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the Employee Benefits Division - Government of New York

Welcome April 2014. toEBD. the Employee Benefits Division of the New york State Department of Civil Service For New york State and Participating Employer Retirees, Vestees, Dependent Survivors and enrollees covered under Preferred List provisions and for their enrolled dependents, COBRA enrollees with their Benefits and Young Adult Option enrollees This booklet explains how and where to get the help you need with your coverage under the New york State health Insurance Program (NYSHIP). Welcome to EBD/April 2014 i How can we Help You? Welcome to the New york State Department 1 Calling Our Call Center;. of Civil Service Employee Benefits Division NYSHIP in Another Language (EBD). At EBD, we are here to serve you 2 Help for Those with Special Needs.

and your family as your NYSHIP Health Benefits Administrator (HBA) when your coverage continues after the end of active service. Whether you have specific questions about your health benefits or you simply need to update your enrollment record, we are here to help. In fact, more than 224,000 retirees and

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Transcription of the Employee Benefits Division - Government of New York

1 Welcome April 2014. toEBD. the Employee Benefits Division of the New york State Department of Civil Service For New york State and Participating Employer Retirees, Vestees, Dependent Survivors and enrollees covered under Preferred List provisions and for their enrolled dependents, COBRA enrollees with their Benefits and Young Adult Option enrollees This booklet explains how and where to get the help you need with your coverage under the New york State health Insurance Program (NYSHIP). Welcome to EBD/April 2014 i How can we Help You? Welcome to the New york State Department 1 Calling Our Call Center;. of Civil Service Employee Benefits Division NYSHIP in Another Language (EBD). At EBD, we are here to serve you 2 Help for Those with Special Needs.

2 And your family as your NYSHIP health Communicating with the Employee Benefits Administrator (HBA) when your Benefits Division coverage continues after the end of active service. Whether you have specific questions 3 retiree Benefits on the Web;. about your health Benefits or you simply Visiting the Employee Benefits Division ;. need to update your enrollment record, Medicare and NYSHIP. we are here to help. 4 Check for NYSHIP Mailings In fact, more than 224,000 retirees and 5 Other Reminders;. their families rely on the Employee Benefits Questions and Answers;. Division for help with their New york State Safeguarding Your Privacy health Insurance Program (NYSHIP). coverage. This booklet explains how 6-8 Important Contact Information for and where you can NYSHIP Retirees; The Empire Plan get information and Programs and Administrators assistance with your 9 Important Contact Information health Benefits .

3 For NYSHIP health Maintenance Organization (HMO) Enrollees 10 Model Letter for Contacting the Employee Benefits Division 11-12 H IPAA Authorization Form 13 Change of Address Form Calling Our Call Center If you need to order new or replacement Our Employee Benefits Division (EBD). identification cards: Call Center staff is courteous, knowledgeable and dedicated to answering your questions. Empire Plan enrollees: Go to MyNYSHIP. or call EBD at 518-457-5754 or If you have questions about your health 1-800-833-4344 (United States, insurance enrollment record, eligibility or Canada, Puerto Rico, Virgin Islands), NYSHIP requirements, contact the EBD Call Monday through Friday, 9 to 4 Center at 518-457-5754 or 1-800-833-4344.

4 Eastern time. Your card will arrive within (United States, Canada, Puerto Rico, Virgin two to three weeks from your order date. Islands) Monday through Friday, between 9 and 4 Eastern time. Empire Plan Medicare Rx Enrollees: Call 1-877-7-NYSHIP (1-877-769-7447), You will need your nine-digit Social Security press 4 on the main menu, 24 hours a day, number when you call. You will hear Welcome seven days a week (TTY 1-866-236-1069). to the New york State Employee Benefits Division help line and then you will be given a choice health Maintenance Organization (HMO). of two options. Choose the correct option and enrollees: Contact your HMO directly. be prepared to enter your Social Security number at the prompt. See page 5 for information about authorizing someone else to call on your behalf NYSHIP in Another Language about your health insurance records.

5 The New york State health Insurance Program (NYSHIP) offers Language Line Services (LLS), Here are some tips to help you get the a confidential over-the-phone language information you need. translation service for enrollees who call EBD. Have the enrollee's Social Security number If you understand another language better and/or Empire Plan Identification (ID) number than English and would like answers to your and all documents related to your question health Benefits questions in another language, ready when you call. you can call EBD and use LLS. You can call Changes to your enrollment record require or ask someone else acting on your behalf your signature and cannot be made over the to call for you. However, if someone calls for phone.

6 Use the form on page 13 of this booklet you, this may require that you complete and to change your address or go online to use submit a health Insurance Portability and MyNYSHIP (see page 2). Read Communicating Accountability Act (HIPAA) release form. with the Employee Benefits Division on the next See page 5, Safeguarding Your Privacy. page and Keeping Your Coverage Up to Date in Here's how LLS works: your NYSHIP General Information Book. 1. Call EBD at 518-457-5754 or You may need information from a source other 1-800-833-4344 (United States, Canada, than EBD. If your call is about Empire Plan Puerto Rico, Virgin Islands). Representatives providers, Benefits or claims, you may call are available Monday through Friday, 9 the program administrators toll free at to 4 Eastern time.

7 Identify the language 1-877-7-NYSHIP (1-877-769-7447). If your you need translated. call is about NYSHIP health Maintenance Organization (HMO) Benefits , call your HMO 2. Ask the EBD representative to call an directly at one of the numbers listed on page 9. interpreter to translate for you. In most cases, If your call is about your pension check, call your the interpreter is available within 30 seconds. retirement system. Important telephone numbers A three-way conference call will begin for you, are listed on pages 6 to 8 of this booklet. the EBD representative and the interpreter. Welcome to EBD/April 2014 1. 3. The interpreter translates for you and for the ordering identification cards if you are enrolled EBD representative.

8 LLS interpreters are in The Empire Plan. This activation code is mailed trained in over-the-phone translation skills to your home address for added protection of and give accurate, objective translations. your personal information. You can access All calls are strictly confidential. MyNYSHIP from the NYSHIP Online web site at Help for Those with You must notify EBD when, for example: Special Needs Your address changes. Use the Change of If you are visually impaired, hearing impaired Address form on page 13 or go to MyNYSHIP. or need a special service to make health Benefits information available to you, EBD can Your telephone number or name changes. help. Large-print publications and audio CDs are Complete and send the model letter on available upon request for retirees with disabilities.

9 Page 10 to EBD. Call or write to EBD to request these materials. You need to choose another plan because you The New york State Department of Civil Service no longer live or work in your NYSHIP HMO's web site, , meets service area. Use the model letter on page 10, accessibility standards for persons with or, if you have not changed your plan in the disabilities. The text size and colors have last 12 months, you may submit your request been carefully selected for easy reading. on MyNYSHIP. Pages are compatible with computer screen You need to correct your enrollment record reader software and browser tools that help because, for example, a name is misspelled people with disabilities. or a birthdate is wrong. Include a copy of the appropriate confirming documentation.

10 Communicating with the You need to add or delete a dependent on your Employee Benefits Division health enrollment record. Use the model letter. Most changes to your enrollment file must Additional documentation may be required. be made in writing and require your signature. You need to report a divorce or death. Include You'll find a sample letter in your NYSHIP a copy of the divorce decree or death certificate. General Information Book (see Keeping Your Coverage Up to Date) and a model letter you You need to request coverage for a disabled can use on page 10 of this booklet to make dependent child. You and your child's attending an enrollment change or make a request. Use physician must complete Form PS-451, these samples as guides, or photocopy them Statement of Disability, and return it to the to use more than once.


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