Skip to main content

Using Your Benefits

Empire Plan Copayments

Empire Plan Programs and Administrators Contact Info

Telephone Numbers - General contact information for health and other benefits, benefit funds, and State and U.S. government.

Publications - A library of recent publications related to your benefits.

Empire Plan Providers, Pharmacies and Services

Forms - Empire Plan Claims Forms and Non-Participating Provider Claims Forms and Administrative Forms.

2018 Empire Plan Flexible Formulary

2017 Empire Plan Flexible Formulary

Drugs that Require Prior Authorization

Specialty Pharmacy Drug List

Excluded Drug List

2018 At A Glance - Easy to access benefits summary that can answer most of your general questions.

2018 Empire Plan Preventive Care Coverage

Archived Publications

Health Benefits Administrators

Young Adult Option Coverage

Format Options for Forms and Publications