New York State CSEA Members

The CSEA-NYS Joint Committee on Health Benefits, pursuant to Article 9 of the State Contract, is primarily responsible for the oversight and administration of the New York State Health Insurance Program (NYSHIP) for state employees. The NYSHIP program includes the Empire Plan and Health Maintenance Organizations located throughout the State of New York.


 

  • Data Breach Impacts CDPHP and BlueCross BlueShield of Western NY Enrollees CSEA has been made aware that a data breach occurred with the ID card vendor for NYSHIP Health Maintenance Organizations CDPHP and BlueCross BlueShield of Western NY. This data breach is still being investigated, however, we wanted to make the following information (which was available at the time of press) available to our membership. On August 5, ... Read more...
  • NYSHIP Dependent Eligibility Verification Audit New York State Active Employees July 5 to August 19, 2016 As required by the 2015/2016 NYS Budget, the New York State Department of Civil Service is conducting an eligibility audit of dependents under NYSHIP (the New York State Health Insurance Program). This dependent eligibility verification project is similar to the audit conducted in 2009. HMS Employer Solutions (HMS) has been selected to administer all aspects of ... Read more...
  • Free Identity Protection Services for Empire Plan Enrollees Earlier this year Anthem BlueCross BlueShield, the parent company of The Empire Plan Hospital program administrator, is offering free identity protection services to all current Empire Plan enrollees through AllClear ID.  If you think you’ve been a victim of identity theft, call AllClear ID at 1-855-227-9830.  A dedicated investigator will help you recover financial losses, ... Read more...
  • Important information about contract negotiations between Empire BlueCross/BlueShield and Health Alliance of the Hudson Valley As of June 2, 2016, no agreement has been reached between Empire Blue Cross/Blue Shield (the Empire Plan’s hospital administrator) and the Health Alliance of the Hudson Valley, a hospital group that includes the following facilities in Ulster and Delaware counties: Health Alliance Hospital’s St. Mary’s Ave. and Broadway campuses in Kingston, and Margaretville Hospital ... Read more...
  • Empire Plan Report Mailing Please be advised that the CSEA Health Benefits Department was notified of an error made when New York State mailed the April 2016 Empire Plan Report to CSEA State members.  There was a small group (approximately 300) that received the “Excelsior” Empire Plan Report instead of the CSEA Report.  The Excelsior Report contains similar information; however, articles ... Read more...
  • Changes to Empire Plan’s Center of Excellence for Infertility Program Effective June 2016 United Healthcare (UHC) administers the Center of Excellence (COE) for Infertility Program.  Effective June 1, 2016, the Empire Plan will utilize the Optum Infertility COE Network.  This change is designed to take advantage of Optum’s focused evaluation process to identify centers with proven experience and statistically successful track records while maintaining all of the elements ... Read more...
  • Empire Plan Adds New HCAP and DME Vendors The Empire Plan Home Care Advocacy Program (HCAP) provides home care services, durable medical equipment (DME) and supplies at no cost when preapproved and received through an HCAP vendor. In 2016, The Empire Plan has new HCAP vendors for breast pumps, Transcutaneous Electrical Nerve Stimulation (TENS) units and Neuromuscular Stimulation (NMES) units. Breast Pump Suppliers Empire Plan ... Read more...
  • Local Government Dependent Eligibility Verification Period: FREQUENTLY ASKED QUESTIONS Q1.         Why is the New York State Health Insurance Program (NYSHIP) conducting a Dependent Eligibility Verification Audit? The NYSHIP is sensitive to the rising costs of health care for its enrollees and feels this verification audit is necessary to help make sure its health benefit plans are compliant with state law, competitive, and cost ... Read more...
  • 2016 Patient Protections for Empire Plan Enrollees The Emergency Medical Services and Surprise Bill law requires The Empire Plan to provide information regarding your out-of-network (OON) reimbursement, including details on referrals, costs and coverage as well as surprise bills.  In early January, Empire Plan enrollees were sent the 2016 Empire Plan at a Glance, which included the detailed “Out-of-Network Reimbursement Disclosures” handout.  ... Read more...
  • 2016 NYSHIP Health Insurance Rates Please be advised that the NYS Division of Budget has approved the Empire Plan’s premium rates for the year 2016. The Option Transfer Period and the Opt-Out enrollment period for State employees will run until December 18, 2015. NYSHIP will again offer the Opt-Out Program in 2016, which will allow eligible employees who have employer sponsored group ... Read more...
  • Empire Plan Enrollees Receive Letter of Explanation Regarding Excellus BlueCross BlueShield Cyber-Attack Anthem (the parent company of Empire BlueCross Blue Shield) is currently in the process of mailing letters of explanation to Empire Plan members whose personal information may have been accessed during a sophisticated cyber-attack, against Excellus BlueCross BlueShield, which was previously reported to media outlets on September 9, 2015. These letters will help to explain Anthem’s ... Read more...