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New York State Empire Plan Hospitalization via Blue Cross; major medical & surgical via United Health Care In-network or out-of-network coverage options Empire Plan Participating Providers Health Benefits Summaries & Bi-Weekly Insurance Rates Visit our Benefits at a Glance page ANNUAL Option Transfer (AOT) Period eB,eZ%1c0+g@kPf:W:E/X:(v*mUFgNP)c3,(J2Ivj%mea? ri~-]!0[sX f=e7[Z.v.won}bn |^bP)e"3.rlM%fU6 j\NoD@U ?o]_by[>yrRd|lhm(-P;+\2T94DZ2*aBBBkn)@+seUH_*U{cK v View exam alert here. endstream endobj 176 0 obj <>stream It's unlikely that you would pay the same amount listed in the "you pay" cell of the Summary of Benefits and Coverage. Empire Plan Providers, Pharmacies and Services, Access health care services remotely using The Empire Plan's new, Empire Plan Health Insurance Does Empire Nyship cover gym memberships? The annual Option Transfer Period for State employees will begin Thursday, December 1, 2022, and end Friday, December 30, 2022. Click the plan names below to view a Summary of Benefits and Coverage for each option. The Empire Plan is the primary health insurance plan for NYSHIP, serving about 1.1 million members. You are a paid member of the New York State Legislature. Click the plan names below to view a Summary of Benefits and Coverage for each option. See NYS Department of Civil Services NYSHIP Rates and Deadlines publication The annual Option Transfer Period for State employees will begin Thursday, December 1, 2022, and end Friday, December 30, 2022 . These Coverage Examples are intended to help you compare your overall coverage and are not intended as a cost estimator. Always refer to other plan material, such as Choices for 2023 for more information about The Empire Plan and NYSHIP HMOs if you are making a decision about your family's coverage. Patients can appeal life insurance companies decisions by explaining why their mental health care is necessary. SUNY participates in the New York State Health Insurance Program (NYSHIP). It can also cause testicular shrinkage and breast enlargement in men. NOTE: Information about the cost of this plan (called the premium) will be provided separately. (For the Empire Plan Prescription Drug Program, CVS Caremark will ask for payment information when ordering from the specialty or mail service pharmacies.) This notification list may be modified. The 2023 Administrative Guide for Commercial, Medicare Advantage and DSNP is applicable to all states except North Carolina. The following represents the 2023 biweekly premium contributions for CSEA active state employees (and Unified Court System). EmblemHealth 2022-2023 Benefit Changes for HMO Rx Plans. In addition, the Affordable Care Act requires that plans offered through the health insurance exchanges cover services for mental health and substance-use disorders. It is updated weekly. . The average cost of psychotherapy in the U.S. ranges from $100 to $200 per session (depending on the state), according to a 2019 report by SimplePractice, a practice management system for mental health professionals. Category: Health Detail Health hTRn0>I,)Rc,CfvgvXnuun-*b {dmN|]v.8N\VX'mKgRgEZ|?blGt?eP5m(f65!E2IWQ& b\dHD} dHg=# kLWWL)! T0`UWk The New York State Health Insurance Program (NYSHIP) offers eligible employees the option of choosing either The Empire Plan or a NYSHIP HMO for health insurance coverage. NYSHIP Online Guidelines for Web Navigation. Gifted, innovative, and sensitive are words patients use to describe Dr. Elie Levine, one of New York's top board-certified plastic surgeons and the Director of Plastic Surgery at Plastic Surgery & Dermatology of NYC. coverage and copay information for a specific medicine. Muscle imbalances. Click here for a summary. The enhanced network will provide access to more than 400 acupuncture providers at over 500 different locations throughout New York State. endstream endobj startxref It includes hospital, medical and prescription drug benefits in one plan. For more information about your coverage, or to get a copy of the complete terms of coverage, visit www.cs.ny.gov or call 1-877-7-NYSHIP (1-877-769-7447). We strongly encourage you to review other plan material before making a decision about the coverage you and your family will have for the next year. hV]k1+ 6 All Medicaid programs cover some mental health and substance use disorder services. %PDF-1.4 % In order to provide you with targeted information about your benefits, you will need to select your group (negotiating unit) and health insurance plan when prompted. The cookie is used to store the user consent for the cookies in the category "Performance". 