)hV|VMtFvoy%|{Pr^  SUNY participates in the New York State Health Insurance Program (NYSHIP). 0000000016 00000 n Important Exam Alert Updates Due to Weather Conditions. Analytical cookies are used to understand how visitors interact with the website. You are a paid member of the New York State Legislature. Click the plan names below to view a Summary of Benefits and Coverage for each option. 2&pqA8@BV)yS,yQX>,OFJx=uNT@4T>BD"5A 1 The first set reflects 2023 biweekly rates for CSEA-represented employees who are Grade 9 and below. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. 2022-2023 Benefit Changes for HMO Rx Plans. ;1R K `I,%'% XBK* M9Ho,qxHySHA\jS7z oG The Empire Plan is NYSHIPs unique health insurance plan designed exclusively for New York States public employees and employers. h04E*y!j0XLi*Mb &yX$h View exam alert here. A. Click here to view a PDF copy that can be printed if necessary. Your plan options under NYSHIP (Empire Plan, NYSHIP HMO) and the benefits included with each one In many situations, you will also be required to complete, sign and submit additional forms and proofs. Health (2 days ago) Web2023 Empire Plan and NYSHIP rates for state employees - CSEA, AFSCME 2023 Empire Plan and NYSHIP Rates for State Employees 2023 State NYSHIP Enrollee Biweekly Premium Cseany.org . endstream endobj 105 0 obj <>>>/Filter/Standard/Length 128/O(788Y]>fkwgGh; )/P -1340/R 4/StmF/StdCF/StrF/StdCF/U(m]} )/V 4>> endobj 106 0 obj <> endobj 107 0 obj <> endobj 108 0 obj <>stream Z?j|TCI:AANg. -network expenses incurred under the Prescription Drug Program is $3,050 for Individual coverage and $6,100 for Family coverage for both the Empire and Excelsior Plans. 0000037637 00000 n A one-ounce portion (roughly a quarter cup) of raw . Before you receive services, call the Empire Plan at 1-877-7NYSHIP (1-877-769-7447) and choose UnitedHealthcare. To join this plan, you must: Be entitled to Medicare Part A, Enrolled in Medicare Part B, and Live in our service area. As a certified health coach and yoga instructor, Sandra has a wealth of knowledge and experience in the fields of health and wellness. If you would like to change your NYSHIP option for the 2022 plan year, . hKo J$.6 !E9m-L"=o?K@-I2%'"Y%MB 9'pd^h'!A$H0 QYkq 0JB mIp`D ,NU! Empire Plan Health Insurance The federal law requires the inclusion of annual out-of-pocket costs on employee health insurance benefit cards and impacts all NYSHIP plans. Click here for a table of the counties each HMO serves in 2023, Highmark Blue Cross Blue Shield of Western New York, Highmark Blue Shield of Northeastern New York, Demographic Data Self-Identification Form. #DAek@mW!?Z)xQgCe }&=~$!7*21*bM share the cost for covered health care services. NYSHIP will again offer the Opt-Out Program in 2023, which will allow eligible employees who have employer sponsored group health insurance, to opt out of their NYSHIP coverage in exchange for an incentive payment. Click the plan names below to view a Summary of Benefits and Coverage for each option. 1 . Independent Health 133 0 obj <>/Encrypt 105 0 R/Filter/FlateDecode/ID[<284018234B545685DBF720F06BF76BDD><10A0142CE4365F44B1C7886A1A246CFA>]/Index[104 51]/Info 103 0 R/Length 128/Prev 335407/Root 106 0 R/Size 155/Type/XRef/W[1 3 1]>>stream Other uncategorized cookies are those that are being analyzed and have not been classified into a category as yet. Verify your health insurance coverage when you arrange your first visit. Does the Empire Plan work in other states? The Empire Plan is NYSHIP's unique health insurance plan designed exclusively for New York State's public employees and employers. E.g. The Empire Plan is the primary health benefits plan for NYSHIP, providing coverage to about 1.1 million members. The site will remember your group for future visits. The 2023 Administrative Guide for Commercial, Medicare Advantage and DSNP is applicable to all states except North Carolina. The new benefit cards will include annual deductibles and out-of-pocket maximum information. !28@OJ@>Wss1j.Fgferx}A> KM#5ItDcDE6s0.`!:vI4MAPgp Average Cost of Therapy Therapy generally ranges from $65 per hour to $250 or more. The average cost of psychotherapy in the U.S. ranges from $100 to $200 per session (depending on the state), according to a 2019 report by SimplePractice, a practice management system for mental health professionals. terminate your NYSHIP (Empire Plan and Medicare Advantage Plans) benefits Call EBD if you have any questions. It can also cause testicular shrinkage and breast enlargement in men. %PDF-1.4 % T\,ZRf6-3A|jbSgE$Qov*:|5$!82 q+48+p4^qcj3(~ j}R;M.Gh3[mF"l. NYS Department . The specific services covered will depend on your state. 