Eligible faculty and staff in the Contract College benefits program can enroll themselves and their families in the New York State Health Insurance Program (NYSHIP).
You may choose from two options: The Empire Plan or a Health Maintenance Organization (HMO) in your geographic area that has been approved for participation in NYSHIP.
Medical Comparison Chart: Instructions for online tool: choose your group = Management/Confidential (M/C); select county where you work and county where you live; click the "View Your Options" button. On next page, select the plan(s) you wish to compare, and then the "Compare Plans" button.
The Empire Prescription Drug Program is administered through CVS Caremark. The Plan offers a three-tier copayment for generic, preferred brand name and non-preferred brand name medications.
If you are eligible for NYSHIP health insurance, you are also eligible for the NYSHIP dental insurance. The State of New York pays the full cost of this coverage, but you must enroll to participate in the plan. Coverage is provided through Anthem Dental.
Elective hospital admissions (overnight stays), before the birth of a child, within 48 hours of emergency admission, before admission to a skilled nursing facility
1-877-769-7447 (option 2)
Prior authorization of an MRI, outpatient case management, voluntary second opinion
1-877-769-7447 (option 1)
CVS Caremark Prescription Drug Program
The Empire Prescription Drug Program is administered through CVS Caremark. The Plan offers a three-tier copayment for generic, preferred brand name and non-preferred brand name medications.
PREFERRED DRUG LISTING:
You can access a list of preferred drugs on the Civil Service website at https://www.cs.ny.gov. Click on State Employees, Health Benefits. First-time users will need to select “I am a New York State Active Employee” > Continue > Group = Management Confidential (MC) Legislature > Empire Plan or HMO > Finish.
Prior authorization is needed for some drugs. Please call Caremark for more specific information.
For Questions About:
Phone Number:
Locate participating pharmacies, fill a mailing order prescription, or pharmacy consultation
1-877-769-7447 (option 4)
Carelon
To be eligible for benefits, you MUST call Carelon BEFORE receiving any mental health or substance abuse treatment.
For Questions About:
Phone Number:
Mental health and substance abuse services for the Empire Plan