MediBlue HMO Plus  is available to Medicare-eligible residents of the Bronx, Kings, Nassau, New York, Queens, Richmond, Rockland, Suffolk, and Westchester counties.

With MediBlue HMO Plus, you will receive all the coverage provided by Medicare and most Medicare supplement plans combined, plus important extra coverage such as: 

• No deductibles or coinsurance and no referral necessary to see a specialist 
• $25 co-payment for Mental Health visits in all areas 
• $50 co-payment for Emergency room visits in all areas 
• Free eyeglasses once every 24 months**
• Free hearing exam once every 12 months
• $1,000 towards 2 hearing aids once every 36 months 
• Silver Sneakers, free membership to a participating gym 
• Empire Healthline, a toll-free health information hotline available to members 24 hours a day, 7 days a week
  

When traveling outside the area, urgent and emergency care is covered.  You can be away up to 6 consecutive months.

Prescription Drugs
Retirees who receive prescription drug coverage through their union welfare fund are entitled to the basic prescription coverage as follows:
Copays at retail: $8 generic/$30 formulary/$58 non-formulary brand/25% for biologicals for 30-day supply. 
Mail:   $16 generic/$60 formulary/$150 non-formulary brand name for 90-day supply.  Copays are in effect up to $2,400. 
After $2,400 there is generic coverage only up to $3,850. 
If retiree reaches $3,850 in out-of-pocket costs, retiree will pay either a $2.15, $5.35, or 5% copay per prescription (whichever is greater).

Retirees in union welfare funds where prescription drugs are not covered will automatically receive the following prescription drug benefit:  
Copays at retail: $10 generic/$25 formulary/$50 non-formulary brand name/25% for biologicals for 30 day supply. 
Mail order: $20 generic/$50 formulary/$100 non-formulary brand name/25% for biologicals.  Copays are in effect up to $3,850. 
If retiree reaches $3,850 in out-of-pocket costs, retiree will pay either a $2.15, $5.35, or 5% copay per prescription (whichever is greater).

Cost
See rate page for pension deductions.
See the rate page

For More Information
Call the plan at (800) 809-7328 if you have any questions or to reserve a place at an information meeting in your community. Please identify yourself as a City of New York Retiree.
Visit the Plan Web site (opens in a new window)

*  Benefits are subject to change per Centers for Medicaid and Medicare Services (CMS). 
** Co-payments may apply

Updated to reflect changes to Prescription Drug Benefit effective January 1, 2007.