0000012693 00000 n NYSHIP Claims and Administrative Forms, Copyright 2020 | CSEA Local 1000, AFSCME, AFL-CIO, See the 2023 State NYSHIP Enrollee Biweekly Premium Contributions, See NYS Department of Civil Services NYSHIP Rates and Deadlines publication, Health Insurance Transaction Form PS-404, Health Insurance Affordability and Accountability Act EBD-543. Can I get a paper copy of the Summary of Benefits and Coverage if I need one? New York State 2023 Monthly COBRA Rates . `k :`N&bRN~W\^ Og#L lCEtT*1[GH"N;PAa?TX,=wv^`Fc_k_c?*OUb,T|PU[%jJ d_/">\-1M42!@1]$6#&PfW4 If you need a paper copy of the Summary of Benefits and Coverage or the Uniform Glossary for a NYSHIP HMO, please contact the HMO. These services are likely to identify members with unmet health care needs who will benefit from UnitedHealthcares programs, or those of other Empire Plan vendors. mL>pXT VW(y!q[!cq)i=nDv#h-&HVhg Although Empire Plan prescription drug services (retail, mail order and the Specialty Pharmacy Program) are not available outside of the United States (and its territories), you may file a paper claim for partial reimbursement after paying out of pocket for a valid prescription at a pharmacy. Download the Form: Decline NYSHIP Coverage Check box to decline coverage. When a generic {5__ Family coverage will become effective June 10 (the "date of event" is the date of marriage). We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. #Xi^Xow}6|jt42GDSh_L}F>W$-jB`=bhpA6\>a[\vHoCkIC_} o#|~VBEa-;>/:_nzY7Ykhm86 0000024663 00000 n )hV|VMtFvoy%|{Pr^  The health insurance option you want for 2022 2022 Active Employee Rate Schedule before deciding on your Plan. 0000008482 00000 n 12 Oct 2022. For specific formulary updates check here. Be sure to check the appropriate boxes for the coverage type declined. 0000021102 00000 n The cookie is set by the GDPR Cookie Consent plugin and is used to store whether or not user has consented to the use of cookies. hVG}G)0}"Hly03+mFcSTuWE/tL^SCS4d5J NYS Empire Health Insurance includes a benefit for hearing aid coverage. If you are enrolled in an HMO, the State will pay 84-88% for individual coverage and 69-73% for family coverage, not to . Easy to access benefits summary that can answer most of your general questions. 001 The Empire Plan For employees of the State of New York who are M/C; Legislature; UCS; represented by CSEA, DC-37, . The 2023 NYSHIP Option Transfer and Pre-Tax Contribution Program (PTCP) Election Period runs from Thursday, December 1, 2022 through Friday, December 30, 2022. Important Exam Alert Updates Due to Weather Conditions. Welcome to EBD - How and where to get the help you need with your coverage under the New York State Health Insurance Program (NYSHIP). But opting out of some of these cookies may affect your browsing experience. Does Empire plan pay Medicare deductible? Tel: 631-632-6570. westchapter@uupsbu.org. Additional information can be obtained from agency health benefit administrators. Your SBC may provide you with some information that will explain how you are covered for certain services, such as what your copayment is. MQxh ! Do NOT follow this link or you will be banned from the site! During this period, employees enrolled in the New York State Health Insurance Program (NYSHIP) may: Change their NYSHIP coverage status (e.g., family, individual) Change their NYSHIP . How and where to get the help you need with your coverage under the New York State Non-Participating Provider Claim Forms and Administrative Forms. Forms - Empire Plan Claims Forms Certificate - Detailed description of the benefits and plan requirements. This site uses cookies. The site will remember your group for future visits. These cookies will be stored in your browser only with your consent. Biweekly Costs Schedule Page in Choices Code Plan Individual Family 13 001 The Empire Plan 61.73 237.76 24 066 Blue Choice 56.50 216.79 h04E*y!j0XLi*Mb &yX$h 104 0 obj <> endobj You can get reimbursed up to $400 per plan year. As a certified health coach and yoga instructor, Sandra has a wealth of knowledge and experience in the fields of health and wellness. By clicking Accept, you consent to the use of ALL the cookies. To be eligible for coverage under a NYSHIP HMO, you must live or work in the HMOs service area. Side-by-side comparison and highlights of benefits of the plan with drug coverage 2022 Summary of Benefits and Coverage How you and the plan would share the cost for covered health care services 2022 Summary of Benefits and Coverage Rx Plans How you and the plan would share the cost for covered health care services with drug coverage %PDF-1.6 % 0000007858 00000 n Click here for NYSHIP Online for RETIREES How to use this site Active Employees Welcome to NYSHIP Online, where you will find information on the New York State Health Insurance Program for State and Local Government for active employees. 