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City of New York Retirees Have a New MA PPO Plan

Effective January 1, 2022, approximately 256,000 Medicare-eligible City of New York retirees will change their coverage. These members will transition from Traditional Medicare + Supplement coverage to a Medicare Advantage PPO plan called NYC Medicare Advantage Plus.Retirees may also refer to the new plan as Medicare Advantage Plus or the Alliance

Retirees enrolled in NYC Medicare Advantage Plus will have access to BlueCross BlueShield Medicare Advantage PPO Network Sharing effective January 1, 2022.

Network Participation

Providers participating with Horizon Medicare Advantage plans are considered participants in BCBS Medicare Advantage PPO Network Sharing. Providers will be reimbursed in accordance with their Horizon Medicare Advantage contracted rates.

Out-of-Network Benefits

NYC Medicare Advantage Plus plans have out-of-network benefits and members can see any Medicare health care provider.

Nonparticipating providers will be reimbursed per the Medicare fee schedule.

Identifying Members

NYC Medicare Advantage Plus retirees can be identified by the prefix, N6Y,which is a change from the existing prefix, NYC.

ID Card

Member ID cards will include the MA PPO Suitcase logo. Members will receive ID cards in December prior to the January 1, 2022 effective date.

Submitting Claims

You can verify eligibility and benefits on NaviNet.net or by calling BlueCard Eligibility at
1-800-676-BLUE (2583) and providing the prefix, N6Y.

Beginning January 1, 2022, all claims for NYC Medicare Advantage Plus members should be filed with Horizon using the prefix, N6Y.

Published on: November 1, 2021, 11:30 a.m. ET
Last updated on: October 29, 2021, 03:53 a.m. ET