Empire Plan Claims Deadline for Calendar Year 2019
Empire Plan enrollees have until April 30, 2020 (120 days after the end of the calendar year) to submit medical expenses which were incurred during the 2019 plan year.
Network providers/pharmacies will submit claims directly to the appropriate insurance carrier on your behalf when provided with all necessary information.
If you have a non-network claim submission, make sure you complete the requested subscriber information on the appropriate claim form, include the original billing or receipt (if requested), sign and return the claim form.
- Claim submission for Empire Plan Basic Medical Program, the Home Care Advocacy Program (HCAP) and for non-network physical therapy or chiropractic services:
United HealthCare
P.O. Box 1600
Kingston, N.Y. 12402-1600
Claims submission fax: 845-336-7716
https://nyrmo.optummessenger.com/public/opensubmit
- Claim submission for Empire Plan non-network inpatient or outpatient hospital services:
Empire Blue Cross
NYS Service Center
P.O. Box 1407, Church Street Station
New York, NY 10008-1407
Claims submission fax: 888-367-9788
www.empireblue.com/forms
- Claim submission for Empire Plan non-network mental health and substance abuse services:
Beacon Health Options, Inc.
P.O. Box 1850
Hicksville, NY 11802
Claims submission fax: 855-378-8309
www.achievesolutions.net/empireplan
- Claim submission for Empire Plan prescriptions filled at non-participating pharmacies or at participating pharmacies without using your New York Government Employee Benefit Card use:
CVS Caremark
P.O. Box 52136
Phoenix, AZ 85072-2136Please contact the Empire Plan at 1-877-7NYSHIP (1-877-769-7447) with additional questions about claim submissions or to obtain claim forms.