2023 At A Glance - These terms are defined in the Uniform Glossary, a non-customized companion document to the SBC. Yes. So chances are your doctor is in our network. 4.80. Why do insurance companies not cover mental health? Creatine may cause heart arrhythmias, but , Carrots are a rich source of nitrates, which may be converted into nitric oxide to increase vasodilation, possibly decreasing blood pressure. Nyship Empire Plan benefits 2022 want for 2022, as set forth in charts. To get started, you MUST select one of the following: Access health care services remotely using The Empire Plan's new, Click here for NYSHIP Online for RETIREES, Demographic Data Self-Identification Form. hWYo6+| uK\G-&3|9h` gCrOcfY OPVK5GCb`Q XSX %jaJ / ac@k6%! Hv\MzYGc{?6{3*1.~l}~`8-r&dx@Nf B$0`8&D`2p- Your HBA, usually located in your agencys personnel office, can also print you a copy. The specific services covered will depend on your state. This cookie is set by GDPR Cookie Consent plugin. As a reminder, it is no longer necessary to reenroll in the Opt-Out Program each year. February 3, 2022 26 Coverage for Children Over 26 . endstream endobj 177 0 obj <>stream 1, 2021, members of The Empire Plan will have in-network access to the UnitedHealthcare Options preferred provider organization (PPO) network for all states and U.S. territories outside of New York. Necessary cookies are absolutely essential for the website to function properly. Services such as therapist visits, group therapy, and emergency mental healthcare are typically covered by health insurance plans. Beacon Health Options, Inc. Visit NYSHIP online 0000000016 00000 n Over-the-Counter (OTC) At-home COVID-19 Test Reimbursement Form Health Benefits News NYS Benefits Empire Plan HMOs Dental Vision FAQ Health Insurance Program (NYSHIP). in the NYSHIP service area of the HMO in which you are enrolled, you must change to another option. 1-877-769-7447 (option 1) The Empire Plan Diabetic Supply Pharmacy (Edgepark, formerly Liberty) 1-888-306-7337. The Empire Plan is NYSHIPs unique health insurance plan designed exclusively for New York States public employees and employers. Your Empire Plan participating provider has a participating provider agreement in effect with UnitedHealthcare or MPN; submits claims directly to UnitedHealthcare for covered services or supplies you receive; and accepts your copayment plus UnitedHealthcare's payment as payment in full for covered services and supplies. ]?e_2Xehb!LIP3F'NrZ(n7y% hb```b``ea`e`f`@ +zR&I\O7. |m34# |nd)|`lF5U|{h#?82 #C?$cqYPlYoLeIP8u?tlzB2Sv>Rx#y>b Z=cT?Xaocz'y_~S;]Xn$Y#Tp'}[6!t Your Empire Insurance will cover $1,500 per ear every four years. Because of cookies, the site will remember your group for future visits. The open enrollment period to request participation in these programs ends December 12, 2022. Plan rates as of January 1, 2022 by the New York have submitted requested! %%EOF Mena Stramenga The Empire Plan is NYSHIP's unique health insurance plan designed exclusively for New York State's public employees and employers. ke. hb```V B ce`ahpbZ|4c90)fq63y5=TYcq),Z,*&CfsJue`h ZaphU q a} `*|I5>` 9iL]3ga(:p/ sVT =@ljgnJ(@ xJY This document does not provide the full scope of coverage under any plan and should not be construed as a complete description of a plan's benefits. Group Medicare Benefits Summary and Rx Rider - 2022 . To join this plan, you must: Be entitled to Medicare Part A, Enrolled in Medicare Part B, and Live in our service area. !28@OJ@>Wss1j.Fgferx}A> KM#5ItDcDE6s0.`!:vI4MAPgp There is a nationwide network of more than 1.2 million UnitedHealthcare Empire Plan participating providers, including over 70,000 Managed Physical Network (MPN) providers for chiropractic care and physical therapy. In most areas of the country, a person can expect to pay $100-$200 per session. Please check pages 6-7 for NYSHIP service area information. The New York State Health Insurance Program (NYSHIP) offers eligible employees the option of choosing either The Empire Plan or a NYSHIP HMO for health insurance coverage. terminate your NYSHIP (Empire Plan and Medicare Advantage Plans) benefits Call EBD if you have any questions. ycBQ^]}jE k@oI b"h,QM]GuiU.UeY=8Z?