nyship empire plan coverage 2022

nyship empire plan coverage 2022

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). Summary of Benefits. Payment from Empire Insurance coverage will pay for your hearing aids 100%. 0000010767 00000 n If you would like to change your NYSHIP option for the 2022 plan year, . With this change, the Empire Plan benefits from a 50 percent discount for brand-name drugs as part of the Affordable Care Act. Nyship Empire Plan benefits 2022 want for 2022, as set forth in charts. If you are a retiree, please visit NYSHIP Online for Retirees. 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 b>NYSHIP provides wide-ranging insurance coverage to over 1. Because of cookies, the site will remember your group for future visits. NYSHIP | NY State Empire Plan Out of Network . endstream endobj 177 0 obj <>stream Do NOT follow this link or you will be banned from the site! Is this what I will pay if I experience one of these events? in the NYSHIP service area of the HMO in which you are enrolled, you must change to another option. Creatine may cause heart arrhythmias, but , Carrots are a rich source of nitrates, which may be converted into nitric oxide to increase vasodilation, possibly decreasing blood pressure. From January 1, 2015 through December 31, 2020, Beacon processed and paid over $1.38 billion for MHSA claims. Steps to getting contracted plus plan information, Phone numbers and links for connecting with us, List of contracted, high-quality independent lab providers, Update, verify and attest to your practice's demographic data, Provider search for doctors, clinics and facilities, plus dental and behavioral health, Policies for most plan types, plus protocols, guidelines and credentialing information, Specifically for Commercial and Medicare Advantage (MA) products, Pharmacy resources, tools, and references, Updates and getting started with our range of tools and programs, Reports and programs for operational efficiency and member support, Resources and support to prepare for and deliver care by telehealth, Tools, references and guides for supporting your practice, Log in for our suite of tools to assist you in caring for your patients. hKo J$.6 !E9m-L"=o?K@-I2%'"Y%MB 9'pd^h'!A$H0 QYkq 0JB mIp`D ,NU! The first set reflects 2023 biweekly rates for CSEA-represented employees who are Grade 9 and below. Service areas may change from year to year. 154 0 obj <>stream This site uses cookies. Current versions of NYSHIP ID cards are displayed on the following page. 0000004634 00000 n Sandra Hearth is the creator and writer behind "Wellbeing Port", a blog dedicated to promoting healthy living and personal wellness. A type of health plan that contracts with medical providers, such as hospitals and doctors, to create a network of participating providers. You pay less if you use providers that belong to the plans network. Medicare-primary Empire Plan enrollees and dependents will automatically be enrolled in Empire Plan Medicare Rx, a Medicare Part D prescription drug program with expanded coverage designed especially for Empire Plan members. 0000018183 00000 n Please check pages 6-7 for NYSHIP service area information. 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. The Coverage Examples that are included in the SBC are based on a standard set of services that a patient might receive in either scenario. ps{YyPlW=VC7xa=x/x` 6-@ #?b2COS65gz6FJrmS:5R33i36Ci3:^Y NYS Department . 2022-2023 Benefit Changes for HMO Rx Plans. Two, many mental health and substance use providers do not accept insurance because they do not get paid enough by insurance companies for their services. `k :`N&bRN~W\^ Og#L lCEtT*1[GH"N;PAa?TX,=wv^`Fc_k_c?*OUb,T|PU[%jJ d_/">\-1M42!@1]$6#&PfW4 The Empire Plan is the primary health insurance plan for NYSHIP, serving about 1.1 million members. Rates and Health Plan Choices - Information on your health insurance options under NYSHIP. The new benefit cards will include annual deductibles and out-of-pocket maximum information. 12 Oct 2022. SUNY participates in the New York State Health Insurance Program (NYSHIP). booklet provides a summary of what Empire Plan Medicare Rx covers . This program offers a PPO, known as the Empire Plan, and several different HMOs, varying by geographic region around the State. The specific services covered will depend on your state. As a reminder, it is no longer necessary to reenroll in the Opt-Out Program each year. 0000007858 00000 n The Mental Health Parity and Addiction Equity Act of 2008 required healthcare plans to provide mental health benefits equal to medical and surgical coverage. The Empire Plan is the primary health benefits plan for NYSHIP, providing coverage to about 1.1 million members. Refer to your Empire Plan Medicare Rx documents for information about your out-of-pocket expenses. . hT=o0w~2` 14U$&QCsHX>~s-JMO8A8\FNOUB. !nnl^;Fg)/KqT.