Benefit	Bellevue Healthcare Benefits						NYUHC Healthcare Benefits
Eligible Dependents	Spouse Domestic Partner Children up thru age 25						Spouse Same Gender Domestic Partner Children up thru age 25
Waiver Dollars	$500 individual (taxable) $1000 family (taxable)						No cash back, but no $$ taken out of your check.Ý Proof of alternate healthcare insurance required.
COBRA Coverage	Health Insurance and CIR benefits are able to be COBRAíed when you terminate from the Bellevue payroll, but check with Bellevue CIR first.						Health insurance benefits can be COBRAíed when you terminate from the NYU residency program and you were on the NYU benefits as of the date of termination.
Health Care Flex Account	Income taken out pretax (from $260-$5,000 per year) that is used to pay for out of pocket medical expenses. To enroll, visit www.nyc.gov/html/url or call 212-306-7760.Ý						Income taken out pretax (from $240-$3,500 per year) that is used to pay for out of pocket medical expenses or childcare expenses. For more details about HCRA & DCRA Reimbursement Accounts you can access the NYU HR website .
When you can change	During an ìOpen Enrollmentî which is determined by HHC (typically in November with a January effective date) each year, or with qualifying event (spouse changes jobs, you have a kid, etc).						During an ìOpen Enrollmentî which is determined by NYU (typically in the Fall with a January effective date) each year, or with qualifying event (spouse changes jobs, you have a kid, etc)
Ý	Aetna QPOS POS	Empire EPO PPO	GHI ñCBP PPO	Empire HMO	Cigna HMO	Aetna HMO	United Plus PPO	United Basic PPO	Aetna HMO
Insurance Plan Info	www.aetna.com 800-445-8742	www.empireblue.com/nyc 800-767-8672	www.ghi.com 212-501-4444	www.empireblue.com/nyc 800-767-8672	www.cigna.com 800-832-3211	www.aetna.com 800-445-8742	www.uhc.com 877-294-1425	www.uhc.com 877-294-1425	www.aetna.com 800-323-9930
Deductible	$250 Indiv. $750 Family	None	$200 Indiv. $5000 Family	None	None	None	In-Network: None Out of Network:Ý $600 per person	In-Network: None Out of Network:Ý $800 per person	None
Office Co-pays	In Network: 15% Out of Network: 20% after deductible	In Network: $15 Out of Network: Not covered	In Network: $15-20 Out of Network: Per Schedule	In-Network: None Out of Network:Ý Not covered	$10	$15	In-Network: $10 or $30 Out of Network:Ý 70% allowable rate	In-Network: $20 or $40 Out of Network:Ý 60% allowable rate	In-Network: $15 Out of Network:Ý Not covered
Out of Pocket Maximum	$2,500 Indiv. $7,500 Family	None	$1,500 per person	None	None	None	$1,200 per person	$1,600 per person	None
ER Care	$35 co-pay	$35 co-pay	$50 co-pay	$35 co-pay	$50	$35	$50 copay	$50copay	$50 copay
RX coverage	Available with rider. ÝIndiv. $20.14/wk Family $49.02/wk	Available with rider. ÝIndiv. $12.23/wk Family $29.97/wk	Available with rider. ÝIndiv. $18.30/wk Family $33.54/wk	Available with rider. ÝIndiv. $12.23/wk Family $29.97/wk	Available with rider. ÝIndiv. $20.54/wk Family $54.42/wk	Available with rider.ÝÝ Indiv. $10.47 /wk Family 25.87/wk	Coverage Provided through Express Scripts (must elect medical coverage; otherwise, not available) In Network Pharmacy:Ý $7 generic/ $15 non-generic, If you pick a name brand when generic is available: $10 plus the difference between cost of brand and generic.Ý Mail order discounts available. Out of Network ñ Not covered
