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
PA97-14
TO: Health Benefits Administrators of Participating Agencies
FROM: Employee Benefits Division
SUBJECT: October 1997 Empire Plan Reports for Participating Agencies
DATE: October 10, 1997
We will soon mail the October 1997 Empire Plan Reports for Participating Agencies with CORE Only, CORE Plus Medical Enhancement and CORE Plus Medical and Psychiatric Enhancements.
The Empire Plan Reports include the following:
Empire Plan Information
- Mastectomy bras
- 8.18% surcharge
- UnitedHealthcare name
- Ambulance service
- 1998 Deductible and Coinsurance
- Prescription Drug Program
- Claims for hospital services
- Medicare Risk HMOs
- Retiree coverage
- Certificate of Coverage
- Web site
Empire Plan Certificate Amendments
- Emergency care
- Medicare Risk HMO
- Claims
- Medically necessary.
- Ambulance services
- Mastectomy bras
- Appeals
NYSHIP Changes
- Domestic partners
- Reenrolling a dependent
- Exception for court order
- Share of premium
- Additional waiver
- Cards and benefits
- Medicare Risk HMO
The Book/Certificate section is not available as a stand-alone. You may order additional copies of the Empire Plan Report with the Book/Certificate enclosed by using your publication order supply form. Refer to the code on the back page of the Empire Plan Report for ordering.
Reporting On....Women's Health Issues
This special section, "Reporting on... .Women's Health Issues," includes general and Empire Plan specific information on health issues that are important to women. Topics include pap tests, thyroid disease, mammography and breast self-examination.
"Reporting On Women's Health Issues" will be available as a stand-alone in December. We will send you a small supply. You will be able to order the stand-alone, at that time, using the Publication Supply Order Form. (We will update the order forms as the"Reporting On. . . Women's Health Issues" are distributed.)
Distribution of Empire Plan Reports
The Reports will mail to enrollee homes in October. We will send you a supply of the Reports equal to 20 percent of your enrollment as we mail each version. We will send you a supply of the Retiree version equal to 10 percent of your enrollment when it is mailed.
We have attached a Publications Supply Order Form to this memo. All of the Reports are listed, but they will not be available right away. Please wait until you receive your supply of a specific group before you place an order.
If you are unsure how to order publications or have questions about this distribution, please call the Communications Unit at (518) 457-7577. Our FAX number is (518) 457-2494.