The Empire Plan is a unique health insurance plan designed especially for public employees in New York State. Empire Plan benefits include inpatient and outpatient hospital coverage, medical/surgical coverage, Centers of Excellence for transplants, infertility and cancer, home care services, equipment and supplies, mental health and substance abuse coverage and prescription drug coverage.
GOVERNOR
DEPARTMENT OF CIVIL SERVICE
ALBANY, NEW YORK 12239
www.cs.ny.gov
COMMISSIONER
DANIEL E. WALL
EXECUTIVE
DEPUTY COMISSIONER
PA94-19
TO: Participating Agency Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: 1995 Deductible and Maximum Coinsurance under Empire Plan Basic Medical Program
DATE: December 9, 1994
Annual Medical Deductibles:
Effective January 1, 1995, the Empire Plan Basic Medical annual deductible will increase to $209 per enrollee, $209 per enrolled spouse and $209 per all dependent children combined for enrollees in the Core plus Medical and Core plus Medical plus Psychiatric options.
This change reflects the 4.5 percent increase in the medical care component of the Consumer Price Index for Urban Wage Earners and Clerical Workers, All Cities (C.P.l. - W.) for the period July 1, 1993 through June 30, 1994.
The annual deductible remains at $500 per enrollee, $500 per enrolled spouse and $500 per all dependent children combined for enrollees in the Core only and Core plus Psychiatric options.
Maximum Coinsurance (Out-of-Pocket Expense):
Effective January 1, 1995, the maximum coinsurance (out-of-pocket expense) for enrollees in the Core plus Medical and Core plus Medical plus Psychiatric options will increase to $1,005 to reflect the change in the C.P.l.-W.
The maximum coinsurance will remain at $2,500 for enrollees in the Core only and Core plus Psychiatric options.
Notices for Posting:
Please copy and post this memo. Or you may prepare a posting specific to your agency. If you are a Health Benefits Administrator in an agency with regional offices, please distribute notices to the regional locations as well. The 1995 deductible and maximum coinsurance amounts will be included in the next Empire Plan Report.