|g 4z>N{Y3 &yt:%SIS? So chances are your doctor is in our network. If you need a paper copy, call 1-877-7-NYSHIP (1-877-769-7447) and select the Medical/Surgical Program. 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. Verify your health insurance coverage when you arrange your first visit. The CSEA Health Benefits Department can be reached at 518-785-4774 or 1-800-286-5242(JCHB) or by email at healthben@cseainc.org. NYSHIP General Information Book - General eligibility and enrollment rules and information. A$jLv >aL@7 b`+i[ United HealthCare has provided a summary of changes to their benefits plan as a result of the COVID-19 pandemic. 4.80. She started her blog as a way to share her passion for healthy living with others and to provide practical tips and advice for those looking to improve their overall wellbeing. The Coverage Examples are: Versions for each NYSHIP HMO The Empire Plan pays for covered hospital services, physicians bills, prescription drugs and other covered medical expenses. Q. Refer to your plan material for the definition used by your plan. The Empire Plan is NYSHIP's unique health insurance plan designed exclusively for New York State's public employees and employers. The member benefit contract will determine whether a procedure or service is covered. In the U.S., the fee for a single session frequently falls between $100 and $200, but many providers will offer lower fees, while some charge more. Q. hWYo6+| uK\G-&3|9h` gCrOcfY OPVK5GCb`Q XSX %jaJ / ac@k6%! A. We use cookies on our website to give you the most relevant experience by remembering your preferences and repeat visits. Average Cost of Therapy Therapy generally ranges from $65 per hour to $250 or more. Only Notice of a Rate CHANGE option is the Empire Plan Grade 9 below. 0000001182 00000 n 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. We strongly encourage you to review other plan material before making a decision about the coverage you and your family will have for the next year. 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. and highlights of benefits of the plan. Non-Participating Provider Claim Forms and Administrative Forms. coverage and copay information for a specific medicine. 0000035395 00000 n All Medicaid programs cover some mental health and substance use disorder services. Once the 2023 NYSHIP Rate Flyers are printed, they will be mailed to individual homes by New York State. Beacon Health Options, Inc. endstream endobj 178 0 obj <>stream It can also cause testicular shrinkage and breast enlargement in men. . hTRn0>I,)Rc,CfvgvXnuun-*b {dmN|]v.8N\VX'mKgRgEZ|?blGt?eP5m(f65!E2IWQ& b\dHD} dHg=# kLWWL)! T0`UWk A representative will give you a list of Qualified Procedures covered by the Plan. With Empires EPO (Exclusive Provider Organization) plan, you have access to an extensive network of doctors and hospitals across the country. Rehabilitative services for addiction are also included. !!4M >c_ The presence or absence of a procedure or service on this list does not mean that benefit coverage exists for that procedure or service. Highmark Blue Shield of Northeastern New York The health insurance option you want for 2022 2022 Active Employee Rate Schedule before deciding on your Plan. View exam alert here. 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 Your SBC may provide you with some information that will explain how you are covered for certain services, such as what your copayment is. Can creatine cause irregular heartbeat? These cookies track visitors across websites and collect information to provide customized ads. Necessary cookies are absolutely essential for the website to function properly. 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 There are four major sections Important Questions, Common Medical Events, Excluded Services & Other Covered Services and Coverage Examples. %PDF-1.6 % February 3, 2022 52 Return to State Service In a benefits-eligible position What is the , It raises the risk for heart disease, cancer, liver damage, and stroke. 0000004520 00000 n How long does 600mg edible last in your system? Fortunately, the vast majority of large group plans already provided mental health benefits before the parity law took effect. 