>-/bNriO] Rehabilitative services for addiction are also included. You dont need to pick a Primary Care Physician (PCP), and you dont need a referral to see a specialist. Main Campus Contact. Stony Brook, NY 11794-3388. Once the 2023 NYSHIP Rate Flyers are printed, they will be mailed to individual homes by New York State. Empire Plan General Information Book Contents of the Summary of Benefits and Coverage Analytical cookies are used to understand how visitors interact with the website. Is the Empire plan the same as Empire BlueCross Blueshield? +GGq9z Urine: THC from edibles can be detected in a , Pumpkin seeds are rich in nutrients known to support weight loss, such as fiber, protein, and unsaturated fatty acids. >I,q%/0kYz[ad.-5-w6OB;n?/F:1R! You will have the option of changing your group at any time after the initial log on. 0000004228 00000 n Healthcare Provider Administrative Guides and Manuals The following links provide information including, but not limited to, prior authorization, processing claims, protocol, contact information and resources. A one-ounce portion (roughly a quarter cup) of raw . What is The Empire Plan? To be eligible for NYSHIP coverage, if you do not work at least half time on a regularly scheduled basis, you must meet one of the following requirements: You are a paid elected official. T\,ZRf6-3A|jbSgE$Qov*:|5$!82 q+48+p4^qcj3(~ j}R;M.Gh3[mF"l. Congenital deformities or conditions that are present at birth. 0000003440 00000 n You must callThe Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and Press or Say 2 for the Hospital Program: Before a maternity or scheduled (nonemergency) hospital admission. How does mental health diagnosis affect insurance? #DAek@mW!?Z)xQgCe }&=~$!7*21*bM Please note there are two sets of rates. 1F \g >7^157eG Welcome to EBD - If the request is made within 30 days after the event date, then coverage becomes effective on the first day of the . NYSHIP General Information Book - General eligibility and enrollment rules and information. A. The LIRR Benefits page, or . Benefits are available worldwide for covered, medically necessary services. Rates and Health Plan Choices - Information on your health insurance options under NYSHIP. 0000006769 00000 n Musculoskeletal causes of difficulty walking Broken bones and soft tissues injuries, including sprains, strains and tendonitis. Empire Plan Health Insurance 5 mi. How long does 600mg edible last in your system? !nnl^;Fg)/KqT.|g 4z>N{Y3 &yt:%SIS? Highmark Blue Cross Blue Shield of Western New York NYSHIP Online contains health plan information for State and Local Government active enrollees. The Empire Plan Supplement will be included with the 2021 UnitedHealthcare Care Provider Administrative Guide. health insurance options under NYSHIP. Ostomy supplies from Byram HealthCare Center. %PDF-1.6 % Empire Plan Health Insurance Certificate - Detailed description of the benefits and plan requirements. Important Exam Alert Updates Due to Weather Conditions. Behavioral Health Program, (except administration of enteral formula through a tube for patients whose primary coverage is Medicare), 2023 UnitedHealthcare | All Rights Reserved, Healthcare Provider Administrative Guides and Manuals, Prior authorization and notification requirements, Empire Plan supplement - 2022 Administrative Guide, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Empire Plan Durable Medical Equipment (DME) Notification List for Members with Primary Empire Plan Coverage, UnitedHealthcare Benefits Management Program, Managed Physical Network, Inc. (MPN) Managed Physical Medicine Program, UnitedHealthcare Home Care Advocacy Program, Empire BlueCross Benefits Management Program, Beacon Health Options, Inc. Behavioral Health Program, Empire Blue Cross Blue Shield Benefits Management Program, Diabetic shoes (when the Empire Plan is primary coverage), DME items listed on the DME Notification List atuhcprovider.com/priorauth > Advanced Notification and Plan Requirement Resources > Empire Plan Notification Lists >. However, for a complete list of covered services and more comprehensive information explaining how services are covered, refer to your Certificate of Coverage, At A Glance and