You are a paid member of the New York State Legislature. Q. 6[A'`L PLEASE NOTE: This link brings you to New York States NYSHIP Online website. Side-by-side comparison and highlights of benefits of the plan with drug coverage 2022 Summary of Benefits and Coverage How you and the plan would share the cost for covered health care services 2022 Summary of Benefits and Coverage Rx Plans How you and the plan would share the cost for covered health care services with drug coverage hKo J$.6 !E9m-L"=o?K@-I2%'"Y%MB 9'pd^h'!A$H0 QYkq 0JB mIp`D ,NU! 0000008973 00000 n Call the Empire Plan toll-free at 1-877-7-NYSHIP (1-877-769-7447) and choose the Empire Plan NurseLine for health information and support. The site will remember your group for future visits. 2023 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary - January 2023, 2022 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary - October 2022, 2022 Empire Plan Advanced Flexible Formulary - October 2022. The Empire Plan (NYSHIP) Breast reduction, The Empire Plan (NYSHIP), covers breast reductions based on United Health Care Coverage Guidelines. hWYo6+| uK\G-&3|9h` gCrOcfY OPVK5GCb`Q XSX %jaJ / ac@k6%! T\,ZRf6-3A|jbSgE$Qov*:|5$!82 q+48+p4^qcj3(~ j}R;M.Gh3[mF"l. Healthcare Provider Administrative Guides and Manuals The following links provide information including, but not limited to, prior authorization, processing claims, protocol, contact information and resources. Payments by Beacon Health Options for Mental Health and Substance Abuse NYSHIP Claims and Administrative Forms, Copyright 2020 | CSEA Local 1000, AFSCME, AFL-CIO, See the 2023 State NYSHIP Enrollee Biweekly Premium Contributions, See NYS Department of Civil Services NYSHIP Rates and Deadlines publication, Health Insurance Transaction Form PS-404, Health Insurance Affordability and Accountability Act EBD-543. Civil Service contracts with Beacon Health Options (Beacon) to administer the MHSA program for the Empire Plan. Q. I see that the Coverage Examples page shows a "you pay" amount. in the NYSHIP service area of the HMO in which you are enrolled, you must change to another option. %%EOF The LIRR Benefits page, or . Empire Plan Plastic Surgeons Near Me in New York, NY Does Nyship Cover Massage Therapy - MassageTalk.net To be eligible for NYSHIP coverage, if you do not work at least half time on a regularly scheduled basis, you must meet one of the following requirements: You are a paid elected official. View exam alert here. hb```V B ce`ahpbZ|4c90)fq63y5=TYcq),Z,*&CfsJue`h ZaphU q a} `*|I5>` 9iL]3ga(:p/ sVT =@ljgnJ(@ xJY Gifted, innovative, and sensitive are words patients use to describe Dr. Elie Levine, one of New York's top board-certified plastic surgeons and the Director of Plastic Surgery at Plastic Surgery & Dermatology of NYC. Q. This cookie is set by GDPR Cookie Consent plugin. To enroll in the New York State Health Insurance Program (NYSHIP) Opt-out Program. 2023 NYSHIP Option Transfer & PTCP Election Period - SUNY 2&pqA8@BV)yS,yQX>,OFJx=uNT@4T>BD"5A 1 Some words on the Summary of Benefits and Coverage are shown in bold and underlined. Some therapists are moving away from taking insurance, in part due to this issue. endstream endobj startxref Empire Plan Providers, Pharmacies and Services, Access health care services remotely using The Empire Plan's new, Empire Plan Health Insurance The first set reflects 2023 biweekly rates for CSEA-represented employees who are Grade 9 and below. Payment from Empire Insurance coverage will pay for your hearing aids 100%. You have to have cookies enabled so that you will only need to access this page and select your group once. There are four major sections Important Questions, Common Medical Events, Excluded Services & Other Covered Services and Coverage Examples. Refer to Choices for 2023 and other plan material for more detailed information. Benefits - PEF Does Empire Nyship cover gym memberships? You can get reimbursed up to $400 per plan year. Once the 2023 NYSHIP Rate Flyers are printed, they will be mailed to individual homes by New York State. b>NYSHIP provides wide-ranging insurance coverage to over 1. Health (2 days ago) Web2023 Empire Plan and NYSHIP rates for state employees - CSEA, AFSCME 2023 Empire Plan and NYSHIP Rates for State Employees 2023 State NYSHIP Enrollee Biweekly Premium Cseany.org . 