Results of Dependent Eligibility Audit

During the past year, the Department of Civil Service (DCS) conducted an eligibility audit to verify that any enrollee’s dependents covered under the New York State Health Insurance Program (NYSHIP) meet the state’s definition of an eligible dependent. If they were found to be ineligible, either because the enrollee failed to submit the required documentation or submitted incomplete documentation, DCS terminated the dependent’s coverage...Click here for more

Use a Par Lab to Avoid Unexpected Expenses

United Healthcare’s (UHC’s) network of participating laboratory (par lab) service providers for The Empire Plan Medical Program includes a combination of LabCorp, as the only national provider, plus other local, regional and hospital-owned labs and draw stations.  Enrollees who are not familiar with how the Plan works, may find that their out-of-pocket costs for lab services are higher than they expected...Click here for more

     Continuing Coverage for Dependents Who Graduate or Leave School

Your unmarried dependent children who are age 19 or over but under age 25 are eligible for coverage in the New York State Health Insurance Program (NYSHIP) if they are full-time students at an accredited secondary or preparatory school, college or other educational institution, and are otherwise not eligible for employer group or military health care coverage (e.g., cadets at U.S. military academies).  They continue to be eligible until the earlier of the following dates:...Click here for more