other plan material. Your NYSHIP coverage will terminate at the end of the current plan year, and the incentive payments will begin with the first payroll period of the new plan year. Rates and Health Plan Choices - Information on your b>NYSHIP provides wide-ranging insurance coverage to over 1. If your other employer-sponsored coverage begins on January 1, 2022 and your first NYSHIP pay period for the new plan year begins before January 1, 2022, please Effective July 1, 2020, The Empire Plan will expand its network of acupuncture providers. The Mental Health Parity and Addiction Equity Act of 2008 required healthcare plans to provide mental health benefits equal to medical and surgical coverage. 2&pqA8@BV)yS,yQX>,OFJx=uNT@4T>BD"5A 1 Is this what I will pay if I experience one of these events? This program offers a PPO, known as the Empire Plan, and several different HMOs, varying by geographic region around the State. Service areas may change from year to year. Click here for a table of the counties each HMO serves in 2023, Highmark Blue Cross Blue Shield of Western New York, Highmark Blue Shield of Northeastern New York, Demographic Data Self-Identification Form. Does the Empire Plan work in other states? Tool properly, you will need to submit claim forms and pay a higher share of the of! your Empire Plan coverage will end and you will be disenrolled from all Empire Plan health insurance coverage, including medical/surgical, hospital, mental health/substance abuse and prescription drugs. 0000003021 00000 n Prior versions also remain in circulation. 0000001530 00000 n The Coverage Examples that are included in the SBC are based on a standard set of services that a patient might receive in either scenario. NYS Department . Joseph Elie 2023 Empire Plan and NYSHIP Rates for State Employees. 0000015114 00000 n Civil Service contracts with Beacon Health Options (Beacon) to administer the MHSA program for the Empire Plan. Refer to Choices for 2023 and other plan material for more detailed information. Empire Plan participants are given NYSHIP ID cards by the State of New York Department of Civil Service, the Empire Plan policyholder. Your SEHP medical coverage will be through insurance carriers under contract with NYSHIP: Empire Blue Cross Blue Shield (for hospital benefits), UnitedHealthcare Insurance Company of New York (medical/surgical), GHI/ValueOptions (mental health and substance abuse) and CIGNA/Express Scripts (prescription drugs). Welcome to NYSHIP Online, where you will find information on the New York State Health Insurance Program for State and Local Government for active employees. Empire MediBlue Select (HMO) is a Medicare Advantage and prescription drug plan. Forms - Empire Plan Claim Forms, 0 www.cs.state.ny.us. Q. The cookies is used to store the user consent for the cookies in the category "Necessary". NYSHIP will again offer the Opt-Out Program in 2023, which will allow eligible employees who have employer sponsored group health insurance, to opt out of their NYSHIP coverage in exchange for an incentive payment. Sandra Hearth is the creator and writer behind "Wellbeing Port", a blog dedicated to promoting healthy living and personal wellness. endstream endobj 173 0 obj <> endobj 174 0 obj <> endobj 175 0 obj <>stream For specific information, visit https://www.empireplanrxprogram.com or call 1-877-7-NYSHIP (1-877-769-7447) and select option 4 for the Empire Plan Prescription Drug Program. Refer to your plan material for the definition used by your plan. and highlights of benefits of the plan. Wl`*@Bq5=NRyMBQp +;O~b~s@ mHbV'au`qnA6BAXmEA:,YIK>0:{dw#[i Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical/Surgical Program. 2023 At A Glance - Easy to access benefits summary that can answer most of your general questions. 2023 At A Glance - Easy to access benefits summary that can answer most of your general questions. Overall, Sandra Hearth is a knowledgeable and passionate advocate for healthy living, and her blog "Wellbeing Port" is a valuable resource for those looking to improve their health and wellbeing. 46 verified reviews. . Table of Contents show Are mental illnesses covered by insurance? Call the Empire Plan toll-free at 1-877-7-NYSHIP (1-877-769-7447) and choose the Empire Plan NurseLine for health information and support. View exam alert here. 0000037637 00000 n &szg|n`>#ifOC,L.B5%&Rde.jMOQ}yz , ul. