New York City Retiree Senior Plan Copay Settlement
EmblemHealth and City of New York · Senior Plan health insurance · Settlement Reached
About this case
The NYC Organization of Public Service Retirees brought a class-action lawsuit alleging that the City of New York and EmblemHealth unlawfully shifted healthcare costs to retired city workers by imposing $15 copays under the Senior Care plan beginning in 2022. The parties reached a $53 million settlement, with the defendants denying wrongdoing or liability and agreeing not to increase the copays through at least December 31, 2027.
Case overview
- Defendant company
- EmblemHealth and City of New York
- Product or service
- Senior Plan health insurance
- Case status
- Settlement Reached
- Lawsuit type
- Consumer
- Reported harm
- Billing Fees
Participation information
Senior Care Copay Reimbursement Process
The settlement concerns retired city workers who were charged $15 copays for medical visits under the Senior Care plan.
EmblemHealth established a process to assist members with reimbursement and provide information on next steps, but the article does not specify the process or current availability.
- Type
- Settlement Claim
- Total settlement amount
- $53,000,000
- Payout
- Reimbursement for qualifying $15 Senior Care medical-visit copays; the individual amount is not specified.
- Reported proof requirement
- Unclear