Page 16 - Work Force February 2021

LiveHealth Online — Empire Plan’s telemedicine program — covered-in-full benefits extended through Dec. 31, 2021
Empire Plan claims deadlines fEor calendar year 2020
mpire Plan enrollees have until CVS Caremark
April 30, 2021 (120 days after Customer Care Correspondence
the end of the calendar year) to submit medical expenses which were incurred during the 2020 plan year to:
United HealthCare Service Corp. P.O. Box 1600
Kingston, N.Y. 12402-1600 Claims fax: 845-336-7716
Online submission:
https://nyrmo.optummessenger. com/public/opensubmit
For the Empire Plan Basic Medical Program, the Home Care Advocacy Program (HCAP) and for non- network physical therapy or chiropractic services.
Empire Blue Cross
NYS Service Center
P.O. Box 1407 – Church Street Station
New York, NY 10008-1407 Claims fax: 888-367-9788 Online claim forms: www.empireblue.com/forms/
For Empire Plan and non-network inpatient or outpatient hospital services.
Beacon Health Options, Inc. P.O. Box 1850
Hicksville, NY 11802
Claims fax: 855-378-8309 Online form: www.achievesolutions.net/ achievesolutions/en/empireplan/ Home.do
For non-network mental health and substance abuse services.
P.O. Box 6590
Lee’s Summit, MO 64064-6590
For prescriptions filled at non- participating pharmacies or at participating pharmacies without using your New York Government Employee Benefit Card.
Enrollees can call the Empire Plan at 1-877-7NYSHIP (1-877-769- 7447) with questions or to obtain claim forms. As a reminder, when using the Empire Plan’s toll-free telephone number, please pay extra attention to the choices offered by the automated system.
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 claim form, include the original billing or receipt (if requested), and don’t forget to sign the claim form.
It is important to address the ever-changing health care needs of CSEA members during these continued unprecedented times.
CSEA’s Joint Committee on Health Benefits has worked with New York State to extend the covered-in-full Empire Plan Telemedicine Program through Empire Blue Cross’ partnership with LiveHealth Online through Dec. 31, 2021.
Empire Plan enrollees will continue to have access to covered- in-full telemedicine services from board-certified doctors and licensed mental health specialists. Services are accessed by using a smartphone, tablet or personal computer. Spanish speaking providers are also available.
The LiveHealth Online Telemedicine Program is very convenient for common health concerns like colds, the flu, fevers, rashes, infections and allergies. Telemedicine allows you to see and talk to the LiveHealth Online doctor through your electronic device, while you remain in the comfort
of your home (no need to travel
to the doctor’s office or sit in the
waiting room).
Maintaining our mental health as
well as physical health is of great importance. The additional stress experienced by many over the
past year has amplified the need
for increased access to mental
health services. LiveHealth Online’s Telemedicine Program for the Empire Plan enrollees and dependents is an enhanced telemedicine program as
it also covers mental health visits (covered-in-full) with certified mental health providers.
To get started, visit www.empireblue.com/nys and select the link to LiveHealth Online to begin the registration process. When registering, or logging in if already registered, be sure to enter your Empire Plan identification number and name exactly as they appear on your identification card (this will help ensure treatment is received free of charge).
If you need assistance with
the registration process or have questions, call LiveHealth Online
at 1-888-LiveHealth (1-888-548-
3432). LiveHealth Online has representatives available 24 hours a day, seven days a week to assist you.
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16 The Work Force
February 2021
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