Posted in In The Know Series, Insurance, Training

The Empire Plan (NYSHIP)- Office Visit co-pay changes for 2020

This past year there were a number of employee groups that are under The Empire Plan NYSHIP and had some changes in their benefits, including office visit co-pays.

With the new year (2020) around the corner The Empire Plan NYSHIP has released a list of more employee groups that will be affected by the office visit co-pay changes.

Please refer to the following list:

1. The office visit $20 co-pay will still apply to the following employee groups:
-Council 82

2. Student Employee Health Plan will still continue to have a $10 Office Visit co-pay

3. Effective 01/01/2020 the following employee groups will have a $25 office visit co-pay:
PIA( NYS Police Investigative Unit)
-Unified Court System-COBANC

4. Effective 01/01/2020- Excelsior Plan members will have the office visit co-pay of $35.


My name is Kate Patskovska, CPB. I am an Independent Medical Biller CPB (AAPC) and an owner of KR2 Medical Billing. KR2 Medical Billing is a full service Consulting/Medical Billing Business that is dedicated to educating, consulting, and overall improving the "financial health" of your medical practice.

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