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Update on the NYC Medicare Advantage Plus Plan
There is no Opt-Out or Waiver deadline in effect due to an injunction issued by the court. All current health plans remain in effect. No retiree will be moved into the new Medicare Advantage PPO Plan.
No opt-out requests made through Aetna via their call center or website will be processed at this time.
No waiver of City health benefits, enrollment into the Aetna Medicare Advantage PPO Plan or adding the prescription drug rider that has been submitted on the Retiree Special Enrollment/Waiver Form will be processed at this time.
Please check back frequently for additional information and updates.
Medicare Part B 2022 Reimbursement
Medicare-eligible retirees and their Medicare-eligible dependents will be reimbursed annually for the standard Medicare Part B amount of $170.10 per month ($170.10 x 12 months = $2,041.20), excluding any penalties and late enrollment fees, and subject to be pro-rated.
2022 Medicare Part B reimbursements were issued in April 2023. Please check your bank account/statement (or the mail, if you are receiving a physical check).
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 2021 Reimbursement
Medicare-eligible retirees and their Medicare-eligible dependents were 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.
2021 Medicare Part B reimbursements were issued in April 2022. Please check your bank account/statement (or the mail, if you are receiving a physical check).
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.
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.
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.
IRMAA 2022 Reimbursement
IRMAA 2022 annual reimbursements will be issued during the 3rd week of October 2023.
Medicare-eligible retirees and their Medicare-eligible dependents can submit an IRMAA application if they paid above the standard amount of $170.10 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.
Please submit the IRMAA 2022 Reimbursement Application, along with all required documents, electronically to: nycemployeebenefits.leapfile.net.
IRMAA 2021 Reimbursement
IRMAA 2021 annual reimbursements were issued during the 3rd week of October 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.
Please submit the IRMAA 2021 Reimbursement Application, along with all required documents, electronically to: nycemployeebenefits.leapfile.net.