’09 Empire Plan
Professional Directory
Advertising in this publication does not represent an endorsement by PEF or its members.
claims due 3/31
By LORRAINE SIMPKINS
March 31 is the last day to submit your
Empire Plan claims for covered medical
services and items received in 2009. Send
them to:
• United HealthCare for the Empire
Plan Basic Medical Program, the Home
Care Advocacy Program (HCAP), and for
non-network physical medicine services;
• OptumHealth Behavioral Solutions
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for non-network mental health and
substance abuse services; and
• Medco for prescriptions filled at non-
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participating pharmacies or without using
your Empire Plan Benefit Card. One
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If the Empire Plan is your secondary
insurer, you must submit claims by
March 31, or within 90 days after your
primary health insurance plan processes
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your claim. If you are covered under the
Empire Plan as both an enrollee and as a
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claims to the Empire Plan for expenses
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Claims submitted after the deadline
will be rejected. The carriers will
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reconsider their denial of these claims
only if you provide documentation
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indicating it was not reasonably possible
for you to meet the deadline.
Ask your agency health benefits
administrator for claim forms, or call (877)
769-7447.
You may download the forms through
www.cs.state.ny.us. Select “Benefit
Programs” and follow the prompts to
access NYSHIP Online. Then, select “Using
Your Benefits.”
Mail the completed claim forms with
LongIsland’spremierhearinghealthcarefacility!
supporting bills, receipts and, if
applicable, a Medicare Summary Notice or
statement from your other primary
insurer to:
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• United HealthCare
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PO Box 1600
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Kingston, NY 12402-1600
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• OptumHealth Behavioral Solutions
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IALIZING IN ...
audiological evaluations
advanced digital hearing aids
PO Box 5190 p
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Kingston, NY 12402-5190
• Empire Plan Prescription Drug
NESCONSET......................631-238-5785 GARDEN CITY...................516-248-0068
Program
57 Southern Blvd., Suite 4 1100 Franklin Ave., Suite 300
c/o Medco Health Solutions
PO Box 14711
PORT JEFFERSON..........631-928-4599 LAKE SUCCESS ...............516-622-3387
640 Belle Terre Rd., Building C 2800 Marcus Ave., Suite 207
Lexington, KY 40512
WEST ISLIP.......................631-332-3274 MANHASSET.....................516-466-0206
1111 Montauk Highway, Suite 201 333 East Shore Rd., Suite 102
DigitalHearingAidsavailablewithNOOUThyphen.capOFhyphen.capPOCKETexpenseforPEFparticipants
www.earworksaudiology.com
www.pef.org TheCommunicatorMarch2010—Page19
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