Medical Benefits

Doctors and specialists: HIP-HMO, GHI-CBP,  DC 37 Med-Team, Aetna, MetroPlus, Cigna, etc. The list is found here https://www.nyc.gov/site/olr/health/healthhome.page.

Of these HIP, GHI-CBP, DC 37 Med-Team have $0 premiums. 

• HIP — covered by the City because the Administrative Code requires them to pay the rate. 
• GHI-CBP — the Municipal Labor Committee (MLC), a consortium of unions representing city workers, and the City negotiated a contract to make GHI-CBP premium free.
• DC 37 Med-Team — costs less than the HIP rate.

Premiums for other insurance coverage offered by the City are the difference between their cost and the HIP rate.

Hospitals: 

• GHI-CBP members have Anthem Blue Cross/Blue Shield, as negotiated by the MLC and City
• Everyone else’s hospitalization is covered by their health insurance

Prescriptions (most of them): DC 37 Welfare Fund

The MLC and the City negotiate contributions to each union’s welfare fund — UFT, Sanitation Men’s, PBA, DC 37, etc. Also, during each union’s economic bargaining with the City, they negotiate contributions to their respective welfare funds. Each union crafts its own plan and what medications are available for their members and retirees. DC 37 provides prescription coverage, through the pharmacy benefits manager (PBM) ExpressScripts, to active members and retirees.

Injectable and Chemotherapeutic medications: PICA program (for now). 

The PICA program — a prescription drug benefit program, administered by Express Scripts — is funded by the Joint Health Insurance Premium Stabilization Fund (Stabilization Fund). The Stabilization Fund has no money, and the City and Unions are negotiating ways to pay for the drugs covered by this program.

Vision, Dental, Audiology: DC 37 Welfare Fund, see above how it receives its revenue.