Dade County:  $0 copay for PCP visit; $10 copay for Specialist visits; $25 copay for outpatient testing (x-rays, lab tests, etc.)

Broward County:  $0 copay for PCP visits; $20 copay for Specialist visits; $25 copay for outpatient testing (x-rays, lab tests, etc.)

Prescription Drugs
Dade County:  
Retail: $ 0/15/75/25% 
Mail:  $0/$45/$225/25%
Copays up to $2,510 in drug costs.  After member reachs $2,510 - Plan covers all generics through gap – member pays 100% of  all other RX costs until member’s yearly out-of-pocket costs reach $4,050, then member pays the greater of $2.25 for generic and $5.60 copay for all other drugs, or 5% coinsurance (whichever is greater).  

Broward County:
Retail:    $7/25/75/25%  
Mail:$21/$75/$225/25% 
Copays up to $2,510 in drug costs.  After member reachs $2,510 - Plan covers all generics through gap – member pays 100% of  all other RX costs until member’s yearly out-of-pocket costs reach $4,050, then member pays the greater of $2.25 for generic and $5.60 copay for all other drugs, or 5% coinsurance (whichever is greater).   

Cost
There is no cost for this plan.

For More Information
For more details about AvMed Medicare Plans, call (800) 782-8633. A qualified Medicare representative will help you with your questions and arrange an appointment with an AvMed Medicare representative to help you fill out your enrollment form. Please identify yourself as a City of New York Retiree.
Visit the Plan Web site

Updated to reflect changes to Prescription Drug Benefit effective January 1, 2008.