MTA-New York City Transit
During our three decades of service to MTA-New York City Transit, members have come to recognize the outstanding advantages we offer. For several years in a row, more than 60 percent of members have chosen the GHI Program, and the majority of those members who have switched plans have decided to join GHI.
Members have direct access to care at nearly 88,000 provider locations, including individual practitioners and facilities. Before joining the network, providers must pass a rigorous screening process that helps ensure the highest quality care.
Unlike the vast majority of health plans, the GHI Program makes every network provider - including all specialists - directly available to members. With GHI, you and your family are able to schedule appointments with the providers you choose in the privacy and convenience of their offices. To simplify matters further, there are rarely any claim forms to complete for covered in-network services.
GHI has negotiated with all network providers to abide by a pre-established fee schedule for in-network covered services. That's why you pay nothing out-of-pocket, except for a modest co-pay. Plus, you can opt for out-of-network services and still be eligible for some benefits.
With a tradition of facilitating access to quality health care for New Yorkers and their dependents, GHI continues to implement plan innovations and services that meet the evolving needs of today's families.
The coverage benefits under the GHI Program, which are summarized on the next page, are available even when you're away from home. Complete hospital benefits apply in virtually any acute care facility in the U.S. What's more, there are participating GHI providers outside the tri-state area, including Florida, Arizona and California.
Have a question about your benefits?
Log in to your secure account and click on "Benefits" to learn more or call 212-501-5089.
How to Find GHI Participating Providers
If you are a GHI member, go to our "
Find A Doctor" page. Enter your identification number and follow the system's prompts. If you are not yet a GHI member, follow the prompts to the plan selection pull down menu and select "New York City Transit" as your plan.
Highlights of the GHI Basic Health Benefits Plan
The GHI Basic Plan provides you and your eligible dependents with benefits for a broad range of health care services, including medical, hospital, and mental health coverage. Paid-in-full benefits, subject to a $15 copayment, include:
Medical Care
- Office and home visits, including specialist consultations
- Diagnostic X-ray and lab examinations
- Well-baby care and care of premature infants
- Annual Screening Center examinations
- Surgery and anesthesia administration
- Intensive care visits
- Chiropractic care
- Visiting nurse services
- Maternity care coverage
- Well-child care visits to age 19
- Ambulances
- Mammography and Pap smear screenings
- Outpatient mental health visits per year
- Allergy care
Hospital Care
- 120 days semi-private room and board, subject to a $50 per admission deductible
- Emergency care within 12 hours of onset of illness, or for accidental injury within 72 hours of the accident
- Routine nursery care for newborns
- Use of operating and recovery rooms and equipment; administration of anesthesia
- Outpatient hospital facilities, including minor surgery, chemotherapy, mammography, and Pap smear screening
- Approved medications and oxygen for use in hospital
- Treatment for mental and nervous disorders
- Outpatient chemical dependency rehabilitation
- Inpatient physical therapy for up to 30 days
- Radiation, nuclear therapy, and chemotherapy
- Organ transplants
- Home health care
- Hospice care
High Option
- 365 days per year of Hospital services This enhanced benefit increases coverage from 120 days.
- Medical/Hospital Coverage for Dependents extended from age 19 to 21 This feature ensures that your dependents will have benefits until they reach 21, even if they are not full-time students.
- Increased Reimbursement for Out-of-Network Covered Services Reimbursement for covered out-of-network services will increase in most cases.
- GHI Preferred Dental Coverage Features a network of more than 6,000 participating dentists in New York and New Jersey.
Please send documentation to the Employee Benefits,Division of Human Resources of the TA. The address is 180 Livingston Street, Room 6008 Brooklyn, NY 11201. Phone number is 347.643.8550; fax is 347.643.8409.
