Plan Overview
With the MTA New York City Transit Authority medical plans, you'll get access to tools, tips, programs and services. Use them to find network doctors, review claims and more. You'll get benefits such as:
- Large national network of doctors and hospitals
- Aetna Health Concierge
- In-network lab benefits
- 100% coverage for emergency care worldwide
- Access to online and mobile tools
Your plan benefit summary information
Basic Option
- Aetna CPOS II* Basic Option - ATU 726/1056/1179 and Spring Creek Local 1181 (PDF)** — actives and pre-Medicare retirees
- Aetna CPOS II* Basic Option - SSSA/SPI/TSO-OP (PDF) — actives and pre-Medicare retirees
- Aetna CPOS II* Basic Option – TWU Local 100 and MTA Bus (PDF) — actives and pre-Medicare retirees
- Aetna CPOS II* Basic Option – SIR UTU Local 1440/SIR-SSSA/SIRTOA/ATDA/SIRTOA TCU (PDF) — actives and pre-Medicare retirees
High Option
- Aetna CPOS II* High Option (PDF) - ATU 726/1056/1179 and Spring Creek Local 1181 (PDF) — actives only
- Aetna CPOS II* High Option - SSSA/SPI/TSO-OP (PDF) — actives only
- Aetna CPOS II* High Option - TWU Local 100 and MTA Bus (PDF) — actives only
- Aetna CPOS II* High Option - SIR UTU Local 1440/SIR-SSSA/SIRTOA/ATDA/SIRTOA TCU (PDF) — actives only
Select Option
- Aetna Select Option - ATU 726/1056/1179 and Spring Creek Local 1181 (PDF) — actives and pre-Medicare retirees
- Aetna Select Option - SSSA/SPI/TSO-OP (PDF) — actives and pre-Medicare retirees
- TWU Local 100 and MTA Bus (PDF) — actives and pre-Medicare retirees
- Aetna Select Option - SIR UTU Local 1440/SIR-SSSA/SIRTOA/ATDA/SIRTOA TCU (PDF) — actives and pre-Medicare retirees
Plus Option
- Aetna CPOS II* Plus Option - ATU 726/1056/1179 and Spring Creek Local 1181 (PDF) — actives and pre-Medicare retirees
- Aetna CPOS II* Plus Option - SSSA/SPI/TSO-OP (PDF) — actives and pre-Medicare retirees
- Aetna CPOS II* Plus Option - TWU Local 100 and MTA Bus (PDF) — actives and pre-Medicare retirees
- Aetna CPOS II* Plus Option - SIR UTU Local 1440/SIR-SSSA/SIRTOA/ATDA/SIRTOA TCU (PDF) — actives and pre-Medicare retirees
*Aetna Choice® Point of Service II
**When you become Medicare eligible, your plan will be known as the Open Choice PPO Basic Plan (CPPO Basic Plan). The CPPO Basic Plan is secondary to Medicare and only covers what Medicare covers. You can learn more by reading the "How your Aetna CPPO Basic Plan works with Medicare" brochure.
Basic Option
- Aetna CPOS II* Basic Option - TWU Local 100, ATU 726/1056/1179, SIR UTU Local 1440, SIR-SSSA (PDF)** — actives and pre-Medicare retirees
- Aetna CPOS II* Basic Option - Spring Creek Local 1181 and SIRTOA TCU (PDF) — actives and pre-Medicare retirees
- Aetna CPOS II* Basic Option – SIRTOA ATDA (PDF) — actives and pre-Medicare retirees
High Option
- Aetna CPOS II* High Option (PDF) - TWU Local 100, ATU 726/1056/1179, SIR UTU Local 1440, SIR-SSSA (PDF) — actives only
- Aetna CPOS II* High Option - Spring Creek Local 1181 and SIRTOA TCU (PDF) — actives only
- Aetna CPOS II* High Option - SIRTOA ATDA (PDF) — actives only
Select Option
- Aetna Select Option - TWU Local 100, ATU 726/1056/1179, SIR UTU Local 1440, SIR-SSSA (PDF) — actives and pre-Medicare retirees
- Aetna Select Option - Spring Creek Local 1181 and SIRTOA TCU (PDF) — actives and pre-Medicare retirees
- Aetna Select Option - SIRTOA ATDA (PDF) — actives and pre-Medicare retirees
Plus Option
- Aetna CPOS II* Plus Option - TWU Local 100, ATU 726/1056/1179, SIR UTU Local 1440, SIR-SSSA (PDF) — actives and pre-Medicare retirees
- Aetna CPOS II* Plus Option - Spring Creek Local 1181 and SIRTOA TCU (PDF) — actives and pre-Medicare retirees
- Aetna CPOS II* Plus Option - SIRTOA ATDA (PDF) — actives and pre-Medicare retirees
*Aetna Choice® Point of Service II
**When you become Medicare eligible, your plan will be known as the Open Choice PPO Basic Plan (CPPO Basic Plan). The CPPO Basic Plan is secondary to Medicare and only covers what Medicare covers. You can learn more by reading the "How your Aetna CPPO Basic Plan works with Medicare" brochure.
Medicare Plans
-
Aetna Medicare Advantage Plan Option 1 (PDF)* — Medicare retirees
- Aetna Medicare Advantage Plan Option 2 (PDF)* — Medicare retirees
*Available to retirees who are enrolled in Medicare Parts A and B
On Saturday, June 1, 2019, CVS Caremark® became the new prescription benefits manager for the NYC Transit prescription plans. Although the manager has changed, your benefits remain the same.
Starting June 1, new prescriptions and refills on existing prescriptions will be covered by CVS Caremark or, for Medicare-aged retirees enrolled in SilverScript, by SilverScript. Mail order refills must be ordered from the CVS Caremark mail order pharmacy, not from the Express Scripts mail order pharmacy.
The next time you go to the pharmacy to pick up a prescription you will need to show your new CVS Caremark or SilverScript ID card. The next time you get a prescription for a mail order maintenance drug your doctor will need to know that you are using the CVS Caremark mail order pharmacy. If you have not received your new ID card: First make sure the BSC has your address right. Call the BSC at 646-376-0123 or go online to the My MTA portal to check. Next, call CVS Caremark customer care (or SilverScript if you are a Medicare-aged retiree).
- CVS Caremark customer care: 1-855-296-7683 (24/7)
- SilverScript customer care: 1-855-212-0921 (24/7)
Alternatively, you can get an image of your card right away. Visit Caremark.com or download the CVS Caremark app to your mobile device and register on the app.
Android users
iPhone users
The app will show an image of your ID card. The app is available on the Apple App Store and on Google Play.