Oct. 1 Benefit Updates for City of New York Members

Beginning Oct. 1, there will be several changes that will impact City of New York GHI CBP Plan members:

• Montefiore primary care physician (PCP) and specialist copays will now align with existing copays for other in-network PCPs ($15 copay per visit) and specialty providers ($30 copay per visit).
• There will be preferred and non-preferred Urgent Care facilities. ProHEALTH Urgent Care will no longer be considered preferred, and members will have a $100 copay. All other urgent care centers are preferred and will remain at a $50 copay.
  
• There will be preferred and non-preferred high-tech radiology facilities. Members will continue to have a $50 copay when they receive high-tech radiology¹ imaging procedures with a preferred facility². There will be a $100 copay for non-emergent, high-tech radiology imaging procedures at all other facilities.

To help guide providers navigate these changes, we will be updating our Summary of Companies, Lines of Business, Networks and Benefits Plans. Here is a preview copy for your records, and this will be placed on our Provider Toolkit beginning Oct. 1.

 ¹Full list of services includes but is not limited to 3DI, CT scan, MRA, MRI, Nuclear Medicine, PET Scan.

²Preferred facilities are RadNet, Memorial Sloan Kettering, Hospital for Special Surgery, ACPNY and BronxDocs.