Page 16 - Work Force March 2021

EMnhance your local government contract with EBF vision plans, riders
any local government bargaining • Non-plan contact lenses receive a • Expanded frame collection to plan; available for the Platinum unit contracts will expire at the $75 allowance toward the cost include our Premier Frame line plan.
end of June. If this is the case for your unit, let your leadership know you
are interested in adding or upgrading your benefits with a CSEA Employee Benefit Fund (EBF) vision plan and/or rider. Contact your EBF representative to help decide what plan options would work best for your unit.
All of our plans entitle members and their eligible dependents to an eye exam and a pair of plan lenses and frames or an initial supply of plan contacts once per calendar year. Members using a participating provider pay no out-of-pocket expenses provided they stay within the plan lens and frame collection. Which vision plan is right for your members?
Member Plus Vision Plan (formally Solstice)
• Flexible enrollment, this voluntary
plan does not require a minimum
bargaining unit participation
• Glass, plastic, polycarbonate,
single vision lenses, bi/trifocals, standard progressive, prescription sunglasses and cataract lenses
• Scratch resistant coating included
• Plan contacts include disposable, planned replacement or soft daily
wear
Empire Plan claims deadlines for calendar year 2020
• 200+ fashion frames in various styles and colors
Silver Vision Plan
• Glass, plastic, polycarbonate, single vision lenses, bi/trifocals, standard progressive, prescription sunglasses and cataract lenses
• Scratch resistant coating included • Plan contacts include disposable, planned replacement or soft daily
wear
• Non-plan contact lenses
receive a $75 allowance
toward the cost • 200+ fashion
frames in various styles and colors
Gold Vision Plan
• Enhanced non-plan contact lens allowance that increases to $125 • Includes an occupational benefit
that may entitle the member to an additional pair of glasses for work
Platinum Vision Plan
Already have an EBF vision plan in your contract? Consider negotiating an upgrade for your base plan with one of these optional riders:
• Anti-Reflective Coating: reduces glare and reflections that can cause eye fatigue. Helpful when driving at night or working on a computer.
• High Index Lenses: thinner
and lighter lenses
that can be more
comfortable to wear for
users with strong prescriptions.
• Polarized Lenses: blocks glare; great for driving
and outdoor recreation, especially near water or road’s surface. Available for Gold and Platinum plans only.
• Plastic Photosensitive: gradually darkens when exposed to sunlight. Available for Platinum plan only.
• Ultraviolet Coating; blocks up to 99 percent of damaging UV rays.
All of the EBF’s benefits for local government units must be negotiated. Reach out to the representative for your region for assistance.
Long Island Region:
Candace Sclafani – (631) 462-5224 or lsclafani@cseaebf.org
Southern Region:
Jordan Rider – (845) 831-1000 or jrider@cseaebf.org
Capital Region:
Erin Bazinet – 1-800-323-2732, X860 or ebazinet@cseaebf.org
Central Region:
Gina Tralongo – 1-800-323-2732, X813 or gtralongo@cseaebf.org
Western Region:
Jim Aldrich – 1-800-323-2732, X818 or jaldrich@cseaebf.org
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.
• •
Expanded lens selection to include premium progressive lenses and glass photo-sensitive lenses
• Occupational: members may
be eligible for a second pair of glasses for tasks performed while on the job. Included for the Gold
$125 allowance for non-plan contact lenses
mpire Plan enrollees have until Empire Blue Cross CVS Caremark
April 30, 2021 (120 days after NYS Service Center 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.
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
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