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7/25/17 2017 Empire Plan Participating Provider Directory postcards

The Department of Civil Service recently mailed Empire Plan enrollees their annual postcard for the printed 2017 Participating Provider Directory. Enrollees can request a directory based on their home ZIP code by adding a stamp and returning the postcard. New York versions include New York City, Upstate, Long Island and Hudson Valley. There are northern and southern versions for Florida and the Carolinas. The directories will be mailed as they are printed, from August through October 2017.

The Department of Civil Service website (https://www.cs.ny.gov/employee-benefits.) has an online tool called Find a Provider with the most updated information. From the Active Employees page select I am an active NYS employee, then choose your group (PEF) and plan (Empire Plan). You can also call The Empire Plan at 1-877-7-NYSHIP (1-877-7769-7447) and request information about par providers.

7/18/17 Liberty Medical is Now Edgepark

Empire Plan enrollees who obtain diabetic and/or associated medical supplies through the Home Care Advocacy Program (HCAP) may have used Liberty Medical in the past. Effective July 10, 2017 those supplies will be made available through Edgepark Medical Supplies. Edgepark has enrollees’ previous information that was on file with Liberty to ensure a smooth transition process.
Enrollees who had obtained supplies through Liberty Medical will receive the attached letter explaining the transition, along with contact numbers for any additional questions they may have. Edgepark is working with FedEx and regional carriers to offer Saturday shipping at no cost to enrollees.

For additional information contact Edgepark at 1-888-306-7337.

6/15/17 On the Road with The Empire Plan

You’re taking your family on a trip this summer…Your child is going off to college this fall… You’ve finally retired and plan to spend winters in Florida… It’s good to know that The Empire Plan is there wherever you or your family goes. Before you go, however, plan ahead. Do you have your doctors’ phone numbers and your benefit card? Do you have enough of your maintenance medications? If you are Medicare primary, do you also have your Empire Plan Medicare Rx Card? And, don’t forget to pack On the Road with The Empire Plan. This informative booklet has important phone numbers and information you or a family member may need while away from home.

Empire Plan coverage is available worldwide and not just for emergencies. Most parts of The Empire Plan have two levels of benefits known as Network and Non-network. If you use an Empire Plan participating (or network) provider, you will receive medically necessary covered services and supplies at little or no cost and have no claim forms to fill out. If you use a nonparticipating (or non-network) provider, medically necessary services and/or supplies are covered, but deductibles, coinsurance and benefit limits may apply.

The Empire Plan Medical/Surgical Program has network providers in many states, and the Hospital Program, Prescription Drug Program and Medicare Rx have nationwide networks. The Empire Plan Mental Health and Substance Abuse Program, the Home Care Advocacy Program (HCAP) and the Managed Physical Medicine Program guarantee access to network benefits nationwide if you call to make the necessary arrangements before you receive services.

In the event you or a family member needs medical care while away from home, be prepared. Request the booklet On the Road with The Empire Plan from your agency health benefits administrator, usually located in your Personnel Office or the Business Services Center. If you are a retiree, contact the Employee Benefits Division of the NYS Department of Civil Service at (518)457-5754 or 1-800-833-4344. It can also be found online at www.cs.ny.gov/employee-benefits.. Select your group and plan to get to the NYSHIP Online homepage. Click Using Your Benefits and then Publications.

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