0000006769 00000 n The Summary of Benefits and Coverage is a simple, federally mandated table intended to aid consumer understanding. This document does not provide the full scope of coverage under any plan and should not be construed as a complete description of a plan's benefits. 2022 NYSHIP Benefit Plan Comparison . United HealthCare has provided a summary of changes to their benefits plan as a result of the COVID-19 pandemic. |m34# |nd)|`lF5U|{h#?82 #C?$cqYPlYoLeIP8u?tlzB2Sv>Rx#y>b Z=cT?Xaocz'y_~S;]Xn$Y#Tp'}[6!t Empire Plan General Information Book The cookie is used to store the user consent for the cookies in the category "Performance". When a generic She started her blog as a way to share her passion for healthy living with others and to provide practical tips and advice for those looking to improve their overall wellbeing. Q. The LIRR Benefits page, or . 2023 Empire Plan Advanced Flexible Formulary - January 2023 2022 Empire Plan Advanced Flexible Formulary - October 2022 Empire Plan Providers, Pharmacies and Services Forms - Empire Plan Claim Forms, Non-Participating Provider Claim Forms and Administrative Forms. For specific information, visit https://www.empireplanrxprogram.com or call 1-877-7-NYSHIP (1-877-769-7447) and select option 4 for the Empire Plan Prescription Drug Program. Creatine. If the request is made within 30 days after the event date, then coverage becomes effective on the first day of the . NYSHIP | NY State Empire Plan Out of Network . New York State Empire Plan Hospitalization via Blue Cross; major medical & surgical via United Health Care In-network or out-of-network coverage options Empire Plan Participating Providers Health Benefits Summaries & Bi-Weekly Insurance Rates Visit our Benefits at a Glance page ANNUAL Option Transfer (AOT) Period Born and raised in the bustling city of New York, Sandra has always been drawn to the idea of living a balanced and fulfilling life. The Empire Plan Supplement will be included with the 2021 UnitedHealthcare Care Provider Administrative Guide. Click here for a summary. Saliva: Edibles can be detected in saliva for 1 to 3 days. To get started, you MUST select one of the following: Access health care services remotely using The Empire Plan's new, Click here for NYSHIP Online for RETIREES, Demographic Data Self-Identification Form. Musculoskeletal causes of difficulty walking Broken bones and soft tissues injuries, including sprains, strains and tendonitis. 1536 0 obj <>stream 2023 At A Glance - Call the Empire Plan toll-free at 1-877-7-NYSHIP (1-877-769-7447) and choose the Empire Plan NurseLine for health information and support. To enroll in the New York State Health Insurance Program (NYSHIP) Opt-out Program. 0000007764 00000 n This information is current as of 1/11/2023, and is subject to change. Current versions of NYSHIP ID cards are displayed on the following page. Download the Form: Yes, if you need a paper copy of the Summary of Benefits and Coverage for The Empire Plan or the Uniform Glossary, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical/Surgical Program. Is this what I will pay if I experience one of these events? There are four major sections Important Questions, Common Medical Events, Excluded Services & Other Covered Services and Coverage Examples. These services are likely to identify members with unmet health care needs who will benefit from UnitedHealthcares programs, or those of other Empire Plan vendors. Forms - Empire Plan Claims Forms Main Campus Contact. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. %PDF-1.6 % For more information about your coverage, or to get a copy of the complete terms of coverage, visit www.cs.ny.gov or call 1-877-7-NYSHIP (1-877-769-7447). Certificate - Detailed description of the benefits and plan requirements. Once the 2023 NYSHIP Rate Flyers are printed, they will be mailed to individual homes by New York State. No action is necessary for those State employees who are currently enrolled and continue to qualify for the Opt-Out Program. 