NYC Senior Care $15 Co-Pay Settlement (EmblemHealth GHI Plan)

NYC Senior Care $15 Co-Pay Settlement (EmblemHealth GHI Plan)

By the Class Action Buddy Editorial Team · Last reviewed September 18, 2026 · ✓ verified against https://www.seniorcarecopaysettlement.com/ + /faqs-2/ read 2026-09-18

Full reimbursement of documented co-pays
Max Payout
Oct 30, 2026
Filing Deadline
See Details
Proof Required?
New York City's Senior Care co-pay settlement reimburses the $15 co-pays that Medicare-eligible city retirees paid under the Emblem-administered GHI Senior Care Plan between January 1, 2022 and January 31, 2023. The case is Bianculli v. City of New York, Index No. 160234/2022, in the Supreme Court of the State of New York, and the city's liability is capped at $53 million — roughly the total co-pay exposure in Emblem's claims data, not the amount actually paid out. The claim form finds you, not the other way around. Emblem's records identified everyone potentially exposed to a co-pay, and those class members received a customized, pre-populated form in the mail listing each visit and its co-pay. If no form arrived with your notice, the records say you have nothing to reimburse. With proof of payment — a receipt, a bank statement, a provider's letter — each co-pay comes back in full. Without proof, signing the affirmation still gets you up to 40% back, capped at $100 per person. Claims are due online or postmarked by October 30, 2026, and email submissions are not accepted. Opting out closes October 15; objections run until November 30.
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Who Is Eligible?

You may be eligible to file a claim if you:

  • You are a Medicare-eligible retired New York City employee, or a Medicare-eligible dependent of one
  • You were enrolled in the EmblemHealth-administered GHI Senior Care Plan at any time between January 1, 2022 and January 31, 2023
  • Reimbursement requires the customized Claim Form mailed with the notice — Emblem's claims data determines who receives one, and members without a form have no co-pays to reimburse (but remain in the class unless they opt out)

How Much Can You Get?

Reimbursement of the $15 co-pays listed on your pre-populated Claim Form, under a $53,000,000 liability cap. With proof of payment (a receipt, cancelled check, bank or credit card statement, or provider letter), each documented co-pay is reimbursed in full. Without proof, a signed affirmation qualifies you for up to 40% of those co-pays, capped at $100 per class member. If approved claims exceed the net amount, payments reduce pro rata; money left over returns to the defendants.

How to File Your Claim

You will need the Claim ID and PIN printed on the notice the administrator sent you. This settlement is not open to anyone who simply believes they qualify.

  • Complete the customized Claim Form that arrived with your mailed notice — online via the portal (using the Claimant ID on the form plus the member ID from your GHI Senior Care card) or by mail to the Atticus Administration address on the form — by October 30, 2026; email submissions are not accepted
  • Confirm each listed co-pay, attach proof of payment where you have it, and sign the affirmation — an unsigned form pays nothing
  • To opt out, submit a written request by October 15, 2026; objections are due November 30, 2026, and the final approval hearing is March 24, 2027

File this one with the administrator

Class Action Buddy does not file this settlement for you — use the official claim process above. What the app does do is watch the open settlements list and tell you when a new one matches your profile.

Frequently Asked Questions

What is the deadline to file a claim for the NYC Senior Care $15 Co-Pay Settlement (EmblemHealth GHI Plan)?

The current deadline to file a claim is Oct 30, 2026. Claims sent by mail must be postmarked by this date, so allow about a week for delivery if you are not filing online.

How do I file a claim for the NYC Senior Care $15 Co-Pay Settlement (EmblemHealth GHI Plan)?

File directly with the settlement administrator, using the official claim form linked on this page. Class Action Buddy does not support this settlement in the app, so the administrator’s own claim process is the route. Check whether the form asks for an ID or PIN from the notice you were sent before you start.

How much does the NYC Senior Care co-pay settlement pay?

Full reimbursement of each $15 co-pay you can document, from a settlement capped at $53 million. Co-pays you affirm but cannot document reimburse at up to 40%, with a $100 per-person cap on those undocumented claims. Payments reduce pro rata if approved claims exceed the available amount.

Who is in the Bianculli v. City of New York class?

Medicare-eligible retired New York City employees and their Medicare-eligible dependents who were enrolled in the EmblemHealth-administered GHI Senior Care Plan at any time between January 1, 2022 and January 31, 2023.

I didn't get a claim form. Can I still file?

No — the customized, pre-populated Claim Form mailed with the notice is the only path to reimbursement, and Emblem's claims data is conclusive about who was exposed to co-pays. If no form arrived, you remain a class member and are bound by the settlement unless you opt out by October 15, 2026.

What is the deadline for the Senior Care co-pay settlement?

Claim Forms must be submitted online or postmarked by October 30, 2026 — email is not accepted. Opt-outs are due October 15, 2026, objections November 30, 2026, and the final approval hearing is March 24, 2027.

Primary source: official settlement administrator — seniorcarecopaysettlement.com. The settlement details on this page were checked against the administrator’s official website.

Class Action Buddy is an independent directory and is not affiliated with, endorsed by, or sponsored by the settlement administrator or the court. This page is general information, not legal advice. See how we verify settlements.

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