4.80. WvAFk azX[!l=ng|o5,P[t|2{KdrdjZ7` 0000004634 00000 n Urine: THC from edibles can be detected in a , Pumpkin seeds are rich in nutrients known to support weight loss, such as fiber, protein, and unsaturated fatty acids. hVG}G)0}"Hly03+mFcSTuWE/tL^SCS4d5J Summary of Benefits. This is only a summary. endstream endobj startxref Refer to your plan material for the definition used by your plan. p JxfID04!9x\0Rx(0|J OY The enhanced network will provide access to more than 400 acupuncture providers at over 500 different locations throughout New York State. NYSHIP Online Login - Government of New York Visit NYSHIP online coverage and copay information for a specific medicine. What is covered by Empire Plan Nyship? [Expert Guide!] The New York State Health Insurance Program (NYSHIP), administered by the Department of Civil Service (Civil Service), covers over 1.2 million active and retired State and participating organizations' employees and their dependents. Tool properly, you will need to submit claim forms and pay a higher share of the of! The annual Option Transfer Period for State employees will begin Thursday, December 1, 2022, and end Friday, December 30, 2022. This site uses cookies. The Empire Plan pays for much of the Medicare Part A and B deductible and coinsurance amounts if you use The Empire Plan provider network, and may pay for some other medical expenses not paid by Medicare. The New York State Health Insurance Program (NYSHIP) offers eligible employees the option of choosing either The Empire Plan or a NYSHIP HMO for health insurance coverage. NYSHIP General Information Book - General eligibility and enrollment rules and information. terminate your NYSHIP (Empire Plan and Medicare Advantage Plans) benefits Call EBD if you have any questions. A. endstream endobj 179 0 obj <>stream For specific information, visit https://www.empireplanrxprogram.com or call 1-877-7-NYSHIP (1-877-769-7447) and select option 4 for the Empire Plan Prescription Drug Program. Stony Brook, NY 11794-3388. The member benefit contract will determine whether a procedure or service is covered. These terms are defined in the Uniform Glossary, a non-customized companion document to the SBC. . The specific services covered will depend on your state. A mental health diagnosis can prevent people from qualifying for life insurance or increasing their existing plan. What is the difference between the Empire plan and the Excelsior plan? Empire Plan - Summary of Benefits and Coverage for Settled Groups The Empire Plan is NYSHIPs unique health insurance plan designed exclusively for New York States public employees and employers. Verify your health insurance coverage when you arrange your first visit. Forms - Empire Plan Claim Forms, 154 0 obj <>stream Your plan options under NYSHIP (Empire Plan, NYSHIP HMO) and the benefits included with each one In many situations, you will also be required to complete, sign and submit additional forms and proofs. Since the site uses cookies to bring you targeted information regarding your health benefits, you will need to select your group and health insurance plan when prompted. 520 32 Empire Plan Health Insurance Nyship PDF The Long Island Rail Road Company - Mta Are mental illnesses covered by insurance? Your SEHP medical coverage will be through insurance carriers under contract with NYSHIP: Empire Blue Cross Blue Shield (for hospital benefits), UnitedHealthcare Insurance Company of New York (medical/surgical), GHI/ValueOptions (mental health and substance abuse) and CIGNA/Express Scripts (prescription drugs). Health Insurance Program (NYSHIP). 0000031169 00000 n This notification list may be modified. Nyship empire plan coverage 2022 - jhork.soterik.de Musculoskeletal causes of difficulty walking Broken bones and soft tissues injuries, including sprains, strains and tendonitis. (7 days ago) WebCall The Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and select the appropriate program Medical/Surgical administered by UnitedHealthcare Cs.ny.gov Category: Medical Detail Health 1-800-354-4054. eB,eZ%1c0+g@kPf:W:E/X:(v*mUFgNP)c3,(J2Ivj%mea? ri~-]!0[sX f=e7[Z.v.won}bn |^bP)e"3.rlM%fU6 j\NoD@U ?o]_by[>yrRd|lhm(-P;+\2T94DZ2*aBBBkn)@+seUH_*U{cK v 2023 At A Glance - Easy to access benefits summary that can answer most of your general questions. Call 1-877-7-NYSHIP (1-877-769-7447) and follow the prompts to notify the appropriate program carrier/vendor as outlined below, or go to uhcprovider.com/paan. PLAN COST Empire Individual (001) 0000008482 00000 n Plastic Surgeon. If your other employer-sponsored coverage begins on January 1, 2022 and your first NYSHIP pay period for the new plan year begins before January 1, 2022, please If you are enrolled in an HMO, the State will pay 84-88% for individual coverage and 69-73% for family coverage, not to . 