By Chris Sommerfeldt
New York Daily News
NEW YORK 鈥� As his administration moves ahead with shifting retired city workers into a controversial Medicare Advantage plan, Mayor Adams will not authorize an implementation structure that would鈥檝e given retirees the option to stay on traditional Medicare at no extra cost, a spokesman for the mayor said Wednesday.
The rejection came one day after the Daily News reported that to pick the alternative implementation framework, known as 鈥淥ption C,鈥� because they鈥檙e concerned their benefits would be wrecked if they鈥檙e enrolled in Advantage.
Adams spokesman Charles Lutvak said it wouldn鈥檛 make sense for the mayor to choose Option C, though, because it would undermine the justification for moving retirees off of traditional Medicare coverage in the first place: Budget savings.
鈥淭hat approach would result in minimal savings, and undermine the city鈥檚 ability to continue providing high-quality, premium-free care to active employees and retirees,鈥� Lutvak said of Option C. 鈥淎s a result, we do not intend to offer this option to active employees or retirees.鈥�
The push for putting retirees on an Advantage plan under former Mayor Bill de Blasio.
Like de Blasio, Adams has argued it鈥檚 necessary to make the switch because the city projects it can save some $600 million annually if retirees are on Advantage coverage as opposed to traditional Medicare. Adams has also promised Advantage would ensure robust coverage for retirees.
Thousands of retirees have countered they鈥檇 lose access to certain doctors, medical procedures and drugs under Advantage. They have pointed to showing that Advantage plans deny 鈥渕edically necessary鈥� care because, unlike traditional Medicare, they鈥檙e administered by private insurance providers who require preauthorization for some patients.
In response to lawsuits from a grassroots retiree group, from enacting the first iteration of its Advantage plan last year, ruling that a provision in it that would鈥檝e levied $191 monthly premiums on retirees who wanted to stay on traditional Medicare violated a local law.
To circumvent that, Adams, with support from the city鈥檚 public sector union bosses, with health insurance giant Aetna this month that makes Advantage the only premium-free health care option available to the city鈥檚 required workforce, with a Sept. 1 start date. They鈥檝e maintained that deal is in compliance with the court decisions.
Against that backdrop, anti-Advantage retirees saw , which was tucked into Aetna鈥檚 newly released Advantage contract as one of three implementation paths Adams could chose between. Dozens of retirees urged the mayor to select Option C during on the contract Tuesday.
While retirees could stay on traditional Medicare under Option C without increased cost to them, Adams鈥� administration would have to pay $20 per month for every member who made that choice, the contract states. The two other implementation frameworks, 鈥淥ption A鈥� and 鈥淥ption B,鈥� would make Advantage the only premium-free insurance available to retirees, though the B version would let retirees enroll in traditional Medicare if they pay for it themselves.
Lutvak would not say which option Adams is more inclined to pick between A and B, or why C was included in the contract if it hasn鈥檛 been under consideration. He also would not say how much the projected city budget savings would shrink under Option C.
Lutvak did reiterate that the only scenario under which the administration would be inclined to offer traditional Medicare 鈥� a setup that features a city-subsidized supplement known as Senior Care 鈥� is if retirees pay a premium for it.
鈥淲e support offering retirees the choice to remain in Senior Care while paying a monthly premium, but without the City Council action we have advocated for, we will move forward with eliminating Senior Care,鈥� Lutvak said, referencing legislation that the administration .
Marianne Pizzitola, a retired FDNY EMT who leads the NYC Organization of Public Service Retirees, speculated Adams鈥� administration included Option C in the contract as a contingency in the event that the new Advantage plan is blocked in court.
鈥淭his has always been about maximizing savings for the city and screwing retirees at the same time,鈥� said Pizzitola, whose group and has indicated it will sue over the new plan, too.
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