What are some common health benefits medical terms?
Click here to review some of the common health benefits medical terms.
What Benefits are handled through the DEA?
The DEA handles your Prescription Drugs, Dental and Optical. Your Medical Insurance is handled through City Health Benefits Active 646-610-5122 or Retired 212-513-0470.
Who handles my benefits?
Judi Rx (Formally known as Capital Rx) for Prescriptions
MetLife Dental (Your ID# is your dea id# preceeded with zeros to total 9 digits)
General Vision Optical (Please note there is no card you can provide your SS# or DEA id# for identification)
Where can I find my DEA ID#?
Your unique DEA id# can be located on your prescription or dental cards and is used in place of your Social Security Number.
What is Student Verification?
Student Verification is required for children ages 19-23.
You must submit verification every Spring (Mar 1- Aug 31) and Fall (Sept 1- Feb 28) semesters.
If your child’s 19th birthday falls in between a semester you must submit for that semester for there to be no break in coverage.
Please note if your child turns 23 or stops attending school before their 23rd birthday they are eligible COBRA benefits for a fee. Please reach out to the DEA Health Benefits Office to inquire.
Divorce/Removal of Domestic Partner
Upon a divorce/ Termination of Domestic Partnership your ex-spouse/partner must be removed from the benefits immediately as they are no longer entitled to benefits. If they are not removed and there is usage after the date of divorce/termination you will be responsible for any payment made on their behalf.
If you are removing a Domestic Partner you must submit a Termination of Domestic Partnership Form. This can be obtained from your county clerks office.
An ex-spouse/partner is entitled to COBRA if interested. This allows them to continue dental, optical and prescription benefits for a cost.
GLP-1’s
Regarding GLP-1 medications. These medications are covered to treat diabetes only.
Non-Medicare Members are covered under their medical carrier.
Medicare Members are covered through the DEA.
*** Please note GLP-1 medications are not covered if they are being used for weight loss or Pre-Diabetes. ***
*** Wegovy, Zepbound and Foundayo are currently only FDA approved for weight loss or conditions attributed to obesity. ***
Lifestyle Medications?
Medications categorized as Lifestyle medications are NOT covered through the DEA benefits. You can try through your medical plan or they would be out of your pocket.
EX; Weight Loss Dugs, Stop Smoking Medications, Birth Control, Erectile Dysfunction, etc.
Who covers vaccinations?
Vaccinations are covered under the medical plans as preventative for all non-Medicare eligible members.
Upon going on to Medicare vaccinations are either covered under Medicare part B or out of your pocket.
Do you cover Baby Formula?
No baby formula is considered a food supplement, and our Prescription Plan only covers medications. You can try through your medical carrier for coverage, or it would be out of your pocket.