520 32 . 0000037518 00000 n In most areas of the country, a person can expect to pay $100-$200 per session. View exam alert here. 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. 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. Your NYSHIP coverage will terminate at the end of the current plan year, and the incentive payments will begin with the first payroll period of the new plan year. If the request is made within 30 days after the event date, then coverage becomes effective on the first day of the . 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. 6[A'`L 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. !28@OJ@>Wss1j.Fgferx}A> KM#5ItDcDE6s0.`!:vI4MAPgp The Summary of Benefits and Coverage is a simple, federally mandated table intended to aid consumer understanding. 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. We require advance notification of the procedures and services listed in the chart below. These cookies help provide information on metrics the number of visitors, bounce rate, traffic source, etc. Your specific prescription benefit plan design may not cover certain products or categories, regardless of their appearance in this document. Saliva: Edibles can be detected in saliva for 1 to 3 days. This cookie is set by GDPR Cookie Consent plugin. Patients can appeal life insurance companies decisions by explaining why their mental health care is necessary. 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. 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. The combined annual deductible is $1,250 for the enrollee, $1,250 for the enrolled spouse/domestic partner and $1,250 for all dependent children combined. Nitric oxide is a gas we make , Blood: THC from edibles can be detected for 3 to 4 days in blood. Services such as therapist visits, group therapy, and emergency mental healthcare are typically covered by health insurance plans. %PDF-1.7 % I was approved in 24 hours after I met all of my surgeons requirements. Will my Summary of Benefits and Coverage explain how services are covered? @#AU_E*1 = se_?29}6DYBtR$Db@)O+#3NHzyAY5+uZV~}`GKO# Download the Form: Be sure to check the appropriate boxes for the coverage type declined. 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. 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 172 0 obj <> endobj health insurance options under NYSHIP. No action is necessary for those State employees who are currently enrolled and continue to qualify for the Opt-Out Program. Should I use the Summary of Benefits and Coverage to decide which NYSHIP option is best for my family? 0000003440 00000 n 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 . The cookie is used to store the user consent for the cookies in the category "Other. TD~om=9f;T^Uo>*-N!\%vq{K\QLL)8"rVo{/J!r8QO#Xn%NOPOliQ0*$xBGX8HxHT\T)fO%4b]fle^ A. Empire BlueCross (Empire) is the trade name of Empire HealthChoice Assurance, Inc. and Empire BlueCross HMO is the trade name of Empire HealthChoice HMO, Inc. Mena Stramenga endstream endobj 173 0 obj <> endobj 174 0 obj <> endobj 175 0 obj <>stream 0000031169 00000 n Group Medicare Benefits Summary and Rx Rider - 2022 . The network will continue to grow as new providers contract with the Plan. Jan 2017 - Jan 2022 5 years 1 month. CDPHP View exam alert here. Muscle imbalances. Click here to view a PDF copy that can be printed if necessary. ;Yg.j$~}sy;^;j*LZ46F[&ZbUloOn_jp?KNayrY^7l`Z>h\%Cqy1_eh^Ci/Z`|xtk$1C@b"0K8'hP0A[("4Q Empire Plan Health Insurance Certificate - Detailed description of the benefits and plan requirements. The LIRR Benefits page, or . 1-800-354-4054. 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. Creatine. NYSHIP will again offer the Opt-Out Program in 2023, which will allow eligible employees who have employer sponsored group health insurance, to opt out of their NYSHIP coverage in exchange for an incentive payment. 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. +GGq9z p JxfID04!9x\0Rx(0|J OY Blue Choice The cookie is set by GDPR cookie consent to record the user consent for the cookies in the category "Functional". hVG}G)0}"Hly03+mFcSTuWE/tL^SCS4d5J February 3, 2022 26 Coverage for Children Over 26 . See the 2023 State NYSHIP Enrollee Biweekly Premium Contributions What is the difference between The Excelsior Plan and The Empire Plan? The Excelsior Plan is a more affordable alternative to The Empire Plan. mL>pXT VW(y!q[!cq)i=nDv#h-&HVhg 1536 0 obj <>stream Click the plan names below to view a Summary of Benefits and Coverage for each option. Empire MediBlue Select (HMO) is a Medicare Advantage and prescription drug plan. The federal law requires the inclusion of annual out-of-pocket costs on employee health insurance benefit cards and impacts all NYSHIP plans. 