However there is much else to be considered, including health care, planning and maintaining an active and healthy lifestyle, and possible relocation. The department of civil service will oversee an external audit of dependent eligibility in the employee and retiree health plan nyship. You will need to submit claim forms and pay a higher share of the cost if you choose a nonparticipating provider or nonnetwork provider. General information book for employees, retirees, vestees and dependent. This new york state health insurance program nyship general information book combines previous documents. General information book 1 gibpa introduction this is the new york state health insurance program nyship general information book for individuals enrolled in nyship through a local government agency that elects to participate in nyship participating agency and their covered dependents. You must submit proof of their eligibility to hms so that it is received by august 19, 2016. If you or a dependent is eligible for medicare because. As previously advised, if no action has been taken by november 29, 2019.
You may also call the employee benefits division of the nys department of civil service at 5184575754 or 18008334344. Refer to this portion of the book for information if you are still actively employed by a nyship participating employer, including if you are receiving nyship benefits while you are on a leave of absence. Health care spending and the medicare program, june day in 20for the 61st through 90th days. Coverage provided by empire blue cross blue shield, 18777697447, option 2 doctor office visits, laboratory tests and physical therapy. Nyship 2016 rates for retirees suny upstate medical university. To qualify for see your nyship general information book or ask your benefits, you must follow plan rules. Keep your information up to date notify your agency hba when changes in your family, marital or employment status affect your coverage or if your name, address or phone number changes. Karen lorito flexible spending account 2020 information and form. This book explains your rights and responsibilities as an enrollee in nyship. Managed physical medicine program when not covered. For specific information, visit or call 18777nyship 18777697447 and select option 4 for the empire plan prescription drug program. Nyshipnew york state health insurance program, student employee health plan sehp insurance provider information hospitalization and emergency room. Nyshiponline also provides a nyship plan comparison tool.
This memorandum prohibited state employees from receiving health insurance buyout payments for opting out of nyship provided coverage, unless the employee received health insurance coverage on their own from someplace other than nyship. Mar 26, 2015 cost is also affected by the nyship option you select empire plan, hmo, your type of coverage individual, family, the date you retire, your. Reimbursement of the 2015 medicare part b incomerelated monthly adjustment. The young adult option allows your child to purchase individual health insurance coverage through nyship.
For questions on specific benefits or claims, or to locate a provider, call the empire plan toll free at 18777nyship 18777697447 and choose the appropriate program. Survivors enrolled in nyship through participating employers, their enrolled. Planning for life after retirement should involve looking at ones finances. Nyship new york state health insurance program, student. April 2020 empire plan flexible formulary drug list.
The empire plan and hmo rates for 2015 are mailed to your home and. With the empire plan you can choose a participating provider or nonparticipating provider for medical services. In order for your dependents to continue to receive benefits under nyship, your action is required. Receipt of this book does not guarantee you are eligible.
York state retiree if you meet years of nyship benefitseligible state service or at least five years of be qualified to receive social security disability payments. General information book for active employees, retirees, vestees, dependent survivors of nyship participating agencies with the empire plan or the excelsior plan and their eligible dependents. A copy of your 2015 1040 claiming this child as a dependent or if you. Nyship health insurance buyout update lut levittown. Oct 1, 2016 nyship general information book and empire plan reports or hmo reports for.
This is the new york state health insurance program nyship general information book for individuals and their covered dependents enrolled in nyship through a local government agency participating agency that elects to participate in nyship. State of new york employee benefits division department of. Health insurance choices for 2015 web hosting by inmotion hosting. People with medicare who have part a but not part b. January 1, 2015 is the placeholder date being used for employees who were first eligible or continuously enrolled in nyship prior to this date. Questions regarding this bulletin may be emailed to the payroll earnings mailbox. You will need to submit claim forms and pay a higher share of the cost if you choose a nonparticipating provider or n.
The 2015 monthly cobra rates for individual coverage are. No action is required if you health insurance choices for 2020 business services center. This information is current as of december 1, 2015. What about medicare\s postacute care payment national health policy forum dec 7, 2012 data book. May 2015 what portion of the cost of health insurance must i pay as a retiree. See your nyship general information book, empire plan reportshmo. The nyship online guidelines flyer can assist you with the navigation of this site. Nyship general information book retirees information about nyship retiree coverage.