0 Welcome to EBD - This program offers a PPO, known as the Empire Plan, and several different HMOs, varying by geographic region around the State. (1), An employee will be married on June 10 and applies for a change from Individual to Family coverage on or before June 10th. Are pumpkin seeds good for you calories? Opt-Out Program for 2023: HMO Blue 2023 Empire Plan and NYSHIP rates for state employees - CSEA, AFSCME These cookies ensure basic functionalities and security features of the website, anonymously. Capital District Physicians' Health Plan, Inc. | 500 . Empire Plan Health Insurance Certificate Amendments, 2023 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary - January 2023, 2022 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary - October 2022, 2023 Empire Plan Advanced Flexible Formulary - January 2023, 2022 Empire Plan Advanced Flexible Formulary - October 2022, Empire Plan Providers, Pharmacies and Services. Welcome to EBD - How and where to get the help you need with your coverage under the New York State Health Insurance Program (NYSHIP). Empire - Universal Audiology EMPIRE PLAN (NYSHIP) | Nassau County, NY - Official Website 0000004228 00000 n Californias Mental Health Parity Act, as amended in 2020, requires all state-regulated commercial health plans and insurers to provide full coverage for the treatment of all mental health conditions and substance use disorders. NYSHIP | NY State Empire Plan Out of Network . All Medicaid programs cover some mental health and substance use disorder services. As a reminder, it is no longer necessary to reenroll in the Opt-Out Program each year. Current versions of NYSHIP ID cards are displayed on the following page. These cookies track visitors across websites and collect information to provide customized ads. Always refer to other plan material, such as Choices for 2023 for more information about The Empire Plan and NYSHIP HMOs if you are making a decision about your family's coverage. endstream endobj 105 0 obj <>>>/Filter/Standard/Length 128/O(788Y]>fkwgGh; )/P -1340/R 4/StmF/StdCF/StrF/StdCF/U(m]} )/V 4>> endobj 106 0 obj <> endobj 107 0 obj <> endobj 108 0 obj <>stream Empire Plan (NYSHIP) | UUP Stony Brook Center Campus Chapter Prior authorization and notification requirements, Empire Plan Should I use the Summary of Benefits and Coverage to decide which NYSHIP option is best for my family? Some factors that can affect the price of therapy include: The therapists training. . Business Services Center Home Page | Business Services Center We require advance notification of the procedures and services listed in the chart below. 2023 Empire Plan and NYSHIP Rates for State Employees. It can also cause testicular shrinkage and breast enlargement in men. Corns, calluses, sores or warts. PDF Summary of Benefits and Coverage: What this Plan Covers & What You Pay >I,q%/0kYz[ad.-5-w6OB;n?/F:1R! Empire Plan General Information Book Highmark Blue Cross Blue Shield of Western New York Easy to access benefits summary that can answer most of your general questions. Therapy can be expensive, with or without insurance. Family coverage will become effective June 10 (the "date of event" is the date of marriage). Category: Health Detail Health NYSHIP requires retirees and their dependents to be enrolled in Medicare parts A and B when first eligible for primary Medicare coverage due to age or disability. The Empire Plan Infertility Centers of Excellence offer the best in reproductive medical technology and infertility procedures. In addition, the Affordable Care Act requires that plans offered through the health insurance exchanges cover services for mental health and substance-use disorders. New York State Health Insurance Program NYSHIP Opt-out Attestation Form ul. !28@OJ@>Wss1j.Fgferx}A> KM#5ItDcDE6s0.`!:vI4MAPgp 2023 Medicare Formulary - (List of covered drugs) Information on medication coverage. |m34# |nd)|`lF5U|{h#?82 #C?