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.


 

  • 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...
  • 2017 Flex Spending Account Program NYS Executive Branch Active State Employees 2017 Flex Spending Account Program Open Enrollment October 3, 2016 – November 7, 2016 The Open Enrollment Period to participate in the 2017 Flex Spending Account Program, which includes the Health Care Spending Account and/or the Dependent Care Advantage Account will run between October 3, 2016 and November 7, 2016. Specific information can ... 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...
  • 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...