Receipt of this book does not guarantee you are eligible. If you have any questions about your empire plan coverage, call 18777nyship 18777697447, 24 hours a day, seven days a week tty. As a new employee, or an employee newly eligible for health insurance, there are some important things you should know. Following are general guidelines for the optout process. Search the provider directory the empire plans provider. The retiree certificate book will be dated january 1, 2019. Current eligibility requirements for nyship retiree health insurance are summarized below. Yes, nyship requires retirees to enroll in medicare parts a and b. State benefits human resource services stony brook. Do i have to enroll in medicare if i am enrolled in nyship. Frequently asked questions rehired retirees and nys health. General new york state health insurance program nyship information nyship is the statewide insurance program for nys government employees and retirees.
Frequently asked questions about your health insurance this information is current as of december 1, 2015. Chapter 10 health insurance coverage and related benefits 2020. If you continue your nyship enrollment as a retiree or vestee, you may change your health insurance plan when your status changes. We work closely with the department of civil service, division of employee benefits, suny and research foundation central offices, and the various carriers to ensure that the programs work smoothly and employees receive. You should save this book and all subsequent empire plan reportscertificate amendments you receive in the mail. If you move into an area served by a nyship hmo, you will be eligible to change your option to an hmo at that time. Your retirement benefit will be based on factors such as your tier, retirement plan, service credit, final average salary fas and age at retirement. Nyship empire plan retirees who have medicare as their primary insurance will be automatically enrolled in a medicare part d prescription plan on jan. The content here should be used in conjunction with resources provided to you by your health benefits administrator, your retirement system, the new york state health insurance program nyship and other benefits available to you in retirement such as medicare and. Nyshipthe new york state health insurance programis a benefit program established to provide health insurance coverage to state and local government employees nyship stands for the new york state health insurance program. Nyship has contracted with hms to verify that dependents enrolled in nyship meet the programs eligibility requirements. The employee should use certified mailreturn receipt request. General information book 1 gibpa introduction this is the new york state health insurance program nyship general information book for individuals enrolled in nyship through a local government agency that elects to participate in nyship participating agency and their covered dependents.
The situation is still developing and we will continue to update the opm website as information becomes available. Since this information is confidential, we need your signed written permission before we release it to a third party. The new york state health insurance program nyship. For any benefit or claims questions, consumers should contact.
Change of address for retirees nyslrs office of the. With this change, the empire plan benefits from a 50 percent discount for brandname drugs as part of the affordable care act. The young adult option allows your child to purchase individual health insurance coverage through nyship. New york state health insurance program nyship nyshiponline is your online tool for health benefits information. Empire plan nyship nassau county, ny official website.
February 2015 retirement suny information technology. Under active employees, select i am a new york state active employee ny. For more information about nyship and medicare, see your general information book or ask your. In our response to this growing threat, only accurate and reliable information should be distributed. This is the new york state health insurance program nyship general information book for employees of new york state and their covered dependents. Sehp enrollees are not eligible for nyship retirement benefits. As a retiree, you may change your health insurance plan at any time, but only once in a 12month period. If you need assistance with your ge single sign on sso id, please contact the ge pension inquiry center at 18004323450 monday through friday, between the hours of 9 a.
Read your empire plan documents carefully for complete information on. To qualify, you must be enrolled in medicare parts a and b and live in the service area. You may select coverage under the empire plan or, if offered by your employer, a nyship hmo. When you retire, enrollment in the optout program is considered nyship enrollment for the purposes of establishing eligibility for nyship coverage in retirement. With the empire plan you can choose a participating provider or nonparticipating provider for medical services. Every hour, the public health community is learning new things about this virus. If you reside outside new york state, your only nyship option is the empire plan. You will need to submit claim forms and pay a higher share of the cost if you choose a nonparticipating provider or nonnetwork provider. General information book for employees, retirees, vestees and dependent survivors enrolled in nyship through participating employers, their enrolled dependents, preferred list and cobra enrollees and young adult option enrollees with their empire plan benefits new york state department of civil service employee benefits division. New york state retiree health insurance and related. However, if you later retire from a position that is eligible for nyship benefits, your time as a sehp.
For eligibility and cost information refer to the nyship book. General information book for employees, retirees, vestees and dependent. See your nyship general information book and make sure your. General information book civil service department ny. State benefits the benefits section assists faculty, staff, and graduate students in understanding their benefit programs.
