2021 General Information Book
The Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) and choose the appropriate program. Health Maintenance Organization (HMO) inquiries: For questions about specific benefits or NYSHIP HMO services or to locate a provider, call …
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www.cs.ny.gov9d. Other insured’s insurance plan or program name (C): Enter the other insured person’s insurance company or program name. 10a. Select whether the member’s condition is related to employment (R). 10b. Select whether the member’s condition is related to an auto accident and enter the state in which the accident occurred (R). 10c.
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Summary of Benefits and Coverage: What this Plan Covers ...
www.cs.ny.govFor more information about your coverage, or to get a copy of the complete terms of coverage, visit www.cs.ny.gov or call 1-877-7-NYSHIP (1-877-769-7447). For general definitions of common terms, such as allowed amount, balance billing, coinsurance, copayment, deductible, provider, or other underlined terms, see the Glossary.