This information is being used to ensure compliance with the employer mandate provisions of the federal patient protection and affordable care act ppaca which took effect january 1, 2015. There are over 300,000 unitedhealthcare empire plan participating providers. Empire plan physician and provider manual jan 1, 2015. If you currently have coverage under an empire bluecross blueshield hmo, you must make an option change. Were improving and modernizing the way you get medicare information. Nyship general information book nys civil service ny. If you are reemployed by new york state in a benefitseligible position, you may choose to be covered in nyship as either an active employee or as a retiree. Jan 27, 2018 vestees, dependent survivors of nyship participating agencies with the empire plan or the excelsior plan and their eligible dependents. Plan nyship general information book retirees suny. If you need an auxiliary aid or service to make benefits information available to you, please contact your agency health benefits administrator. Your cost of coverage under the empire plan or a nyship hmo for september 1 through december 31, 20 will be posted on the department of civil service web site at no later. This is the new york state health insurance program nyship general information book for former. If there is a conflict in the information presented. General information book 1 ibny active introduction this is the new york state health insurance program nyship general information book for employees of new york state and their covered dependents.
Your health benefits administrator hba usually located in your agencys personnel office is the person you should contact to make any. Coverage provided by empire blue cross blue shield, 1 8777697447, option 2 doctor office visits, laboratory tests and physical therapy. Your health benefits administrator hba usually located in your agencys personnel office is the person you should contact to make any changes to your health insurance coverage. Jan 1, 2009 2001 nyship general information bookempire plan certificate and all empire. If you have questions, call 18777nyship 18777697447 and choose the program you need. Third if you are eligible to retire and delay collecting your state pension, you. Welcome to the empire plans online participating provider directory. Frequently asked questions about your health insurance.
See your nyship general information book for details. We are available 247 to help you with your prescription drug needs. Pbat, pef, uup participating employers in nyship should check with their hba to. General information book for employees, retirees, vestees and dependent survivors enrolled in nyship through participating employers, their enrolled dependents, preferred list and cobra enrollees and young adult option enrollees with their empire plan benefits.
Mar 26, 2015 general information book for new york state retirees, vestees, medicareprimary empire plan. Health insurance choices for 2017 nys civil service ny. Please call 518 64700 or 18777772273, monday through friday, 8 a. You can search for physicians by name, location andor specialty or search by condition or procedure. The nyship general information book contains information related to employee health insurance eligibility requirements.
Keep your health insurance up to date notify your agency hba when you have changes in your family, marital or employment status or if your name, address or phone number changes. Mar 26, 2015 cost is also affected by the nyship option you select empire plan, hmo, your type of. Refer to the nyship general information book for complete eligibility requirements. New york state health insurance program nyship nyshiponline is your online tool for health benefits information.
If you retire or leave state service in 2017 if you continue your nyship enrollment as a retiree or vestee, you may change your health insurance plan when your status changes. Vestees, dependent survivors of nyship participating agencies with the empire plan or the excelsior plan and their eligible dependents. Under active employees, select i am a new york state active employee ny. The 42day waiting period for otherwise eligible newly hired academic employees will begin on the actual day of professional obligation, but not earlier than september 15th. The nyship online guidelines flyer can assist you with the navigation of this site nyshiponline also provides a nyship plan comparison tool 1. This book explains certain rights and responsibilities you have as an enrollee in nyship. Live, knowledgeable cdphp member service representatives are available to answer your questions quickly and efficiently. Additional recommendations to medicare and nyship university at albany jan 1, 20 insurance program nyship and medicare that provides you with the the nyship general information book for retirees. Use the link below to search for specific types of innetwork providers. New york state department of civil service employee benefits division, albany, new york 12239 5184575754 or 18008334344. Agency completes part b, parts a and b must be completed before any other parts of the form are completed to. In may of 2012, the new state department of civil service issued policy memorandum 122r3.
If you still have questions after you have read the information in this booklet, contact your health benefits administrator hba, the empire plan program administrators or the hmos directly. Health insurance choices pages 1 50 text version fliphtml5. New york state department of civil service employee benefits division, albany, new york 12239. Promptly inform your hba about any change to ensure it is effective on the actual date of change in family status. Mar 26, 2015 general information book for new york state retirees, vestees. December 3, 2015 please note that the december 2015 issue of news and notes will contain an article updating this and other pending court cases of interest to our members. As a reminder, eligible dependents are defined in the nyship general information book as.
The covid19 pandemic has impacted all workers throughout new york, and csea has created an informational page to share accurate information regarding how this virus has impacted workers and the many labor relations issues that have arisen from workplace closures and safety protocols. Programs, then nyship online for timely information that meets universal accessibility standards adopted by new york state for nys agency web sites. For your dependents to continue to receive benefits under nyship, you must. Contact social security if you want to apply for medicare enrollment application cms. The goal is to provide a seamless and transparent experience to help you get the information you need to make good health care choices. For eligibility and cost information refer to the nyship book.
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