$cqYPlYoLeIP8u?tlzB2Sv>Rx#y>b Z=cT?Xaocz'y_~S;]Xn$Y#Tp'}[6!t The Empire Plan is the primary health benefits plan for NYSHIP, providing coverage to about 1.1 million members. Performance cookies are used to understand and analyze the key performance indexes of the website which helps in delivering a better user experience for the visitors. endstream endobj 176 0 obj <>stream This cookie is set by GDPR Cookie Consent plugin. Empire Plan Health Insurance This does not apply to Medicare-primary Empire Plan enrollees and their covered dependents. PDF January 2022 2022 EMPIRE PLAN ADVANCED FLEXIBLE FORMULARY PREFERRED With Empires EPO (Exclusive Provider Organization) plan, you have access to an extensive network of doctors and hospitals across the country. This cookie is set by GDPR Cookie Consent plugin. Why do insurance companies not cover mental health? Tips for comparing your Medicare choices. hbbd```b`` DH`!=D9HVt, $7H YWQ &`qF ]U Jan 2017 - Jan 2022 5 years 1 month. The Mental Health Parity and Addiction Equity Act of 2008 required healthcare plans to provide mental health benefits equal to medical and surgical coverage. Nitric oxide is a gas we make , Blood: THC from edibles can be detected for 3 to 4 days in blood. Empire Plan Prescription Drug Program - Caremark In most areas of the country, a person can expect to pay $100-$200 per session. Joseph Elie, Clinical Social Work/Therapist, Jericho, NY, 11753 0000000936 00000 n The Empire Plan Mental Health %PDF-1.7 % 0000007858 00000 n 0000005866 00000 n Click here for NYSHIP Online for RETIREES How to use this site Active Employees Welcome to NYSHIP Online, where you will find information on the New York State Health Insurance Program for State and Local Government for active employees. To get started, you MUST select one of the following: Access health care services remotely using The Empire Plan's new, Click here for NYSHIP Online for RETIREES, Demographic Data Self-Identification Form. This cookie is set by GDPR Cookie Consent plugin. It does not store any personal data. If you need a paper copy of the Summary of Benefits and Coverage or the Uniform Glossary for a NYSHIP HMO, please contact the HMO. 1, 2021, members of The Empire Plan will have in-network access to the UnitedHealthcare Options preferred provider organization (PPO) network for all states and U.S. territories outside of New York. Is the Empire Plan part of UnitedHealthcare? Is this what I will pay if I experience one of these events? &szg|n`>#ifOC,L.B5%&Rde.jMOQ}yz , Important Exam Alert Updates Due to Weather Conditions. Born and raised in the bustling city of New York, Sandra has always been drawn to the idea of living a balanced and fulfilling life. New York State Empire Plan Hospitalization via Blue Cross; major medical & surgical via United Health Care In-network or out-of-network coverage options Empire Plan Participating Providers Health Benefits Summaries & Bi-Weekly Insurance Rates Visit our Benefits at a Glance page ANNUAL Option Transfer (AOT) Period _OF$ 1 You are enrolled in Empire Plan Medicare Rx, which is a Medicare Prescription Drug Plan. ps{YyPlW=VC7xa=x/x` 6-@ #?b2COS65gz6FJrmS:5R33i36Ci3:^Y These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. You do not need to enroll in part B until you retire from state service. That's $200 for each six-month enrollment period you attend View Details Wellbeingport.com Membership Plan View More FAQs: Health Insurance & Medicare Frequently Asked Questions The second set reflects 2023 biweekly rates for CSEA-represented state employees who are Grade 10 and above. You pay less if you use providers that belong to the plans network. February 3, 2022 51 Questions 51. . 12 Oct 2022. Behavioral Health Program, (except administration of enteral formula through a tube for patients whose primary coverage is Medicare), 2023 UnitedHealthcare | All Rights Reserved, Healthcare Provider Administrative Guides and Manuals, Prior authorization and notification requirements, Empire Plan supplement - 2022 Administrative Guide, Sign in to the UnitedHealthcare Provider Portal, Health plans, policies, protocols and guides, The UnitedHealthcare Provider Portal resources, Empire Plan Durable Medical Equipment (DME) Notification List for Members with Primary Empire Plan Coverage, UnitedHealthcare Benefits Management Program, Managed Physical Network, Inc. (MPN) Managed Physical Medicine Program, UnitedHealthcare Home Care Advocacy Program, Empire BlueCross Benefits Management Program, Beacon Health Options, Inc. Behavioral