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. Once the 2023 NYSHIP Rate Flyers are printed, they will be mailed to individual homes by New York State. 1 Sep 2022. . Tool properly, you will need to submit claim forms and pay a higher share of the of! 0000024663 00000 n In addition, the Affordable Care Act requires that plans offered through the health insurance exchanges cover services for mental health and substance-use disorders. AHIP is the national association whose members provide coverage for health care and related services to hundreds of millions of . This cookie is set by GDPR Cookie Consent plugin. ;1R K `I,%'% XBK* M9Ho,qxHySHA\jS7z oG hb```b``ea`e`f`@ +zR&I\O7. Rates and Health Plan Choices - Information on your 0000001372 00000 n Contents of the Summary of Benefits and Coverage >I,q%/0kYz[ad.-5-w6OB;n?/F:1R! 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. Any brand-name drug for which a generic drug becomes available will be designated as a non-preferred drug. These cookies will be stored in your browser only with your consent. 2022 NYSHIP Benefit Plan Comparison . . 2022 Documents. Click on the link below to access the Summary of Benefits and Coverage for the following: The Empire Plan | Espaol Welcome to EBD - 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. 0000004405 00000 n download the nyship & medicare guide _OF$ These definitions are intended to help improve consumer understanding and do not necessarily reflect your plans definition of the same term. 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. Advertisement cookies are used to provide visitors with relevant ads and marketing campaigns. 2023 At A Glance - endstream endobj 179 0 obj <>stream Ostomy supplies from Byram HealthCare Center. |m34# |nd)|`lF5U|{h#?82 #C?$cqYPlYoLeIP8u?tlzB2Sv>Rx#y>b Z=cT?Xaocz'y_~S;]Xn$Y#Tp'}[6!t 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. The open enrollment period to request participation in these programs ends December 12, 2022. NYSHIP Online contains health plan information for State and Local Government active enrollees. endstream endobj 1537 0 obj <>stream r Cancer Program Includes paid -in full coverage for cancerrelated . Category: Health Detail Health Certificate - Detailed description of the benefits and plan requirements. 5 mi. Decline NYSHIP Coverage Check box to decline coverage. additional cost for family coverage in the NYS Empire Plan. Health Insurance Program (NYSHIP). At Universal Audiology, this benefit will pay for a wide variety of hearing instruments. Before you receive services, call the Empire Plan at 1-877-7NYSHIP (1-877-769-7447) and choose UnitedHealthcare. Rocky Mountain Detox, Treatment Center, Lakewood, CO, 80214, (413) 359-6401, Desert Cove Recovery believes in providing holistic care and treatment for chemical dependency, and alcohol addiction . Empire Plan participants are given NYSHIP ID cards by the State of New York Department of Civil Service, the Empire Plan policyholder. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Congenital deformities or conditions that are present at birth. 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. share the cost for covered health care services. For Questions About: Phone Number: Precertify home care and durable medical equipment/supplies. 2023 Empire Plan Advanced Flexible Formulary - January 2023 2022 Empire Plan Advanced Flexible Formulary - October 2022 Empire Plan Providers, Pharmacies and Services Forms - Empire Plan Claim Forms, Non-Participating Provider Claim Forms and Administrative Forms. 2&pqA8@BV)yS,yQX>,OFJx=uNT@4T>BD"5A 1 0000037637 00000 n Over-the-Counter (OTC) At-home COVID-19 Test Reimbursement Form Health Benefits News NYS Benefits Empire Plan HMOs Dental Vision FAQ 1 You are enrolled in Empire Plan Medicare Rx, which is a Medicare Prescription Drug Plan. 0000004228 00000 n The Empire Plan Infertility Centers of Excellence offer the best in reproductive medical technology and infertility procedures. The Empire Plan pays for covered hospital services, physicians' bills, prescription drugs and other covered medical expenses. Prior versions also remain in circulation. These terms are defined in the Uniform Glossary, a non-customized companion document to the SBC. A couple of reasons: One, there are shortages of mental health professionals in general, and particularly in certain parts of the country. Does Empire plan pay Medicare deductible? The second set reflects 2023 biweekly rates for CSEA-represented state employees who are Grade 10 and above. ID cards, Empire Plan supplement - 2022 UnitedHealthcare Administrative Guide. E.g. When a generic endstream endobj startxref NYSHIP General Information Book - General eligibility and enrollment rules and information. These Coverage Examples are intended to help you compare your overall coverage and are not intended as a cost estimator. 