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.


 

  • 2018 NYSHIP State Premium Rates Please be advised that the NYS Division of Budget has approved the Empire Plan’s premium rates for the year 2018.  The approval of these rates signals the beginning of the option transfer period for the New York State Health Insurance Program. The Option Transfer Period and the Opt-Out enrollment period for State employees will run until ... Read more...
  • Plans to Help Save on 2018 Health Insurance Expenses Enrollees should start thinking about their expenses for next year.  Do you currently participate in the Flex Spending Account?  Do you currently participate in the Productivity Enhancement Program (PEP)?   If you don’t, now is the ideal time to obtain additional information about these cost-saving benefits as enrollment begins October 2, 2017. The Flex Spending Account is ... Read more...
  • Choosing Your Health Insurance Option for 2018 New York State Active Employees:  It’s that time of year to start thinking about your 2018 health insurance options. New York State typically mails the Planning for Option Transfer flyers to enrollees in late September.  The flyer describes the requirements and enrollment procedures for several benefits and programs, including NYSHIP health benefits, the Pre-Tax Contribution Program ... Read more...
  • Obtaining Access to the Empire Plan Participating Provider Directory The Empire Plan Participating Provider Program offers a network of over 275,000 physicians, laboratories and other providers located throughout New York and in many other states. Each year the Empire Plan sends postcards to all Empire Plan enrollees across the United States and Puerto Rico so that the enrollee may elect to have a printed directory ... Read more...
  • Tentative Agreement Reached HealthAlliance of Hudson Valley and Empire BlueCross BlueShield Westchester Medical Center and Empire BlueCross BlueShield announced today that Empire BlueCross BlueShield has reached a tentative multi-year agreement with the HealthAlliance of the Hudson Valley, which operates the hospitals on Broadway and Mary’s Avenue in midtown Kingston. It is expected that HealthAlliance will rejoin Empire’s networks as a participating provider starting September 1, 2017.  Covered ... Read more...
  • Empire Plan to Cover 3D Mammograms Effective February 20, 2017, the Empire Plan carriers, United HealthCare and Empire BlueCross, will cover services for 3D mammograms. Until recently, 3D mammogram tomography has been considered an unproven technology by many insurance plans, including the Empire Plan. Consistent with a recent Circular Letter by the NYS Department of Financial Services, the Empire Plan will ... Read more...
  • IMPORTANT RECALL INFORMATION On March 31, 2017, the United States Food and Drug Administration issued a notice regarding a voluntary recall of the EpiPen and EpiPen Jr as a result of a potential defect that could make the device difficult to activate in an emergency.  While the incidence of defect is extremely rare; the recall was expanded as ... Read more...
  • Update to Free Identity Protection Services for Empire Plan Enrollees As noted in previous articles in the Workforce, Anthem BlueCross BlueShield, the parent company of The Empire Plan Hospital Program administrator, offers free identity protection services to all current Empire Plan enrollees through AllClear ID.    For more information, call 1-855-227-9830 or go to https://anthemcares.allclearid.com. The National Association of Insurance Commissioners (NAIC) has also asked Anthem to ... Read more...
  • Important Information CarePoint Health Termination Notice Empire BlueCross BlueShield is committed to providing Empire Plan members with quality service at affordable rates. One way we do this is by negotiating competitive reimbursement rates with participating hospitals.  Unfortunately, an agreement has not been met with CarePoint Health and as a result, effective January 1, 2017 they will no longer be participating in ... Read more...
  • 2017 New York State Health Insurance plan rates for CSEA active state employees and Unified Court System employees The NYS Division of Budget has approved the Empire Plan’s premium rates for the year 2017.  The approval of the rates signals the beginning of the option transfer period for the New York State Health Insurance Program. New York State active employees have until December 16, 2016 to change their health insurance option or to submit/resubmit ... Read more...
  • 2017 Health Programs Important Dates to Remember Now is the time for New York State employees (including the Unified Court System) to think about health insurance options for 2017.  Watch your mailbox for important information, including the 2017 health insurance premium rates, option transfer information and deadlines.  Other important benefits and dates to remember are: Pre-Tax Contribution Program (PTCP)  Open Enrollment November 1st ... Read more...
  • NYSHIP Dependent Eligibility Audit Final Phase:  Removal of Non-Verified Dependents NYSHIP’s dependent eligibility verification project impacts all NYSHIP enrollees with family health insurance (The Empire Plan and NYSHIP HMOs).  The audit helps to ensure that every participant who receives NYSHIP health benefits is entitled to those benefits. Health Management Systems, Inc. (HMS) has completed the NYSHIP Dependent Eligibility Verification Audit (DEVA) ... Read more...
  • NYS Dependent Eligibility Verification Audit Enters Final Stage Phase 3 NY State Employees verification period ended on August 19, 2016.  Please note:  NYSHIP has allowed a brief grace period for enrollees to submit verification to HMS Employer Solutions (1-866-252-0635) until September 7, 2016.  Due to time restraints, it is encouraged that documentation be submitted by electronic web upload at www.VerifyOS.com or fax the ... Read more...
  • 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...