Health Program, Empire Blue Cross Blue Shield Benefits Management Program, Diabetic shoes (when the Empire Plan is primary coverage), DME items listed on the DME Notification List atuhcprovider.com/priorauth > Advanced Notification and Plan Requirement Resources > Empire Plan Notification Lists >. The Empire Plan is NYSHIP's unique health insurance plan designed exclusively for New York State's public employees and employers. Certificate, 2023 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary, 2022 Empire Plan Advanced Flexible Formulary - Comprehensive Formulary, 2022 Empire Plan Advanced Flexible Formulary, Demographic Data Self-Identification Form. In general, depending on the program, members are responsible for either notifying Empire Plan program vendors of certain services or for using network care providers for these services. r Cancer Program Includes paid -in full coverage for cancerrelated . 1F \g >7^157eG NYSHIP-Empire Plan . How does mental health diagnosis affect insurance? New York State Employees Health Benefits - CDPHP NYSHIP General Information Book - General eligibility and enrollment rules and information. 2022 NYSHIP Benefit Plan Comparison . Retiree Health Insurance | Business Services Center Bethzayda Matos, Pre-Licensed Professional, Bronx, NY, 10451, (347) 754-3657, My goal as a therapist is to provide guidance and support to individuals and families to help them strengthen their . This website uses cookies to improve your experience while you navigate through the website. Click here to view a PDF copy that can be printed if necessary. The Empire Plan Participating Provider Program offers a network of over 300,000 physicians, laboratories and other providers located throughout New York and in many other states. 0000007764 00000 n and Non-Participating Provider Claim Forms and Administrative Forms. 0000024663 00000 n The federal law requires the inclusion of annual out-of-pocket costs on employee health insurance benefit cards and impacts all NYSHIP plans. January 2023 46 verified reviews. Important Exam Alert Updates Due to Weather Conditions. When a generic 0000012693 00000 n Office open Monday-Friday, 9:00 am to 3:00 pm, and by appointment. Mena Stramenga @#AU_E*1 = se_?29}6DYBtR$Db@)O+#3NHzyAY5+uZV~}`GKO# Biweekly Costs Schedule Page in Choices Code Plan Individual Family 13 001 The Empire Plan 61.73 237.76 24 066 Blue Choice 56.50 216.79 View exam alert here. Prior versions also remain in circulation. 2022 Documents. Health Benefits - Retiree - Empire Plan - Government of New York Can I get a paper copy of the Summary of Benefits and Coverage if I need one? These cookies will be stored in your browser only with your consent. PDF January 2023 2023 EMPIRE PLAN FLEXIBLE FORMULARY PREFERRED - Caremark The Empire Plan is the primary health insurance plan for NYSHIP, serving about 1.1 million members. Flex Spending Account and Productivity Enhancement Program: As a reminder, the Flex Spending Account and the Productivity Enhancement Program are two negotiated employee benefits for state employees that offers a way for participants to save money on health care and dependent care expenses. SUNY participates in the New York State Health Insurance Program (NYSHIP). As a certified health coach and yoga instructor, Sandra has a wealth of knowledge and experience in the fields of health and wellness. Nyship Empire Plan benefits 2022 want for 2022, as set forth in charts. Overall, Sandra Hearth is a knowledgeable and passionate advocate for healthy living, and her blog "Wellbeing Port" is a valuable resource for those looking to improve their health and wellbeing. If you would like to change your NYSHIP option for the 2022 plan year, . 0000028277 00000 n New York State 2023 Monthly COBRA Rates . Verify your health insurance coverage when you arrange your first visit. Click on the link below to access the Summary of Benefits and Coverage for the following: The Empire Plan | Espaol New York State Health Insurance Program - Empire Plan Members With Dual 1-877-769-7447 (option 1) The Empire Plan Diabetic Supply Pharmacy (Edgepark, formerly Liberty) 1-888-306-7337. MQxh ! The cookie is used to store the user consent for the cookies in the category "Analytics". The average cost of psychotherapy in the U.S. ranges from $100 to $200 per session (depending on the state), according to a 2019 report by SimplePractice, a practice management system for mental health professionals. However, for a complete list of covered services and more comprehensive information explaining how services are covered, refer to your Certificate of Coverage, At A Glance and other plan material. Before you receive services, call the Empire Plan at 1-877-7NYSHIP (1-877-769-7447) and choose UnitedHealthcare. What foods is high in nitric oxide? Group Medicare Benefits Summary and Rx Rider - 2022 . 