154 0 obj <>stream If your other employer-sponsored coverage begins on January 1, 2022 and your first NYSHIP pay period for the new plan year begins before January 1, 2022, please NYSHIP Online Guidelines for Web Navigation. Wl`*@Bq5=NRyMBQp +;O~b~s@ mHbV'au`qnA6BAXmEA:,YIK>0:{dw#[i Your specific prescription benefit plan design may not cover certain products or categories, regardless of their appearance in this document. 2023 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary - January 2023, 2022 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary - October 2022, 2022 Empire Plan Advanced Flexible Formulary - October 2022. See the 2023 State NYSHIP Enrollee Biweekly Premium Contributions !nnl^;Fg)/KqT.|g 4z>N{Y3 &yt:%SIS? But opting out of some of these cookies may affect your browsing experience. Verify your health insurance coverage when you arrange your first visit. Main Campus Office: S-5415 Melville Library. . If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical/Surgical Program. You can get reimbursed up to $400 per plan year. enrollees through NYSHIP. Hv\MzYGc{?6{3*1.~l}~`8-r&dx@Nf B$0`8&D`2p- Group Medicare Benefits Summary and Rx Rider - 2022 . 0000037518 00000 n Healthcare Provider Administrative Guides and Manuals The following links provide information including, but not limited to, prior authorization, processing claims, protocol, contact information and resources. Why do insurance companies not cover mental health? Rocky Mountain Detox, Treatment Center, Lakewood, CO, 80214, (413) 359-6401, Desert Cove Recovery believes in providing holistic care and treatment for chemical dependency, and alcohol addiction . NYSHIP Empire Plan retirees who have Medicare as their primary insurance will be automatically enrolled in a Medicare Part D prescription plan on Jan. 1, 2013, unless they cancel coverage. Nyship Empire Plan benefits 2022 want for 2022, as set forth in charts. The Empire Plan will issue new 2023 benefit cards for all enrollees and covered dependents. The Empire Plan pays for covered hospital services, physicians bills, prescription drugs and other covered medical expenses. . 0000004405 00000 n Always refer to other plan material, such as Choices for 2023 for more information about The Empire Plan and NYSHIP HMOs if you are making a decision about your family's coverage. We require advance notification of the procedures and services listed in the chart below. If you are a retiree, please visit NYSHIP Online for Retirees. A mental health diagnosis can prevent people from qualifying for life insurance or increasing their existing plan. This cookie is set by GDPR Cookie Consent plugin. %PDF-1.6 % 35 East 84th Street, New York, NY 10028. Are pumpkin seeds good for you calories? 6[A'`L Table of Contents show Are mental illnesses covered by insurance? AHIP is the national association whose members provide coverage for health care and related services to hundreds of millions of . 0000008482 00000 n What is the difference between the Empire plan and the Excelsior plan? Summary of Benefits. 1 You are enrolled in Empire Plan Medicare Rx, which is a Medicare Prescription Drug Plan. Services such as therapist visits, group therapy, and emergency mental healthcare are typically covered by health insurance plans. We're Excited To Share With You The Highlights Of Our 2022 Nyship Plan* As a hard-working New York State employee, you deserve a health plan that works hard to help you and your family get and stay healthy. Blue Choice The open enrollment period to request participation in these programs ends December 12, 2022. The New York State Health Insurance Program (NYSHIP) offers eligible employees the option of choosing either The Empire Plan or a NYSHIP HMO for health insurance coverage. View exam alert here. and Non-Participating Provider Claim Forms and Administrative Forms. NYSHIP Claims and Administrative Forms, Copyright 2020 | CSEA Local 1000, AFSCME, AFL-CIO, See the 2023 State NYSHIP Enrollee Biweekly Premium Contributions, See NYS Department of Civil Services NYSHIP Rates and Deadlines publication, Health Insurance Transaction Form PS-404, Health Insurance Affordability and Accountability Act EBD-543. Category: Health Detail Health Important Exam Alert Updates Due to Weather Conditions. Empire MediBlue Select (HMO) is a Medicare Advantage and prescription drug plan. 172 0 obj <> endobj q@9[2}8F9(|6r;7// yJ3n+NpBU@eJb@yacPcBiAZc(2#6MJmtjAENjO+Y_*W?1. We also use third-party cookies that help us analyze and understand how you use this website. hV]k1+ 6 Necessary cookies are absolutely essential for the website to function properly. endstream endobj 178 0 obj <>stream What foods is high in nitric oxide? These cookies track visitors across websites and collect information to provide customized ads. This cookie is set by GDPR Cookie Consent plugin. