Plan Information by Municipality

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2023 Consortium Metal Level Plans 

• Platinum
• Gold
• Silver
• Bronze

•  Plan Documents 

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Medicare Plan

• Benefit Summary (1/1/2023)
• MS3 and MS4 are the same medical benefits
• MS3 Prescription Coverage: $10/25/40 Retail   $20/50/80 Mail Order
• MS4 Prescription Coverage: $15/30/45 Retail   $30/60/90 Mail Order

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2024 Excellus- Pharmacy Benefit Manager 

• Drug Formulary
• Excellus Website
• See individual Municipal Plans for copay rates

CanaRX- a voluntary prescription drug program that is available to eligible Members and their dependents of the Greater Tompkins County Municipal Health Insurance Consortium.

• Drug List
• Enrollment Form
• CanaRx Website- where you can find a searchable formulary, answers to frequently asked questions, and more!

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CSEA Dental and Vision

• 2021-2025 Vision Rates
• 2021-2025 Dental Rates
• Dutchess Dental Plan Brochure 
• Platinum Vision Plan Brochure 
• Domestic Partner Approval Form 

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Legal 

• Legal Benefit Plan and Enrollment Form

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Life, Short Term Disability, Volunteer Life

• Available through Reliance- for more information contact Judy Drake, GTCMHIC Chair of the Board of Directors
  • Email: jdrake@town.ithaca,ny.us
  • Phone: 607-273-1721 ext. 115 

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