0000048148 00000 n Need access to the UnitedHealthcare Provider Portal? Please see The Empire Plan "Choices for 2022" booklet" for more information, on . No. 192 0 obj <>/Filter/FlateDecode/ID[<4FFBA4D3B97BF34299321AE55260D791>]/Index[172 40]/Info 171 0 R/Length 103/Prev 345825/Root 173 0 R/Size 212/Type/XRef/W[1 3 1]>>stream Empire Plan Gym Membership Coverage - 2023 | UsFitnessFinder.com Welcome to NYSHIP Online, where you will find information on the New York State Health Insurance Program for State and Local Government for active employees. If you believe you were the victim of a scam involving at-home test kits or any scam related to your health benefits, please refer to guidance posted by the Federal Trade Commission (FTC) . hV]k1+ 6 %%EOF The cookies is used to store the user consent for the cookies in the category "Necessary". Terms defined in the Uniform Glossary PDF 2021 Summary of Benefits - SilverScript The combined annual deductible is $1,250 for the enrollee, $1,250 for the enrolled spouse/domestic partner and $1,250 for all dependent children combined. %PDF-1.6 % 0000010767 00000 n This information is current as of 1/11/2023, and is subject to change. The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". and highlights of benefits of the plan. Creatine. !!4M >c_ Please check pages 6-7 for NYSHIP service area information. NYSHIP Empire Plan retirees who have Medicare as their primary insurance will be automatically enrolled in a Medicare Part D prescription plan on Jan. 1, 2013, unless they cancel coverage. A. Blue Choice Because of cookies, the site will remember your group for future visits. By clicking Accept, you consent to the use of ALL the cookies. Your Empire Insurance will cover $1,500 per ear every four years. Ostomy supplies from Byram HealthCare Center. Average Cost of Therapy Therapy generally ranges from $65 per hour to $250 or more. EmblemHealth 0000037518 00000 n 0000037637 00000 n When seeing a therapist in person, youre likely to be billed per session. 0000021102 00000 n Call 1-877-7-NYSHIP (1-877-769-7447) and follow the prompts to notify the appropriate program carrier/vendor as outlined below, or go touhcprovider.com/paan. Functional cookies help to perform certain functionalities like sharing the content of the website on social media platforms, collect feedbacks, and other third-party features. All insurance plans are required to produce a Summary of Benefits and Coverage based on a uniform template and customized to reflect the plans unique terms. Services such as therapist visits, group therapy, and emergency mental healthcare are typically covered by health insurance plans. PDF Nyship - Suny Congenital deformities or conditions that are present at birth. ID cards | UHCprovider.com The Empire Plan pays for covered hospital services, physicians bills, prescription drugs and other covered medical expenses. #Xi^Xow}6|jt42GDSh_L}F>W$-jB`=bhpA6\>a[\vHoCkIC_} o#|~VBEa-;>/:_nzY7Ykhm86 0000007319 00000 n call 1-877-7-NYSHIP (1-877-769-7447) and select option 4 Log in to https://www.empireplanrxprogram.com to check for the Empire Plan Prescription Drug Program. additional cost for family coverage in the NYS Empire Plan. We're Excited To Share With You The Highlights Of Our 2022 Nyship Plan* As a hard-working New York State employee, you deserve a health plan that works hard to help you and your family get and stay healthy. New York State Medicare Retirees - CDPHP View exam alert here. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Benefits are available worldwide for covered, medically necessary services. Although Empire Plan prescription drug services (retail, mail order and the Specialty Pharmacy Program) are not available outside of the United States (and its territories), you may file a paper claim for partial reimbursement after paying out of pocket for a valid prescription at a pharmacy. If you are a retiree, please visit NYSHIP Online for Retirees.