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

If you are eligible for Medicare Parts A and B – and live in the five boroughs of New York City, and Hudson County in New Jersey – then you can be a part of SecureHorizons/Oxford Health Plans, a Medicare-contracted Health Maintenance Organization. SecureHorizons/Oxford Health Plans offers you a comprehensive health plan with no deductibles, and virtually no paperwork.

Freedom to Choose Your Doctor
When you join the plan you have the freedom to choose your personal doctor from our list of highly-credentialed private-practice physicians. The doctor you choose will become your primary care physician (PCP) and will work with you to coordinate all of your health care needs, including referrals to specialists and admissions to hospitals. Doctor visits are $15 and your annual physical is free. As a SecureHorizons/Oxford Member, you’ll receive full coverage for hospitalization when arranged or authorized by your PCP. And, in the case of an emergency, members are covered anywhere in the world.

Preventive Care
SecureHorizons/Oxford encourages its members to take care of themselves, which is why you are entitled to a free annual physical, free annual dental checkups (with discounted dental care), free yearly mammograms and Pap smears for women, as well as podiatry, vision and hearing aid benefits.

Prescription Drug Coverage
Retirees who receive prescription drug coverage through their union welfare fund are entitled to basic prescription coverage as follows:
Copays at Retail:  $4 generic/$28 formulary/$58 non-formulary brand name/25% for biologicals up to a maximum of $2,165.
Mail Order:  2 or 3 times retail copay. 
After members total out-of-pocket cost reaches $2,165,  member is responsible for 100% of prescription drug costs. 
If member reaches out-of-pocket costs of $3,850 member pays the greater of $2.15 or 5% coinsurance for generic drugs, and the greater of $5.35 copay or 5% coinsurance for brand name drugs regardless or whether the drugs are received at retail or mail.   

Retirees in a  union welfare fund where prescription drugs are not covered will automatically receive the following prescription drug benefits: 
Copays at retail: $4 generic/$20 formulary/$40 non-formulary brand name/$40 for biologicals
Mail Order:  2 or 3 times retail copay.   
If member reaches out-of-pocket costs of $3,850 member pays the greater of $2.15 or 5% coinsurance for generic drugs, and the greater of $5.35 copay or 5% coinsurance for brand name drugs regardless or whether the drugs are received at retail or mail.   

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

For More Information
If you have any questions about SecureHorizons/Oxford Health Plans, please call (800) 203-5631, Monday through Friday, 9:00 am - 5:00 pm. Please identify yourself as a City of New York retiree.
Visit the Plan Web site (opens in new window)

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