Health Plan Overview for Group Medicare Retirees
CDPHP is pleased to offer Medicare Advantage plans, including the Group Medicare ChoiceRx (HMO) and Group Medicare Choice (HMO) for Medicare-primary NYSHIP retirees and their spouses. Medicare-primary NYSHIP retirees who are enrolled in the CDPHP HMO for active employees and reside in NYSHIP code numbers 063, 300, and 310 are required to enroll in a CDPHP Group Medicare plan. To qualify, you must be enrolled in Medicare Parts A and B and live in the service area.
CDPHP Medicare Advantage group plans make health care easy. Employees receive all the benefits of Medicare and more.
- No deductibles and easy paperless referrals
- Thousands of primary care physicians and specialists in our network - use the Find-A-Doc search tool to find a participating doctor, specialist, laboratory, or pharmacy near you
- Worldwide coverage for urgent and emergency care when you travel
Summary Information for Medicare Eligibles
Ask Us About Our Stars
CDPHP Medicare Advantage PPO plans and HMO plans were both rated 4.5 out of 5 stars for 2020 by CMS**.
Star ratings are based on quality and performance in several different categories, including detecting and preventing illness, patient ratings, and customer service.
*The Medicare Coverage Discount Program provides manufacturer discounts on brand-name drugs to Part D enrollees who have reached the coverage gap and are not already receiving "Extra Help." A 50% discount on the negotiated price (excluding the dispensing fee and vaccine administration fee, if any) is available for brand-name drugs from manufacturers that have agreed to pay the discount. Although you pay the same copayments in the coverage gap as during the initial coverage stage, the 50% manufacturer discount still applies. Both the amount you pay and the 50% discounted by the manufacturer count toward your out-of-pocket costs as if you had paid them and moves you through the coverage gap.
**Every year, Medicare evaluates plans based on a 5-star rating system.