Live, work, or reside in New York State or the plan's service area.Not be insured by or eligible for coverage through the young adult's own employer-sponsored health plan.Be a child, adopted child, or stepchild of a NYSHIP enrollee (including those enrolled under COBRA).The Young Adult Option is available to young adults who meet all of the following eligibility requirements: The premium is the full cost of individual coverage for the NYSHIP option selected. Under the law, the young adult's coverage is subject to all terms of the group policy however, premiums are to be paid by the young adult or his or her parent, not the employer. The Young Adult Option is for medical coverage only dental and vision coverage is not included. The New York State Health Insurance Program allows a young adult child up to age 30 to purchase coverage through his or her parent's group health insurance policy. You can also sign up for State Health Department coronavirus email updates. Access to Beacon Lens, the Beacon Health Options Blog which provides tips on managing stress and anxiety during the coronavirus crisis.įor additional information regarding any of these benefits, members can contact Empire Plan at 1-877-7-NYSHIP.Access to the Empire Plan Nurseline (1-87, option 5), which provides information on COVID-19 and can help members who suspect they may have contracted the virus.Early prescription refills (one emergency refill of up to a 30-day supply for three prescriptions and one refill of specialty medications, during a 90-day period).Cost-sharing, copay, coinsurance, and deductible waivers for COVID-19 testing (waivers apply to both active employees and retirees). In addition, Empire Plan has coronavirus related benefits available for their members: Note: A postcard regarding this new benefit will also be mailed to enrollees in the coming week. For additional assistance, enrollees are encouraged to call The Empire Plan at 1-877-7-NYSHIP (1-87) and select option 2 for the Hospital Program. Enrollees who are already registered can login to to get a coupon code to cover the full cost of their LiveHealth Online visit. Additional information and step-by-step instructions to register are available. If enrollees are concerned about leaving their homes to receive medical care or their ability to access care, The Empire Plan will cover telehealth visits at no cost. LiveHealth Online lets enrollees stay home and have a video visit with a board-certified doctor or licensed therapist on their smartphone, tablet or personal computer. The Empire Plan is doing all they can to support its enrollees through this unprecedented time and has introduced a new telehealth benefit to help them access health care services remotely. NYS Department of Civil Service Employee Benefits Division Health Insurance Transaction Form (PS-404) for Option Transfer Period Health Insurance Transaction Form (PS-404) Prescription Drugs: contact your health insurance plan for information Health Insurance Choices 2021 Supplement for PBANYS and PEF Plan Details | Provider Directory | United Health Care (Group #030500) But make sure your PCP knows of the providers in this network.2023 Health Insurance Rates (effective ):įor Classified employees in titles equal to SG-9 and below įor UUP and M/C Professional Employees with annualized salaries less than $47,024įor Classified employees in titles equal to SG-10 and above For UUP M/C Professional Employees with annualized salaries of $47,024 or more You don’t need a referral to see a specialist.For the few covered services not available within the POS network, you may see an out-of-network provider at the in-network benefit level.Emergency services are covered at the highest benefit level whether the provider is in the POS network or not.You can see an out-of-network provider, but you will pay more of the bill.You’ll have a lower deductible and coinsurance if you see a provider in the POS network.You’ll choose a primary care provider (PCP) from the POS network to manage your health care needs.These added choices may give you more flexibility when you need care. A POS plan has a lower premium than a PPO plan, but still provides options for choosing health care providers. A Point of Service plan, or POS, is a health plan that uses certain doctors and hospitals, called your POS provider network.
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