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. NYSHIP | NY State Empire Plan Out of Network . . Within 48 hours, or as soon as reasonably possible after an emergency or urgent hospital admission. The Summary of Benefits and Coverage is a standardized template and the cells cannot be altered, moved, or deleted by any plan. It does not store any personal data. (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 The 2023 Administrative Guide for Commercial, Medicare Advantage and DSNP is applicable to all states except North Carolina. 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 When seeing a therapist in person, youre likely to be billed per session. MQxh ! State enrollees wishing to change options or to enroll in the Opt-Out Program should submit the necessary paperwork to their agency health benefits administrator no later than the Option Transfer Period deadline of December 30, 2022. T\,ZRf6-3A|jbSgE$Qov*:|5$!82 q+48+p4^qcj3(~ j}R;M.Gh3[mF"l. 520 0 obj <> endobj xref Empire Plan Providers, Pharmacies and Services, Access health care services remotely using The Empire Plan's new, Empire Plan Health Insurance endstream endobj startxref Corns, calluses, sores or warts. During this period, employees enrolled in the New York State Health Insurance Program (NYSHIP) may: Change their NYSHIP coverage status (e.g., family, individual) Change their NYSHIP . 1 . (For the Empire Plan Prescription Drug Program, CVS Caremark will ask for payment information when ordering from the specialty or mail service pharmacies.) 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. Stony Brook, NY 11794-3388. %PDF-1.4 % Benefits are available worldwide for covered, medically necessary services. Empire BlueCross is an HMO DSNP plan with a Medicare contract and a coordination of benefits agreement with the New York State Department of Health. 0000006249 00000 n 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 Click here for a table of the counties each HMO serves in 2023. hTRn071&Q%PMv7"c2htG\V3onTgv8z yEi!^4Pvun'M-/~fE(._=}V_-8Y'+:i:1 MVP. What is the difference between the Empire plan and the Excelsior plan? In order to provide you with targeted information about your benefits, you will need to select your group (negotiating unit) and health insurance plan when prompted. See NYS Department of Civil Services NYSHIP Rates and Deadlines publication. Out of these, the cookies that are categorized as necessary are stored on your browser as they are essential for the working of basic functionalities of the website. This does not apply to Medicare-primary Empire Plan enrollees and their covered dependents. 2023 Medicare Formulary - (List of covered drugs) Information on medication coverage. We also use third-party cookies that help us analyze and understand how you use this website. 1F \g >7^157eG Please note there are two sets of rates. Please see The Empire Plan "Choices for 2022" booklet" for more information, on . It includes hospital, medical and prescription drug benefits in one plan. You must callThe Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and Press or Say 2 for the Hospital Program: Before a maternity or scheduled (nonemergency) hospital admission. ]?e_2Xehb!LIP3F'NrZ(n7y% ycBQ^]}jE k@oI b"h,QM]GuiU.UeY=8Z?>-/bNriO] 211 0 obj <>stream Refer to Choices for 2023 and other plan material for more detailed information. You are represented by CSEA or UUP and elect to pay the full premium cost. Verify your health insurance coverage when you arrange your first visit. 2023 At A Glance - Easy to access benefits summary that can answer most of your general questions. Capital District Physicians' Health Plan, Inc. | 500 . 0000000936 00000 n 0000021102 00000 n 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. and Non-Participating Provider Claim Forms and Administrative Forms.

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