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
PAEX11-11
TO: Health Benefits Administrators of Participating Agencies with The Excelsior Plan
FROM: Employee Benefits Division
SUBJECT: July 1, 2011 Three-Level Preferred Drug List for The Excelsior Plan
DATE: July 14, 2011
We are pleased to announce that the updated 2011 Three-Level Preferred Drug List for The Excelsior Plan (EX0015) effective July 1, 2011 is now available. Enclosed are five copies for your information and distribution. It replaces the January 1 version (EX0013); please recycle any outdated versions on your shelves.
Note: The Drug List may change on January 1 and July 1 of each calendar year.
Online Resources Available
The updated 2011 Three-Level Preferred Drug List is available on the Department of Civil Service web site at https://www.cs.ny.gov. Click on Benefit Programs, then NYSHIP Online. Choose PA Excelsior Plan, if prompted, click on Using Your Benefits and select 2011 Three-Level Preferred Drug List Reference Guide.
Distribution
This list is not being mailed to Excelsior Plan enrollees. Please feel free to provide a copy to any enrollees who request it, or refer them to the Department of Civil Service web site at https://www.cs.ny.gov.
Ordering Publications
You may order additional copies of the 2011 Three-Level Preferred Drug List (EX0015) by using HBA Online at https://www.cs.ny.gov/ebdonline. From the HBA Online home page, open Publications & Forms, select Employees and Retirees of Participating Agencies, then click on Choose the group under NYSHIP Publication Order Forms and select PA (Participating Agencies) with The Excelsior Plan. If you need help accessing HBA Online, please call the Help Desk at (518) 457-5406.
If you have questions about this distribution, please call the Communications Unit at (518) 457-7577.