Opt-Out

** Update 07/30/2022

At this time there are "No OPT-OUT" instructions since Anthem has withdrawn from the MAPP.

 

** Update 03/05/2022
The City is claiming that Opting Out is not necessary because the MAPP will not be implemented 4/1/22.
We advise that you still submit an Opt-Out if you do not wish to be put into the MAPP.

03/03/2022

PER THE JUDGE’S DECISION DATED 3/03/22, the City is permanently enjoined from passing along any costs of the New York City retirees’ current plan to the retiree or to any of their dependents, except where such plan rises above the H.I.P.-H.M.O. threshold, as provided by New York City Administrative Code Section 12-126.

You may want to watch Live Videos on this matter.
There are Additional Videos on Facebook:

03/04/2022 - Marianne Lynda Carter Pizzitola regarding the City's Appeal

The following are your options to Opt-Out of the MAPP.
Please remember to:

- Obtain a ‘Reference Number’ a ‘Receipt’ or any other proof that you  Opted-Out.

- Keep Copies of your documents and notes in a safe place in case you need them later!

Method 1:   

*** PLEASE NOTE AS OF THIS TIME (03/07/2022, 1:00 PM ) THE ALLIANCE 833 HOTLINE IS NOT TAKING OPT-OUT REQUESTS. WE WILL LET YOU KNOW IF AND OR WHEN THIS CHANGES ****


Method 2:  ** CURRENTLY PREFFERED METHOD **

*** PLEASE NOTE AS OF THIS TIME (03/07/2022, 1:00 PM ) ON-LINE OPT OUT IS STILL WORKING. WE WILL LET YOU KNOW IF AND OR WHEN THIS CHANGES *** 

Complete the form electronically at this Link
*** Take a picture of the screen before submitting ***


Method 3:
THIS METHOD SHOULD ONLY BE USED AS A BACK UP TO ONE OF THE OTHER METHODS. DO NOT JUST USE THIS OPTION AS THE FORM MAY NOT BE RECEIVED IN TIME

Download, Print and Complete this: Opt-Out Form

Keep a copy of your Completed form and Mail to:
NYC Medicare Advantage Plus Plan
PO Box 1620 New York, NY 10008-1620
*** Certified Mail Optional***