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
NY08-34
PE08-27
TO: New York State Health Benefits Administrators, Participating Employer Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: November 2008 NYSHIP HMO Reports and NYSHIP General Information Book Amendments
DATE: November 21, 2008
We will soon mail the November 2008 NYSHIP HMO Reports and NYSHIP General Information Book Amendments to all New York State and Participating Employer enrollees with HMO coverage except employees represented by C-82, NYSCOPBA and PIA. Please note that the HMO Reports for PBA-S and PBA-T are dated January 2009 due to their recent settlement.
The NYSHIP HMO Report includes:
New York State Health Insurance Program (NYSHIP) Changes
Leaving School Before Graduation, Workers’ Compensation Assault Benefit (except PE, Retiree, UCS and UUP), Dependent Eligibility Verification Project and IRMAA Reimbursement
NYSHIP Reminders
Pre-Retirement Seminars and Annual Notice of Mastectomy
NYSHIP General Information Book Changes
Waiting Period (M/C only), Leaving School Before Graduation, When Your Family Coverage Begins, Health Care Spending Account, Workers’ Compensation (except PE, Retiree, UCS and UUP) and Medicare Reimbursement
Distribution of Reports
These publications will be mailed to enrollee homes in late November 2008. We will send you a supply of each publication equal to 2 percent of your affected enrollment. These publications will be included in the new hire and new retiree packages that are available to order on HBA Online only.
Publications available on this web site
Please check this web site for new publications. We generally post publications when we sign off for printing. That means you can see the publications before enrollees start receiving them.
Ordering Publications
You may order additional copies of the HMO Reports, including Amendments, by using the Publications Supply Order Forms enclosed with your shipment. Or, instead of faxing the form, you may order on HBA Online. From the homepage, select the Benefit Programs button from the left hand navigation. Then click on HBA Online. Open Publications & Forms, then open NYSHIP Publication Order Forms. If you need help accessing HBA Online, please call the Help Desk or your processor.
If you are unsure of how to order publications or have questions about this distribution, please call the Communications Unit at 518-457-7577.