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Adams Reverses Course, Shelves Medicare Advantage Switch for City Retirees

Opposition from retiree groups alongside unions convinced the administration to pursue other healthcare cost savings.

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Stock image/file photo: Medicare enrollment form.
Mayor Eric Adams speaks during a press conference at City Hall on Tuesday, June 3, 2025 in Manhattan, New York. (Barry Williams/ New York Daily News)
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Overview

  • Mayor Eric Adams announced Friday that he will not implement the State Court of Appeals–approved switch of roughly 250,000 municipal retirees from traditional Medicare to Medicare Advantage plans.
  • The State Court of Appeals issued a unanimous decision on June 18 affirming the city’s right to change retiree coverage and overturning lower court rulings that had blocked the move.
  • The Organization of Public Service Retirees and key municipal unions argued that Medicare Advantage plans would raise out-of-pocket costs and limit access to preferred doctors.
  • The proposal was first developed under former Mayor Bill de Blasio and supported by Adams as a measure to save the city about $600 million annually in healthcare spending.
  • Adams said the administration will instead explore alternative measures to contain healthcare expenses while City Council members consider legislation to protect retiree benefits from future changes.