EmblemHealth, City of New York $53M Senior Copay Settlement

EmblemHealth, City of New York $53M Senior Copay SettlementMedicare-eligible NYC retirees or dependents in GHI Senior Care may be eligible to claim a cash payment from a class action settlement.EmblemHealth, City of New York $53M Senior Copay SettlementWeekly NewsletterClass actions settlements delivered to your inbox.Thank you! Check your inbox for a welcome email.Oops! Something went wrong while submitting the form.Danielle TothEditorPublishedSeptember 4, 2026 3:47 PMUpdatedSeptember 4, 2026Join the DiscussionMedicare-eligible retired New York City employees or Medicare-eligible dependents enrolled in the EmblemHealth-administered GHI Senior Care plan at any time from Jan. 1, 2022, through Jan. 31, 2023, may be eligible to claim a cash payment from a class action settlement.EmblemHealth Inc. and the City of New York agreed to pay up to $53,000,000 to settle a class action lawsuit alleging they improperly implemented $15 copays for medical services under the GHI Senior Care plan during 2022 and early 2023. The lawsuit claimed the plan's contract did not authorize these copays and that the defendants did not properly disclose them.Who can file a claim?Class members must be Medicare-eligible retired New York City employees or Medicare-eligible dependents enrolled in the EmblemHealth-administered GHI Senior Care plan at any time between Jan. 1, 2022, and Jan. 31, 2024.The settlement administrator identified class members using EmblemHealth’s records and sent them a notice and customized claim form listing the dates of service, providers and potential copay amounts based on EmblemHealth’s data.Those who received a claim form are eligible to claim reimbursement for the copays listed on their form.Those who did not receive a claim form are still class members bound by the settlement but are not eligible for reimbursement unless they can show they paid a copay during the class period.How much can class members receive?