Do Not Collect Copays for Senior Care Members

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Do Not Collect Copays for Senior Care Members

03/15/2023

EmblemHealth has suspended the $15 copay for City of New York retirees receiving certain services offered through the GHI Senior Care Plan. You should NOT collect this copay when providing the following services:

  • Office visits (primary care providers, or PCPs).
  • Office visits (specialists).
  • Urgent care.
  • Allergy testing/injections.
  • Chiropractic services.
  • Podiatry (non-routine).
  • Cardiac rehab.
  • Pulmonary rehab.
  • Vision care (Medicare-covered).
  • Physical therapy, occupational therapy, and speech therapy
  • Diagnostic lab/x-ray (including Hi Tech Imaging).
  • Radiation therapy.
  • Outpatient – mental health.
  • Outpatient – substance use disorder.

 

For more information, please visit our City of NY Page.

JP 61585 03/2023

Provider Update