benewisemember app
Demo — fictional households, synthetic claims. See what's real vs demo

Good morning, Jordan

· NYCE PPO, family coverage · Bed-Stuy

Saved this year
$0
engine-computed from this demo household’s synthetic claims · see the math
i In plain terms — what this number is
Money this fictional household kept by using the cheaper front door for the same care — video visits instead of urgent care, the preferred pharmacy, the preferred imaging center. Every dollar is engine-computed from the household’s synthetic demo claims; tap "see the math" for the receipts. With your own connected plan, the same math would run on your real claims — never on guesses.
Claims data through —
Benewise chat · Simulated assistant Demo example — NYCE PPO + fund papers
This is a demo. The people are made up. The plan numbers come from real NYC documents, and every number is labeled so you know where it came from.
Found for your family

Engine-computed from this demo household’s synthetic claims and its plan — not ads, not upsells. Each card is one thing worth doing and why, in plain English.

Recall watch

All clear today.

Recall Watch is designed to check the FDA's recall lists against your family's exact medicines — down to lot numbers. No live FDA check runs in this demo, so it claims nothing about today; the live product connects the feed and matches your NDC/lot before saying a word.

FDA recall dataNo live FDA check in this demoDemo only
Checkups worth booking

General guidance by age — your doctor has the final word.

Standard guidanceGeneral ages, not medical advice. Your doctor decides what fits youCheck first
Toolkit

Every benefit you're paying for — used, not wasted.

Your family

Everyone's coverage in one place — and how you're doing.

Saved this year
$0
engine-computed from synthetic demo claims
The plan on your card

—

i More plan details
Pharmacy cards

Your family uses more than one pharmacy card.

Which card depends on the medicine — the Rx tab tells you which one, every time.

i Why more than one card?
The City splits drug coverage into layers: the regular card for most medicines; the PICA card (Express Scripts) for two medication categories — self-injectable medications, and chemotherapy and certain related medications (per the NYC OLR PICA program description, July 2026; the list is non-exhaustive and doesn't itself set your cost); and your union fund's help on top. Same family, different cards, different rules. Benewise routes each fill to the right one.
Your progress

How close you are to the plan paying more of the bill.

We can track this for you.

Pick whichever is easiest — all three stay on your phone:

i What's an EOB, and why don't I need one?
An EOB — "Explanation of Benefits" — is the letter your plan mails after a visit. It says "THIS IS NOT A BILL" at the top, so most people toss it. It actually shows what the plan paid and what you owe, which is how you'd normally track your progress by hand. You don't need to keep them: connecting your account (or snapping one photo) does the same job automatically.
The plan on your card

NYCE PPO — family coverage

EmblemHealth + UnitedHealthcare · City of New York

Taken from your paycheck$0
Preferred visit (ACPNY, H+H, MSK, HSS)$0
Doctor visit, in network$15
Specialist, in network$30
Teladoc video visit$10
Urgent care (CityMD)$100
Emergency room$150$0 if you're admitted
i More plan details
In-network deductible: $0. Out-of-network deductible: $200 per person (family total: check first). Source: 2026 NYCE PPO plan summary and the July 2026 rate chart.
Pharmacy cards

Your family uses more than one pharmacy card.

Which card depends on the medicine — the Rx tab tells you which one, every time.

i Why more than one card?
The City splits drug coverage into layers: the regular card (Prime Therapeutics) for most medicines; the PICA card (Express Scripts) for two medication categories — self-injectable medications, and chemotherapy and certain related medications (per the NYC OLR PICA program description, July 2026; the list is non-exhaustive and doesn't itself set your cost); and your union fund's card on top (UFA SBF — still confirming details). Same family, different cards, different rules. Benewise routes each fill to the right one.
People on the plan
School checkups & shots

What each kid needs before September. Tap items you've done.

Why most of this is $0: yearly checkups and school shots count as checkup care. In network, the plan pays all of it.

NY State school rulesShot list: NY State 2026–27 school chart (same law statewide). Your school or doctor has the final wordCheck first

Where should I go?

Sore throat, Thursday evening. Cost and safety shown together.

4

ER at Interfaith

Nearest hospital · $150, waived if you're admitted

Closest is not best. For emergencies, always call 911 — this list is never for emergencies.
$150
Plan papersCopays from the 2026 plan summary.Demo example
Nearby hospitals

Free, safest, or closest — the tradeoff in one line.

