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Westchester Medical Center Update

We are pleased to advise you that the Westchester Medical Center Health Network (WMCHN) and Empire BlueCross (the administrator for the Empire Plan Hospital Program) have reached a contract agreement that reinstates the hospital system’s network status retroactive to June 1, 2019. WMCHN includes the following facilities: Bon Secours—Good Samaritan Hospital; Bon Secours—Mercy Community Hospital; Bon Secours—St. Anthony’s Hospital; Mid-Hudson Regional Hospital and Westchester Medical Center.

This means that claims for covered services received at these facilities on or after June 1, 2019, will be processed at the in-network level of benefits subject to any applicable in-network copayment.

Empire Plan enrollees who have any questions should be advised to call The Empire Plan toll-free at 1-877-7-NYSHIP (1-877-769-7447) and select option 2 for the Hospital Program.

Security Incidents Involving Quest Diagnostics and LabCorp

Quest Diagnostics (Quest) and LabCorp recently reported two separate security incidents involving their debt collection vendor, American Medical Collection Agency (AMCA). AMCA, a third-party vendor used for patient debt collection, may have been the victim of a malware-attack, resulting in exposure of certain personal information. This information is reported to include social security numbers and financial data, such as credit card information. Laboratory test results were not included. This issue is limited to only those Quest and LabCorp patients who had a past due balance for lab services that were sent to the collections vendor, AMCA, where the security incident occurred.

Quest and LabCorp have stated they are working closely with AMCA to determine the facts and understand which health plan members are affected. Although these two incidents did not directly involve NYSHIP, the Department of Civil Service will continue to provide updates as additional information becomes available.

See the complete PEF Health Benefits page here.

Table of Contents – July-August 2019