Mental Health Outpatient	In Network: $25 co-pay for 20 visits Out of Network: 50% co-pay after deductible	In-Network:Ý Precertification required; then $25 co-pay for 20 visits Out of Network:Ý Not covered	Limited coverage available with rider. Indiv. $0.34 /wk Family $0.78/wk	In-Network:Ý Precertification required; then $25 co-pay for 20 visits Out of Network:Ý Not covered	$20 co-pay for 20 sessions	$25 co-pay for 25 visits.	Plan pays $50 per visit	Plan pays $50 per visit	$25 copay for 20 visits $25 copay for 40 visits $10 copay for 30 visits
Cost for Individual	$51.00 /wk	44.91/wk	NOTHING!	$3.00/wk	$12.22/wk	$13.05/wk	1.51% of bi-weekly salary	1.15% of bi-weekly salary	1.30% of bi-weekly salary
Cost for Family	$124.00/wk	115.01/wk	NOTHING!	$16.91 /wk	$44.54 /wk	$33.51/wk	Emp + 1 Dep: 2.63% Emp + 2 or more Dep: 4.05%	Emp + 1 Dep: 2.00% Emp + 2 or more Dep: 3.02%	Emp + 1 Dep: 2.15% Emp + 2 or more Dep: 3.42%
Other plans available (less popular with residents)	… Hip Prime POS … GHI HMO … HealthNet … HIP Pirme HMO … Metroplus						… Empire Blue Choice HMO … HIP HMO

LAST	FIRST	SPECIALTY
Rosen	Eli	Family Practice
Alpert	Daniel	Internal Medicine-PCP
Artel	Bradley	Internal Medicine-PCP
Azar	Natalie	Internal Medicine-PCP
Babbar	Rajeev	Internal Medicine-PCP
Basilico	Enrica	Internal Medicine-PCP
Batash	Steven	Internal Medicine-PCP
Bearnot	Harris	Internal Medicine-PCP
Blair	Lester	Internal Medicine-PCP
Bottino	Joseph	Internal Medicine-PCP
Breite	Ira	Internal Medicine-PCP
Buckner	Jeffrey	Internal Medicine-PCP
Chan	Thomas	Internal Medicine-PCP
Chu-Wong	Amy	Internal Medicine-PCP
Constantiner	Arturo	Internal Medicine-PCP
DeOre	Kimberly	Internal Medicine-PCP
Desai	Nina	Internal Medicine-PCP
Feher	Laszlo	Internal Medicine-PCP
Fingesten	Alexandra	Internal Medicine-PCP
Garay	Stuart	Internal Medicine-PCP
Giron	Fabio	Internal Medicine-PCP
Hall	George	Internal Medicine-PCP
Harris	Peggy	Internal Medicine-PCP
He	Lan	Internal Medicine-PCP
Huang	Amy	Internal Medicine-PCP
Janicik	Regina	Internal Medicine-PCP
Kaltman	Alfred	Internal Medicine-PCP
Kamelhar	David	Internal Medicine-PCP
Karp	Adam	Internal Medicine-PCP
Kaykova	Yevgeniya	Internal Medicine-PCP
Lam	Kin	Internal Medicine-PCP
Langs	Charles	Internal Medicine-PCP
Lebeau	Dorothy	Internal Medicine-PCP
Lee	Catherine	Internal Medicine-PCP
Licht	Warren	Internal Medicine-PCP
Liu	David	Internal Medicine-PCP
Lowy	Joseph	Internal Medicine-PCP
Lustbader	Ian	Internal Medicine-PCP
Manheimer	Forrest	Internal Medicine-PCP
Michael	Jeffrey	Internal Medicine-PCP
Musher	David	Internal Medicine-PCP
Nachamie	Mark	Internal Medicine-PCP
Ng	Vincent	Internal Medicine-PCP
Perazzo	Lucy	Internal Medicine-PCP
Pua	Florence	Internal Medicine-PCP
Quraishi	Abid	Internal Medicine-PCP
Quraishi	Nisar