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
PA95-18
TO: Participating Agency Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: Empire Plan Reports and NYSHIP Changes, Empire Plan Certificate Amendments and Prescription Drug Certificate for Active Employees, Retirees, Vestees and Dependent Survivors and their Dependents enrolled through Participating Agencies with Core Plus Medica
DATE: December 22, 1995
We have prepared the December 1995 Empire Plan Report and NYSHIP Changes, Empire Plan Certificate Amendments and Prescription Drug Certificate for Active Employees, Retirees, Vestees and Dependent Survivors and their Dependents enrolled through Participating Agencies.
The Report explains benefit changes which include:
Effective January 1, 1996
- Managed Physical Medicine Program
- Domestic Partner Eligibility
- HealthCall changes regarding prospective procedure review and specialist consultant evaluation
- $25 hospital outpatient copayment
- Basic Medical benefits for routine health exams and ambulance service
- Mental Health and Substance Abuse Program
- Prescription Drug Program
Empire Plan Certificate Amendments and Prescription Drug Certificate
Changes/Amendments to the 1995 NYSHIP General Information Book and Empire Plan Certificate and the Empire Plan Prescription Drug Certificate in a book insert.
Distribution
Enrollees will receive the December 1995 Report and Certificate appropriate for their option by first class mail at their home addresses in January. You will receive a supply equal to 20 percent of your enrollment of each Report. If the Report is not deliverable to the enrollee's address, we will return the Reports to you for timely distribution to the enrollee.
Publications Supply Request Form: The attached Publications Supply Request Form is updated to allow you to order recent publications. Please do not write anything in the borders or white space on the form. Please do not use old copies of this form. Please photocopy the form, as needed.
If you are unsure how to order the publication you want, or if you have questions about this distribution, please call the Communications Unit at (518) 457-7577.