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. There is a nationwide network of more than 1.2 million UnitedHealthcare Empire Plan participating providers, including over 70,000 Managed Physical Network (MPN) providers for chiropractic care and physical therapy. NYSHIP Online contains health plan information for State and Local Government active enrollees. Important Exam Alert Updates Due to Weather Conditions. A$jLv >aL@7 b`+i[ A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. It offers many of the same features and benefits of The Empire Plan, with a higher degree of cost sharing between the employer and plan participants. ycBQ^]}jE k@oI b"h,QM]GuiU.UeY=8Z?>-/bNriO] The Empire Plan Participating Provider Program offers a network of over 300,000 physicians, laboratories and other providers located throughout New York and in many other states. Forms - Empire Plan Claim Forms, . Refer to your plan material for the definition used by your plan. Mena Stramenga trailer <]/Prev 69751/XRefStm 1182>> startxref 0 %%EOF 551 0 obj <>stream and highlights of benefits of the plan. Q. Visit NYSHIP online :2ceuzF3rAEb (For the Empire Plan Prescription Drug Program, CVS Caremark will ask for payment information when ordering from the specialty or mail service pharmacies.) hT=o0w~2` 14U$&QCsHX>~s-JMO8A8\FNOUB. 0000005866 00000 n #Xi^Xow}6|jt42GDSh_L}F>W$-jB`=bhpA6\>a[\vHoCkIC_} o#|~VBEa-;>/:_nzY7Ykhm86 Q. Prior versions also remain in circulation. Two, many mental health and substance use providers do not accept insurance because they do not get paid enough by insurance companies for their services. The following represents the 2023 biweekly premium contributions for CSEA active state employees (and Unified Court System). to retain NYSHIP coverage provided the employee has at least 10 years of benefits eligible service, and are within 10 years of retirement. Medicare-primary Empire Plan enrollees and dependents will automatically be enrolled in Empire Plan Medicare Rx, a Medicare Part D prescription drug program with expanded coverage designed especially for Empire Plan members. 1, 2021, members of The Empire Plan will have in-network access to the UnitedHealthcare Options preferred provider organization (PPO) network for all states and U.S. territories outside of New York. The 2023 NYSHIP Option Transfer and Pre-Tax Contribution Program (PTCP) Election Period runs from Thursday, December 1, 2022 through Friday, December 30, 2022. . Only Notice of a Rate CHANGE option is the Empire Plan Grade 9 below. Your HBA, usually located in your agencys personnel office, can also print you a copy. +GGq9z The Empire Plan pays for much of the Medicare Part A and B deductible and coinsurance amounts if you use The Empire Plan provider network, and may pay for some other medical expenses not paid by Medicare. 0000031169 00000 n That's $200 for each six-month enrollment period you attend View Details Wellbeingport.com Membership Plan View More FAQs: Health Insurance & Medicare Frequently Asked Questions Your Empire Plan participating provider has a participating provider agreement in effect with UnitedHealthcare or MPN; submits claims directly to UnitedHealthcare for covered services or supplies you receive; and accepts your copayment plus UnitedHealthcare's payment as payment in full for covered services and supplies. Highmark Blue Cross Blue Shield of Western New York In general, depending on the program, members are responsible for either notifying Empire Plan program vendors of certain services or for using network care providers for these services. In most areas of the country, a person can expect to pay $100-$200 per session. This is only a summary. ;Yg.j$~}sy;^;j*LZ46F[&ZbUloOn_jp?KNayrY^7l`Z>h\%Cqy1_eh^Ci/Z`|xtk$1C@b"0K8'hP0A[("4Q Does Empire plan pay Medicare deductible? 12 Oct 2022. Your NYSHIP coverage will terminate at the end of the current plan year, and the incentive payments will begin with the first payroll period of the new plan year. 0000006249 00000 n Please note there are two sets of rates. