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Update on the NYC Medicare Advantage Plus Plan

The NYC Medicare Advantage Plus Plan is not being implemented on April 1, 2022. Retirees do not need to opt out of the Medicare Advantage Program in order to remain in Senior Care or their current plan on April 1. All retirees will remain in their current plans until further notice. We will post updates for retirees as we have more information. For additional information, you can call the special Alliance call center at 1.833.325.1190, Monday-Friday, 8 a.m. to 9 p.m. Click Here >> to read the EmblemHealth letter sent to retirees with changes to the GHI/Empire BlueCross BlueShield Senior Care plan that took effect Jan. 1, 2022.

 

 

Medicare Part B Reimbursements

 

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Medicare Part B 2021 Reimbursement

Medicare-eligible retirees and their Medicare-eligible dependents will be reimbursed annually for the standard Medicare Part B amount of $148.50 per month ($148.50 x 12 months = $1,782), excluding any penalties and late enrollment fees, and subject to be pro-rated.

Medicare Part B 2021 reimbursements will be issued in April 2022. Please check your bank account/statement (or the mail, if you are receiving a physical check) for your payment.

If you already submitted your Medicare Part A & B card to the Health Benefits Program, this payment is automatic and you will receive it annually.


Medicare Part B 2020 Reimbursement

Medicare Part B 2020 reimbursements were issued in April 2021. Please check your bank account/statement (or the mail, if you are receiving a physical check) for your payment.

If you already submitted your Medicare Part A & B card to the Health Benefits Program, this payment is automatic and you will receive it annually.


Medicare Part B 2019 Reimbursement

Please note that if you were Medicare-eligible prior to 2016, you must complete the Medicare Part B Differential Form for 2019 in order to receive the Medicare Part B differential payment. The payment was based on the amount that you paid in 2019.

If you were enrolled in Medicare Part B effective after 2016, then you are already receiving the full payment and do not need to complete the Medicare Part B Differential Form.

Medicare Part B 2019 differential reimbursements were issued in March 2021. Please check your bank account/statement (or the mail, if you are receiving a physical check) for your payment.


IRMAA Reimbursements

 

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IRMAA 2021 Reimbursement

IRMAA 2021 annual reimbursements will be issued in Oct. 2022.

Medicare-eligible retirees and their Medicare-eligible dependents can submit an IRMAA application if they paid above the standard amount of $148.50 per month. If you did not pay more than the standard amount, then you are not eligible for IRMAA.

  • If you are currently receiving your pension check through Electronic Fund Transfer (EFT) or direct deposit, your reimbursement will be deposited directly into your bank account. This is separate from your pension payment. If you don’t have EFT or direct deposit, you should receive a check in the mail.

  • IRMAA 2021 Reimbursement Application will be available in May 2022.

IRMAA 2020 Reimbursement

IRMAA 2020 annual reimbursements will be issued in October 2021.

  • If you are currently receiving your pension check through Electronic Fund Transfer (EFT) or direct deposit, your reimbursement was deposited directly into your bank account. This is separate from your pension payment. If you don’t have EFT or direct deposit, you should have received a check in the mail.

  • Please submit the IRMAA 2020 Reimbursement Application >>, along with all required documents, electronically to: nycemployeebenefits.leapfile.net >>


IRMAA 2019 Reimbursement

IRMAA 2019 annual reimbursements will be issued in November 2020.

    Please check your bank account/statement (or the mail, if you are receiving a physical check) for your payment.

    • If you are currently receiving your pension check through Electronic Fund Transfer (EFT) or direct deposit, your reimbursement was deposited directly into your bank account. This is separate from your pension payment. If you don’t have EFT or direct deposit, you should have received a check in the mail.
    • If you did not receive your IRMAA reimbursement by December 1, 2020 or if you did receive the reimbursement and you believe the amount is incorrect, you must resubmit the IRMAA 2019 Reimbursement Application >>

    IRMAA 2019 Differential Reimbursement

    IRMAA 2019 Differential payments were issued at the end of November 2020.

      Please check your bank account/statement (or the mail, if you are receiving a physical check) for your payment.

      • For those retirees/eligible dependents of a retiree with a Medicare Part B effective date prior to 2016, they received an additional amount up to $318.

      The Medicare Part B Reimbursement Program video >> provides information about the different types of Medicare Part B reimbursements that the City provides, as well as information to help you to see whether you qualify to receive these payments, and how to apply.

      Play the video >>

      Please note that if you were Medicare-eligible prior to 2016, you must complete the Medicare Part B Differential Form for 2019 in order to receive the Medicare Part B differential payment. The payment is based on the amount that you paid in 2019.

      If you were enrolled in Medicare Part B effective after 2016, then you are already receiving the full payment and do not need to complete the Medicare Part B Differential Form.