The Mamdani administration and a major insurer agreed to pay up to $53 million to reimburse retired civil servants who said they’d been wrongly charged copays for medical visits. Nicholas Paolucci, a spokesperson for the city Law Department, noted in a statement that the $15 copays were reinstated in January 2025. (As a candidate, Mayor Zohran Mamdani pledged to “reject” Medicare Advantage if elected.) Mamdani has not said how he plans to address the botched Medicare Advantage plan, which was intended to help the taxpayers save $600 million annually. A December 2025 audit by the city comptroller’s office declared insolvent a key fund that paid insurance premiums for city workers, retirees and their dependents, in part due to the Medicare Advantage debacle.