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plans unique terms. NYSHIP Empire Plan retirees who have Medicare as their primary insurance will be automatically enrolled in a Medicare Part D prescription plan on Jan. 1, 2013, unless they cancel coverage. The network will continue to grow as new providers contract with the Plan. We require advance notification of the procedures and services listed in the chart below. These cookies track visitors across websites and collect information to provide customized ads. To enroll in the New York State Health Insurance Program (NYSHIP) Opt-out Program. Opt-Out Program for 2023: . Only Notice of a Rate CHANGE option is the Empire Plan Grade 9 below. We're Excited To Share With You The Highlights Of Our 2022 Nyship Plan* As a hard-working New York State employee, you deserve a health plan that works hard to help you and your family get and stay healthy. 0000028277 00000 n What is the difference between The Excelsior Plan and The Empire Plan? The Excelsior Plan is a more affordable alternative to The Empire Plan. If you are a retiree, please visit NYSHIP Online for Retirees. Plastic Surgeon. 1 You are enrolled in Empire Plan Medicare Rx, which is a Medicare Prescription Drug Plan. The Summary of Benefits and Coverage is a standardized template and the cells cannot be altered, moved, or deleted by any plan. call 1-877-7-NYSHIP (1-877-769-7447) and select option 4 Log in to https://www.empireplanrxprogram.com to check for the Empire Plan Prescription Drug Program. Click here for a table of the counties each HMO serves in 2023. NYSHIP | NY State Empire Plan Out of Network . A representative will give you a list of Qualified Procedures covered by the Plan. The cookie is used to store the user consent for the cookies in the category "Analytics". Some words on the Summary of Benefits and Coverage are shown in bold and underlined. 0000048148 00000 n AHIP is the national association whose members provide coverage for health care and related services to hundreds of millions of . 520 32 The Empire Plan pays for covered hospital services, physicians bills, prescription drugs and other covered medical expenses. Your plan options under NYSHIP (Empire Plan, NYSHIP HMO) and the benefits included with each one In many situations, you will also be required to complete, sign and submit additional forms and proofs. (1), An employee will be married on June 10 and applies for a change from Individual to Family coverage on or before June 10th. 6[A'`L 0 The second set reflects 2023 biweekly rates for CSEA-represented state employees who are Grade 10 and above. There are four major sections Important Questions, Common Medical Events, Excluded Services & Other Covered Services and Coverage Examples. We also use third-party cookies that help us analyze and understand how you use this website. See NYS Department of Civil Services NYSHIP Rates and Deadlines publication. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Are pumpkin seeds good for you calories? 2023 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary - January 2023, 2022 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary - October 2022, 2022 Empire Plan Advanced Flexible Formulary - October 2022. I was approved in 24 hours after I met all of my surgeons requirements. Therapy can be expensive, with or without insurance. . The Empire Plan Participating Provider Program offers a network of over 300,000 physicians, laboratories and other providers located throughout New York and in many other states. download the nyship & medicare guide %PDF-1.7 % Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. Any brand-name drug for which a generic drug becomes available will be designated as a non-preferred drug. In general, depending on the program, members are responsible for either notifying Empire Plan program vendors of certain services or for using network care providers for these services. The Coverage Examples are: Versions for each NYSHIP HMO This does not apply to Medicare-primary Empire Plan enrollees and their covered dependents. @#AU_E*1 = se_?29}6DYBtR$Db@)O+#3NHzyAY5+uZV~}`GKO# A$jLv >aL@7 b`+i[ What foods is high in nitric oxide? Q. I see that the Coverage Examples page shows a "you pay" amount. 1-800-354-4054. _OF$ 35 East 84th Street, New York, NY 10028. 1536 0 obj <>stream . 0000000936 00000 n Yes, if you need a paper copy of the Summary of Benefits and Coverage for The Empire Plan or the Uniform Glossary, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical/Surgical Program. 0000003871 00000 n 0000004405 00000 n