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
NY96-11
PE96-06
PA96-02
TO: State Agency, Participating Employer and Participating Agency Health Benefits Administrators
FROM: Employee Benefits Division
SUBJECT: Empire Plan Claims Deadline
DATE: March 13, 1996
Notice for Posting: On the reverse side of this memo is a notice for you to copy and post. If you are a Health Benefits Administrator in an agency with regional offices, please distribute notices to the regional locations as well. This notice should be posted in a convenient location until March 31, 1996.
Empire Plan Claims Deadlines
Metropolitan claims for the Empire Plan Basic Medical Program, for the Managed Physical Medicine Program and for non-network mental health and substance abuse services provided in 1995 must be submitted by March 31, 1996 (90 days after the end of the calendar year).
If the Empire Plan is the secondary insurer, Metropolitan claims must be submitted by March 31, 1996 or within 90 days after your primary health insurance plan processes your claim, whichever is later. Ask your agency Health Benefits Administrator for claim forms or call MetraHealth Service Corp. at 1-800-942-4640.
Rx
If you are covered by the Empire Plan Prescription Drug Program, you must submit claims for prescriptions filled in 1995 by March 31, 1996 (90 days after the end of the calendar year). Call ValueRx at 1-800-964-1888 for claim forms.
See your agency Health Benefits Administrator if you have questions.