EmblemHealth & NYC Senior Care Co-Pay Settlement — $53M
EmblemHealth GHI Senior Care co-pay class action
What happened
A $53 million fund repays co-pays charged to NYC Medicare retirees after the city shifted supplemental coverage, in litigation over benefits promised to retirees.
The allegations
Plaintiffs alleged the city and EmblemHealth improperly shifted medical costs to retirees through co-pays their prior coverage did not include.
Who qualifies
Medicare-eligible New York City retirees enrolled in the EmblemHealth-administered GHI Senior Care plan between January 1, 2022 and January 31, 2023 who were charged $15 medical co-pays.
Defendants
EmblemHealth, Inc. · City of New York
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