Plan nyship general information book retirees suny. Medicareprimary nyship retirees who are enrolled in the cdphp hmo for active employees and reside in nyship code numbers 063, 300, and 310 are required to enroll in a cdphp group medicare plan. Contact the benefits office at least three months before retiring to schedule your attendance at a retiree. New york state employees and retirees and their eligible dependents and to those of participating. This online directory lists the empire plans participating providers. General information book for active employees, retirees, vestees, dependent survivors of nyship participating agencies with the empire plan or the excelsior plan and their eligible dependents. This is the new york state health insurance program nyship general. Welcome to the empire plans online participating provider directory.
If there is a conflict in the information presented. This book explains your rights and responsibilities as an enrollee in nyship. New york state health insurance program nyship for active. This publication explains your rights and obligations as a member. General steps to take before retiring consult your retirement systemprogram and choose a retirement date the day after your last day of work or leave, whichever is later. To enroll in an hmo or to remain enrolled in your current hmo, you must live or work in the hmos nyship service area. Csea employee benefit fund 1 lear jet lane suite 1 latham, new york 121102395. Planning for life after retirement should involve looking at ones finances. Covid19, or the coronavirus, is an emerging risk in the united states and the situation continues to rapidly develop. If you have health insurance coverage through your post retirement employer or as a dependent through your spouses employer, you are eligible to defer 1 your nyship retiree coverage ps406. New nyship general information book the newly updated 2014 general information book gib for active employees of new york state was mailed to enrollee homes in september 2014.
While we are continuing to process mail, answer telephone calls and complete emails, the best course of action for customers who wish to submit documents and conduct business with us is through retirement online. General information book 1 ib ny retiree introduction this is the new york state health insurance program nyship general information book for former employees of the state of new york and their covered dependents, including retirees, vestees, dependent survivors and enrollees covered under preferred list provisions for health insurance, as well. In addition to general retirement planning guidance, this section contains links to groupspecific retirement information from your insurance certificate and nyship general information book. If you opted out for 2018 and wish to optout for 2019. Then click on health insurance and option transfer and the link for the nyship general information book. This is the new york state health insurance program nyship general information book for former employees of new york. We are available 247 to help you with your prescription drug needs. If you are a member of the new york state teachers retirement system trs, file an.
It clarifies the factors that affect your retirement benefits and provides you with examples of how those benefits are determined. As a reminder, eligible dependents are defined in the nyship general information book as. Because you pay for your nyship coverage via a deduction from your monthly pension, your deductions will change to reflect your health plans 2020 premium. Cdphp medicare advantage group plans make health care easy. Under nyship, specific carrier choices include the nys empire plan, cdphp, empire bcbs hmo, hip, and mvp.
You will find complete information on how the program works and the incentive payments in the 2019 optout brochure, available on my mta portal. This new gib applies to all employee groups enrolled in either empire plan or hmo coverage and replaces groupspecific. However there is much else to be considered, including health care, planning and maintaining an active and healthy lifestyle, and possible relocation. General information book for active employees, retirees, vestees and dependent survivors of nyship participating. Welcome to the new york state health insurance program nyship. Nyhpa does not administer nyship or the empire plan under nyship. Use the link below to search for specific types of innetwork providers. Civil service will also be mailing a revised empire plan certificate for new york state retirees to retirees in the near future. To protect the health of our members and employees, our retirement system consultation offices are closed until further notice. Planning for tricare for life handbook february 2020 you can find other health care coverage options at. These rates reflect the monthly cost for nyship retiree coverage. General information book 1 ib ny retiree introduction this is the new york state health insurance program nyship general information book for former employees of new york state and their covered dependents, including retirees, vestees, dependent survivors and enrollees covered under preferred list provisions.
Nyship general information book retirees information about nyship retiree coverage. It includes information about nyship rules and provisions. The nyship online guidelines flyer can assist you with the navigation of this site nyshiponline also provides a nyship plan comparison tool. After i retire, how does my dependent survivor continue nyship coverage when i. As a retiree or vestee, you also may change health insurance option at any time. You will receive information about the plans available to you, and their cost, at the end of each calendar year. You can read general tax information, or print a w4p form for changing your federal income tax withholding amount, on our taxes and your pension page. The information in this section is to help provide tools and resources to assist you with planning for retirement. In addition to general retirement planning guidance, this section contains links to groupspecific retirement information from your insurance certificate and nyship general information book and important phone numbers and websites. Davis vision link to nys department of civil service website.
Planning for retirement suny information technology. Mar 26, 2015 cost is also affected by the nyship option you select empire plan, hmo, your. Current usps retirees and employees who retired before june 3, 2011, will not be impacted by this announcement and there will be no negative impact on future postal employees retirement. For questions on specific benefits or claims, or to locate a provider, call the empire plan toll free at 18777nyship 18777697447 and choose the appropriate program.