Your $0 hospital

H+H Woodhull

Free to you, but lower safety marks nearby.

i See the ratings
Leapfrog grade: C · CMS stars: 2 of 5 · 760 Broadway, closest H+H to you.
Standard cost-share

NYU Langone Brooklyn

Top safety marks, regular copay applies.

i See the ratings
Leapfrog grade: A † · CMS stars: 4 of 5 · about 3 miles from you. († The source pull showed "AA" — being checked against Leapfrog's A–F scale.)
Nearest to you

Interfaith Medical Center

Closest, but the lowest safety marks nearby. For emergencies, always call 911.

i See the ratings
Leapfrog grade: D · CMS stars: 1 of 5 · 1545 Atlantic Ave.
See 3 more hospitals →
NYP Brooklyn Methodist · in networkA · 4 of 5
Brooklyn Hospital Center · in networkB · 2 of 5
H+H Kings County · $0 preferredC · 2 of 5
Leapfrog Spring 2026CMS stars: demo only Leapfrog grades are from a saved pull (May 6, 2026). Showing them publicly needs a Leapfrog license — the real app would link to hospitalsafetygrade.org. CMS stars are demo stand-ins until a Care Compare pull replaces them. Check each hospital's network status before you rely on it.
Nice pick, Jordan
$100 saved

booking ACPNY same-day instead of your usual CityMD visit

This year so far
Telehealth instead of urgent care$270
Preferred pharmacy switch$120
Preferred imaging$140
Demo onlySimulated totals. Real savings math comes from the checked calculator.
Want it booked? Simulated · concept

Benewise can call the clinic for you.

You confirm the time once. When the clinic confirms, we tell you — nothing else to do.

Calling ACPNY via the Gold Service Line…
Asking for the next same-day opening…
Holding Tuesday 9:40 AM — confirming…

Check a medication

Which card, what it costs — for anyone in the family.

Four ways to pay less
1 · Go generic first. Generics sit on the lowest tier of nearly every schedule. Same medicine, tested the same way — exact copays depend on your rider or fund schedule (not verified in this demo).
2 · Switch brand to generic. Brand Lipitor runs $35+; generic atorvastatin is $10. One question to your doctor: "is the generic okay for me?"
3 · Use a preferred pharmacy. Same pill, about $10 less every fill.
4 · Get 90 days by mail. Usually three months for less than three retail copays — exact mail terms depend on your rider or fund schedule.
From plan dataTier prices from the demo formulary; brand example is illustrativeDemo only
Fill it your way Simulated · concept

Same benefit, four ways to fill it. Your choice.

Benewise shows every option and lets you pick — it steers you toward math, never toward a store.

90-day mail order
Fewer copays, ships to your door4 fills/yr
Preferred local — Harbor Pharmacy
Lowest walk-in price on your plan$10
Same-day courier pharmacy
Delivered tonight, plan price$10
Chain pharmacy (CVS, Walgreens…)
Everywhere, non-preferred price$20

Requests aren't instant — the pharmacy plan has to process them. This demo only drafts the request for you to review \u2014 nothing is sent to the pharmacy plan from here.

Pharmacies near you

Harbor Pharmacy · 0.4 mi

Your plan price wins here: $10 with the card, $14 with a discount card, $28 cash.

i When would cash win?
Sometimes paying cash is cheaper than using the card. When that happens, the app tells you — and tells you what skipping the card does to your yearly totals. That math always comes from the checked calculator.
Demo onlyMade-up pharmacy. Checked July 10, 2026 (simulated).

Forecast

Know ahead of time if the plan has to say yes — and what to gather.

Forecast

Wegovy: the plan must say yes before your first fill.

We're very sure this applies. Wegovy is an injectable, so it fills on the Express Scripts card — and that program checks a few things first.

From plan dataCard routing per the City's program. Today's exact rules and copayCheck first
Gather these before your appointment

Tap what you have. Your doctor sends it in — your job is making sure it's in the chart.

Words that sound alike
Prior authorization — the plan's yes, before you fill. This one applies
Step therapy — trying a cheaper medicine first. Sometimes part of the yes.
Quantity limit — a cap on how much per fill. Separate thing.
GatherDoctor sends itPlan reviews

Review the list above, then mark it done to move forward. The forecast never promises a yes.

How the forecast works. The rules come from real plan papers. Every dollar figure comes from a checked calculator — never a guess. Where a rule isn't confirmed yet, the app says "check first" instead of pretending. Everything you type stays on this screen.

Get help right now

Real people, real phone lines — or start with a chat.

Chat with Benewise

Ask about a bill, a medicine, a denial — anything.

Emergency

Call 911. Don't use this app in an emergency.

Gold Service Line — same-day $0 visits

646-680-3000 · books ACPNY appointments for city workers.

Your plan's member services

The number on the back of your benefit card. They must answer coverage questions.

FDNY counseling & peer support

Free and confidential for members and families. Ask your firehouse for the current number, or your EAP.

Numbers other than 911 are demo listings — check them before relying on them.

Where this data comes from

When live account linking isn't on, the app runs on saved claims files — and always shows you how fresh they are. That's the honesty rule: you should never wonder if a number is current.

The savings math

Every number below is computed by the calculation engine from this demo household’s synthetic claims — no guesses. Comparison amounts are estimates and labeled.

From your claimsComparisons are estimates

Every formula is deterministic — no AI touches these numbers. The full method list, including the dated-parameter guard on Medicare math, is in the validation console.

Card passport

Every card your family carries, and exactly when to use each one. Tap a person.

In this demo the photo stays in this page's memory and nothing is read from it — extraction is simulated and labeled. On-device recognition is a planned live-product capability, not something this demo performs.