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Medicare

Are you becoming eligible for Medicare due to turning 65, disability, or a diagnosis of End-Stage Renal Disease (ESRD) or Amyotrophic Lateral Sclerosis (ALS)? This page has information about how your Medicare benefits will work with your NYSHIP coverage.

Medicare becomes your primary insurer when you are eligible for Medicare and enrolled in NYSHIP as a retiree, vestee, dependent survivor, or are covered under Preferred List provisions.

Medicare & NYSHIP Video

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What You Must Do

Medicare FAQs

Medicare Part B Premium Reimbursement

Frequently Asked Questions about NYSHIP's reimbursement of the standard Medicare Part B Premium

Medicare Part B IRMAA
(Income-Related Monthly Adjustment Amount)

Frequently Asked Questions to help you determine if you are eligible for IRMAA reimbursement, how to apply, and more.

Medicare Part D

Medicare-primary Empire Plan enrollees and dependents will automatically be enrolled in the Empire Plan Medicare Rx, a Medicare Part D prescription drug program with expanded coverage designed especially for Empire Plan members.

The Employee Benefits Division is required to send a Medicare Part D Prescription Drug Program notice annually to all active and retired NYSHIP enrollees and dependents who are 65 or older, or eligible for Medicare due to disability. The notice attests to the creditable coverage status of the NYSHIP prescription drug program.

Medicare Card

After you enroll in Medicare, you will receive an individual Medicare card with a unique ID. Bring your Medicare card and your Empire Plan card to doctors' appointments.

Medicare card

NYSHIP Publications

Publications with information relating to Medicare:

Medicare & NYSHIP

On the Road

Planning for Retirement

Back to Work

Links and Phone Numbers

Social Security Administration: 1-800-772-1213, https://www.ssa.gov

The Empire Plan: 1-877-769-7447

Empire Plan Medicare Rx: 1-877-769-7447, Option 4