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  1. There is a nationwide network of more than 1.2 million UnitedHealthcare Empire Plan participating providers, including over 70,000 Managed Physical Network (MPN) providers for chiropractic care and physical therapy. This online directory lists The Empire Plan's Participating providers. It is updated weekly. Read your Empire Plan documents ...

  2. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plan’s unique terms. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical/Surgical Program. Your HBA, usually located in your agency’s personnel office, can also print you ...

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  4. A. NYSHIP protects over 1.2 million State and local government employees, retirees and their families in the United States. NYSHIP is one of the largest employer sponsored group health insurance programs in the United States. Approximately 800 local government employers currently offer NYSHIP's Empire Plan to their employees.

    • Hospital Program
    • Medical/Surgical Program
    • Mental Health and Substance Use Program
    • Prescription Drug Program

    The Empire Plan Hospital Benefits Program has two levels of benefits - network and non-network. Network benefits apply when you use hospitals, hospices and skilled nursing facilities that participate in the BlueCross and BlueShield Association's network. This is currently the largest hospital network available in the United States. Ninety-seven per...

    The Empire Plan is designed to provide enrollees with comprehensive medical care coverage. Using participating providers helps keep the cost to you and The Empire Plan at a reasonable level. UnitedHealthcare is the program administrator for this coverage. The following Directory includes Medical/Surgical Providers, Laboratories, Outpatient Surgical...

    The Empire Plan Mental Health and Substance Use Program, administered by Carelon, provides coverage for medically necessary inpatient and outpatient care through a network of participating providers; medically necessary non-network services are also covered. To ensure you receive the highest level of benefits, you should call Carelon before you see...

    You can order mail service prescriptions online, reducing the prescription cost for you and The Empire Plan. Also, information about The Empire Plan pharmacy locations, including pharmacies participating in the vaccine network and 24-hour service pharmacies, is available here. CVS Caremark administers The Empire Plan Prescription Drug Program for r...

  5. The Empire Plan is a unique health insurance plan designed especially for public employees in New York State. Empire Plan benefits include inpatient and outpatient hospital coverage, medical/surgical coverage, Centers of Excellence for transplants, infertility and cancer, home care services, equipment and supplies, mental health and substance abuse coverage and prescription drug coverage.

  6. then PEF and Empire Plan Enrollee, if prompted, and from the NYSHIP Online homepage, select Using Your Benefits and then 2022 Empire Plan Advanced Flexible Formulary or 2022 Empire Plan Advanced Flexible Comprehensive Formulary. The 2022 Empire Plan Advanced Flexible Formulary will be available on NYSHIP Online in November.

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