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How will I pay for my health insurance as a retiree? You will pay your share of the premium through deductions from your ERS or TRS pension check. It may take several months before your deductions begin; the NYS Department of Civil Service (CS) will bill you in the meantime.
Your SEHP medical coverage will be through insurance carriers under contract with NYSHIP: Empire Blue Cross Blue Shield (for hospital benefits), UnitedHealthcare Insurance Company of New York (medical/surgical), GHI/ValueOptions (mental health and substance abuse) and CIGNA/Express Scripts (prescription drugs).
Empire is proud to serve Medicaid members in New York. You or your child(ren) may be eligible for Medicaid through Empire if you: Live in Brooklyn, the Bronx, Manhattan, Nassau, Putnam, Queens, or Staten Island County.
SUNY participates in the New York State Health Insurance Program (NYSHIP). This program offers a PPO, known as the Empire Plan, and several different HMOs, varying by geographic region around the State. Specific coverage provisions and plan design vary by health insurance plan and by employee bargaining unit.
Effective July 1, 2020, The Empire Plan will expand its network of acupuncture providers. The enhanced network will provide access to more than 400 acupuncture providers at over 500 different locations throughout New York State. The network will continue to grow as new providers contract with the Plan.
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Empire is proud to serve Medicaid members in New York. You or your child(ren) may be eligible for Medicaid through Empire if you: Live in Brooklyn, the Bronx, Manhattan, Nassau, Putnam, Queens, or Staten Island County.
NYSHIP is the New York State Health Insurance Program \u2013 a comprehensive health insurance program for New York State public employees comprising The Empire Plan and NYSHIP-approved Health Maintenance Organizations (HMOs). The New York State Department of Civil Service administers NYSHIP.
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.
What is The Empire Plan? A. The Empire Plan is NYSHIP's unique health insurance plan designed exclusively for New York State's public employees and employers. The Empire Plan pays for covered hospital services, physicians' bills, prescription drugs and other covered medical expenses.
The Empire Plan members have nationwide network access, starting Jan. 1, 2021. Starting Jan. 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.

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