Armyourcollegestudentagainstillness
By DEBORAH STAYMAN prescriptiondrugcopaysorover-the- UnitedHealthcare.Youwouldbe
H
Doyouhaveasonordaughtergoing countermedicationslistedat responsibleforpayingtheapplicable
tocollegethisfall?Ifyoudo, flexspend.state.ny.us/otc.asp. deductibleandcoinsuranceamounts.To e
youmayalreadyhavealistof findaprovider,call877-7-NYSHIPand
a
thingstodotogetreadyfor
Cov
chooseUnitedHealthcare,orvisit
thattransition.Don’tforget
a20
eredbyEmpirePlan:
GetthebookletOntheRoad
www.multiplan.com/netsearch/empire/.
l
t
toensuretheywillhave
withtheEmpirePlan2009which
healthinsurancecoverage
explainshowtousetheEmpire Co
andwillknowhowtouseit.
Planwhenawayfromhome. a20
veredbyanHMO:
h
ContactyourHMOtofindoutwhat
Thechecklistsbeloware
Youcangetacopyfromthe serviceswillbecoveredifyoursonor N
designedtohelpyouhave
healthbenefitsadministrator(HBA) daughter’scollegeislocatedoutsidethe
everythingreadybythetime
atyouragencyorworksite,or HMO’sservicearea.Thetoll-freenumber
o
yourstudentleavesfor
downloadonefromthestate foreachHMO’smemberservices
t
campus.
DepartmentofCivilService(DCS)at departmentisavailableonlineat
e
ww ww
Co
a20
vereddependents: a20
w.cs.state.ny.us.
Ifyouneedahealthbenefits a20
w.pef.orgunderHealthBenefits.
s
ContactyourHMOtorequestanID
Checkwithyourstudent’s identificationcardforyoursonor cardifyourstudentdoesn’talreadyhave
doctortomakesureallimmunizations, daughter,askyouragencyHBAforoneor one
includinghepatitis,tetanusand requestitthroughMyNYSHIPatNYSHIP a20
.
IfyourHMOwillcoveryourstudent
me
a20
ningitisareuptodate. On onlyforemergencyserviceswhileat
Obtainanynewprescriptionsor a20
line.
Ifyoursonordaughterwillneedto college,youmaywanttopurchasea
refi
a20
llsyourchildwillneed. seeaphysicianwhileatcollege,visitthe policythroughthecollegeifsuchcoverage
Scheduleanynecessarydentalor EmpirePlanparticipatingprovider isavailable.
visionappointments.Dependentshave directoryatwww.cs.state.ny.ustosearch Or,inNovember,youcouldchange
nationwideaccesstoparticipatingvision foraconvenientlylocatedproviderby yourhealthplanoptiontoonethatoffers
careproviders,sotheyneednotwaituntil spe bettercoverageforyourstudent.
the
a20
ycomehometousethisbenefit. a20
cialty.
Yourstudentwillhaveguaranteed
Ifyoursonordaughterisage19or accesstonetworkhospitals,mental
Submityour
older,bepreparedtosubmit health/substanceabuseclinicians,
documentationtoyourhealthplanthat ManagedPhysicalMedicineProgram,lab
FlexSpending
heorsheisafull-timestudent. servicesandpharmacyservices.Only
Dependentstudentverificationformsare medical-surgicalprovidersarenot
postedonlineatwww.pef.orgunder availablenationwide.
claimsonline
Hea
a20
lthBenefits. IfanEmpirePlanparticipating
Doyouparticipateinoneormoreof
Toresolveanyclaimproblemsfor medical-surgicalproviderisunavailable,
thestate’sflexiblespendingaccount
yourstudent,youmayneedtheir youmaywanttouseanon-participating
programsthatletyousavemoneyby
authorizationonasignedHealth providerwhoispartofMultiPlan.Your
usingpre-taxearningstopayforhealth
InsurancePortabilityandAccountability out-of-pocketexpensewould,inmost
careordependentcare?
Act(HIPAA)waiverform.Criteriamay cases,belessthanusingaproviderwho
Ifyouareenrolled,younowcan
differdependingonyourhealthplan.You doesn’tparticipateineithertheEmpire
submityourreimbursementclaims
candownloadtheappropriateformat PlanorMultiPlan.Yourshareofthecost
onlineforfaster,easierservice.
ww
a20
w.cs.state.ny.us/ebd/. wouldbebasedonthelesserofthe
TheFlexSpendingAccountplan
IfyouareenrolledintheHealth MultiPlanfeescheduleorthereasonable
administrator,FBMC,haslauncheda
CareSpendingAccount,remindyourson andcustomarycharge.
newonlineclaims-submissionprocess
ordaughtertosavereceiptsforany TheMultiPlanproviderwouldsubmit
thatletsenrolleessubmit
healthcarerelatedexpensessuchas billsandreceivepaymentsdirectlyfrom
reimbursementrequestsfortheHealth
CareSpendingAccount(HCSA)andthe
SomeEmpirePlancopaysgoupJuly1
DependentCareAdvantageAccount
(DCAA)onlinethrough
StartingJuly1,someco-payswill undertheManagedPhysicalMedicine
www.myFBMC.com.
increaseforEmpirePlanenrollees,as Program(MPN);
Thesimple,two-stepprocessletsyou
agreedinthePS&Tcontract. •Officevisits/officesurgery,
uploadscannedimagesofyour
Theaffectedco-paysareincreasing radiology/diagnosticlabservices,cardiac
completedclaimformsalongwithscans
from$18to$20andapplytosome rehabilitationcentervisits,diabetes
ofsupportingdocumentation.It’sfast,
physicaltherapy,radiologyandlab educationcentervisits,adult
easyandsecure,andyouwillreceive
services,occupationalandchiropractic immunizations,urgentcarecentervisits,
yourreimbursementssoonerthanifyou
therapies,mentalhealthvisitsandother andcontraceptivesbilledbyadoctor
submittedyourclaimsbymail.
servicesasfollows: undertheParProviderProgram(UHC);
FBMCrecentlye-mailedan
•In-networkoutpatientphysical and
announcementaboutthisnewserviceto
therapyundertheHospital/Hospital •In-networkoutpatientmentalhealth
allenrollees.Foradditionalinformation,
ExtensionClinicProgram(BC); visitsandsubstanceabusevisitsunder
contactFBMC’sCustomerCareCenter
•In-networkphysicaltherapy, theMentalHealthandSubstanceAbuse
atwww.myFBMC.comorcall
occupationaltherapy,chiropracticcare Program(OptumHealth).
1-800-358-7202. —DeborahStayman
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TheCommunicatorJuly-August2009—Page11
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