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. The Coverage Examples are: Versions for each NYSHIP HMO In the U.S., the fee for a single session frequently falls between $100 and $200, but many providers will offer lower fees, while some charge more. These terms are defined in the Uniform Glossary, a non-customized companion document to the SBC. Welcome to NYSHIP Online, where you will find information on the New York State Health Insurance Program for State and Local Government for active employees. Additional information can be obtained from agency health benefit administrators. You must callThe Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and Press or Say 2 for the Hospital Program: Before a maternity or scheduled (nonemergency) hospital admission. These definitions are intended to help improve consumer understanding and do not necessarily reflect your plans definition of the same term. hb```b``ea`e`f`@ +zR&I\O7. 001 The Empire Plan For employees of the State of New York who are M/C; Legislature; UCS; represented by CSEA, DC-37, . ul. Rates and Health Plan Choices - Information on your health insurance options under NYSHIP. The Coverage Examples that are included in the SBC are based on a standard set of services that a patient might receive in either scenario. This program offers a PPO, known as the Empire Plan, and several different HMOs, varying by geographic region around the State. endstream endobj 173 0 obj <> endobj 174 0 obj <> endobj 175 0 obj <>stream Q. I see that the Coverage Examples page shows a "you pay" amount. endstream endobj startxref The annual Option Transfer Period for State employees will begin Thursday, December 1, 2022, and end Friday, December 30, 2022. 0000003871 00000 n The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), covers over 1.2 million active and retired State and participating organizations' employees and their dependents. 2023 At A Glance - Easy to access benefits summary that can answer most of your general questions. 0000004228 00000 n 1 Sep 2022. This notification list may be modified. 0000004634 00000 n Side-by-side comparison and highlights of benefits of the plan with drug coverage 2022 Summary of Benefits and Coverage How you and the plan would share the cost for covered health care services 2022 Summary of Benefits and Coverage Rx Plans How you and the plan would share the cost for covered health care services with drug coverage What is The Empire Plan? ke. 104 0 obj <> endobj endstream endobj startxref NYSHIP requires retirees and their dependents to be enrolled in Medicare parts A and B when first eligible for primary Medicare coverage due to age or disability. Call 1-877-7-NYSHIP (1-877-769-7447) and follow the prompts to notify the appropriate program carrier/vendor as outlined below, or go to uhcprovider.com/paan. Corns, calluses, sores or warts. 0000015114 00000 n These cookies ensure basic functionalities and security features of the website, anonymously. Jan 2017 - Jan 2022 5 years 1 month. Patients can appeal life insurance companies decisions by explaining why their mental health care is necessary. Empire Plan Health Insurance Certificate - Detailed description of the benefits and plan requirements. Nitric oxide is a gas we make , Blood: THC from edibles can be detected for 3 to 4 days in blood. View exam alert here. Congenital deformities or conditions that are present at birth. February 3, 2022 26 Coverage for Children Over 26 . A couple of reasons: One, there are shortages of mental health professionals in general, and particularly in certain parts of the country. endstream endobj 176 0 obj <>stream @#AU_E*1 = se_?29}6DYBtR$Db@)O+#3NHzyAY5+uZV~}`GKO# A representative will give you a list of Qualified Procedures covered by the Plan. Payment from Empire Insurance coverage will pay for your hearing aids 100%. Over-the-Counter (OTC) At-home COVID-19 Test Reimbursement Form Health Benefits News NYS Benefits Empire Plan HMOs Dental Vision FAQ endstream endobj 177 0 obj <>stream Empire BlueCross (Empire) is the trade name of Empire HealthChoice Assurance, Inc. and Empire BlueCross HMO is the trade name of Empire HealthChoice HMO, Inc. 0 TD~om=9f;T^Uo>*-N!