NYCE PPO Plan for Active Workers &
Pre- Medicare Retirees
THIS PLAN DOES NOT APPLY TO YOU IF YOU ARE ON MEDICARE
NYC Health Benefits Program
NOTE: The NYCE PPO plan is subject to finalization and approval through the city’s contracting process. For information, and the ability to comment about the proposed contract, please see https://www.nyc.gov/site/olr/about/about-public-hearings.page.
The New NYCE PPO Health Plan
Effective January 1, 2026, the City of New York's new health plan, replacing the current GHI CBP/Anthem BlueCross and BlueShield plan for active employees and pre-Medicare retirees, and their eligible dependents under 65 is the NYCEPPO. This new plan, NYC Employees PPO plan (NYCE PPO), will be offered by EmblemHealth (Emblem) and United Healthcare (UHC) and provides an expanded network of healthcare providers without increases in cost for members.
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Go to Emblem Health's page for Information & Videos
For more information concerning the proposed plan, including the ability to lookup your healthcare provider, visit NYCE PPO. Employees can also call (212) 501-4444.
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DRUG PLAN FORMUARY: There is a Base formulary and a Full Formulary
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Base PPO Formulary.
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Full Formulary
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​Many retirees have requested assistance with the network. Since the MLC wanted a "standalone" plan that didn't identify with the United Healthcare or Emblem network - many of your doctors are having a hard time confirming your insurance coverage by traditional means. This flyer will show them what to do and use the information on your card to confirm your insurance. Just click it to print it! Print it out and bring it to their office! The lower image explains the network coverage areas.
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