This page is for informational / reference usage only and the original, full document is available on the OLR website, LINK HERE.
Aetna Medicare Advantage PPO Plan
On September 1, 2023, the City will discontinue the Senior Care Plan and all other retiree health plans except Aetna Medicare Advantage PPO Plan and HIP VIP.
All Medicare-eligible retirees and Medicare-eligible dependents, with the exception of HIP VIP members, will be automatically enrolled in the Aetna Medicare Advantage PPO Plan on September 1, 2023.
Opting Out of the Aetna Medicare Advantage PPO Plan and enrolling in HIP VIP
Retirees who reside in the HIP VIP service area (Manhattan, Brooklyn, Bronx, Staten Island, Queens, Nassau, Suffolk, Westchester, Rockland and Orange counties) and wish to participate in HIP VIP instead of the Aetna Medicare Advantage PPO Plan may do so by contacting Aetna at 1-855-648-0389 or by visiting Aetna’s website at CONY.AetnaMedicare.com and indicating that they wish to “opt out” of Aetna Medicare Advantage PPO Plan. No opt-out form will be required. Retirees must contact the Aetna NYC Retiree dedicated call center at 1-855-648-0389 (TTY: 711), Monday to Friday, 8 a.m. to 9 p.m. between May 1, 2023, and June 30, 2023 in order to opt-out of the Aetna Medicare Advantage PPO Plan and be enrolled in HIP VIP.
HIP VIP members who wish to leave HIP VIP and enroll in the Aetna Medicare Advantage PPO Plan must complete the Health Benefits Program Retiree Special Enrollment/Waiver Form. Completed forms should be returned to the Health Benefits Program.
HIP VIP members who wish to remain in the HIP VIP plan do not have to do anything.
Retirees who do not wish to be enrolled in the Aetna Medicare Advantage PPO Plan or HIP VIP can waive City health coverage. Retirees must complete the Health Benefits Program Retiree Special Enrollment/Waiver Form to waive City health coverage. Completed forms should be returned to the Health Benefits Program.
- Retirees who waive health coverage are not eligible for Medicare Part B reimbursement.
- Retirees who waive their City health coverage can re-enroll should they experience a loss of coverage or during the annual Retiree Transfer Period.
Retiree Special Enrollment/Waiver Form, download.