\%vq{K\QLL)8"rVo{/J!r8QO#Xn%NOPOliQ0*$xBGX8HxHT\T)fO%4b]fle^ Are mental illnesses covered by insurance? See NYS Department of Civil Services NYSHIP Rates and Deadlines publication The annual Option Transfer Period for State employees will begin Thursday, December 1, 2022, and end Friday, December 30, 2022 . www.cs.state.ny.us. 0000010767 00000 n 0000008973 00000 n It includes hospital, medical and prescription drug benefits in one plan. Although Empire Plan prescription drug services (retail, mail order and the Specialty Pharmacy Program) are not available outside of the United States (and its territories), you may file a paper claim for partial reimbursement after paying out of pocket for a valid prescription at a pharmacy. Within 48 hours, or as soon as reasonably possible after an emergency or urgent hospital admission. This does not apply to Medicare-primary Empire Plan enrollees and their covered dependents. The presence or absence of a procedure or service on this list does not mean that benefit coverage exists for that procedure or service. The Empire Plan is the primary health insurance plan for NYSHIP, serving about 1.1 million members. Overall, Sandra Hearth is a knowledgeable and passionate advocate for healthy living, and her blog "Wellbeing Port" is a valuable resource for those looking to improve their health and wellbeing. NYSHIP General Information Book - General eligibility and enrollment rules and information. What is the , It raises the risk for heart disease, cancer, liver damage, and stroke. Sandra Hearth is the creator and writer behind "Wellbeing Port", a blog dedicated to promoting healthy living and personal wellness. The member benefit contract will determine whether a procedure or service is covered. NYS Empire Health Insurance includes a benefit for hearing aid coverage. Do NOT follow this link or you will be banned from the site! If you believe you were the victim of a scam involving at-home test kits or any scam related to your health benefits, please refer to guidance posted by the Federal Trade Commission (FTC) . 0000028277 00000 n Tel: 631-632-6570. westchapter@uupsbu.org. Joseph Elie Terms defined in the Uniform Glossary call 1-877-7-NYSHIP (1-877-769-7447) and select option 4 Log in to https://www.empireplanrxprogram.com to check for the Empire Plan Prescription Drug Program. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. mL>pXT VW(y!q[!cq)i=nDv#h-&HVhg 2023 At A Glance - Easy to access benefits summary that can answer most of your general questions. A. It's unlikely that you would pay the same amount listed in the "you pay" cell of the Summary of Benefits and Coverage. Non-Participating Provider Claim Forms and Administrative Forms. Can creatine cause irregular heartbeat? 4.80. Welcome to EBD - In addition, the Affordable Care Act requires that plans offered through the health insurance exchanges cover services for mental health and substance-use disorders. Your SBC may provide you with some information that will explain how you are covered for certain services, such as what your copayment is. ID cards, Empire Plan supplement - 2022 UnitedHealthcare Administrative Guide. The cookie is used to store the user consent for the cookies in the category "Analytics". %PDF-1.7 % PLEASE NOTE: This link brings you to New York States NYSHIP Online website. 2023 Empire Plan and NYSHIP Rates for State Employees. endstream endobj 1537 0 obj <>stream You have to have cookies enabled so that you will only need to access this page and select your group once. Rates and Health Plan Choices - Information on your With Empires EPO (Exclusive Provider Organization) plan, you have access to an extensive network of doctors and hospitals across the country. Rehabilitative services for addiction are also included. For Questions About: Phone Number: Precertify home care and durable medical equipment/supplies. The Mental Health Parity and Addiction Equity Act of 2008 required healthcare plans to provide mental health benefits equal to medical and surgical coverage. Highmark Blue Shield of Northeastern New York . Any brand-name drug for which a generic drug becomes available will be designated as a non-preferred drug. Certificate, 2023 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary, 2022 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary, 2022 Empire Plan Advanced Flexible Formulary, Demographic Data Self-Identification Form. Your Empire Insurance will cover $1,500 per ear every four years. Yes. NYSHIP-Empire Plan . From January 1, 2015 through December 31, 2020, Beacon processed and paid over $1.38 billion for MHSA claims.