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:
APSU
-Council 82
-PEF

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.

Posted in In The Know Series, Insurance, Training

Emblem GHI PPO (commercial members)-new member IDs for 2020

Starting, in the beginning of 2020, Emblem GHI PPO commercial members will receive new ID numbers and new ID cards.

The following changes will take place:

  1. New ID numbers will start with a letter K
  2. New ID numbers will have only 8 number spaces
  3. The last 2 digit numbers will reflect the # for each dependent (eg. 01, 02, 03)
  4. Will be subject to the radiation therapy and cardiology imaging (eviCore) programs
  5. Will be subject to HIP radiology and self referral payment policy.

GHI PPO (City of New York members) are not affected by this change.

 Medicare PPO Members who are on Medicare Choice PPO network will have the new ID change but will not be subject to eviCore Programs.

The process is expected to continue through the end of 2020.