Latest News from Health Benefits Dept.
Important Information for NYSHIP Enrollees: Prescription Co-Pay Changes effective January 1, 2020:
Effective January 1, 2020, enrollees and dependents of the NYSHIP PA plan will utilize the Empire Plan Advanced Flexible Formulary. Like the Flexible Formulary used now, the Advanced Flexible Formulary displays the most commonly utilized medications and displays excluded medications and preferred alternatives. The formulary will be used by almost 90% of the Empire Plan enrollees and dependents. Some of the changes on this year’s formulary will pertain to some drugs moving to the Excluded Drug List, Drugs moving to a higher tier level and Drugs moving to a lower tier level.
Copayment changes for the Empire Plan Rx Program will be as follows:
Level 1 Copayments will remain the same
Copayment increases for Level 2 (Preferred) and Level 3 (Non- Preferred)
Annual Medical Open Enrollment begins on October 7th, 2019
Medical Open Enrollment is here! During the months of October and November, District employees have the opportunity to enroll in or make changes to their health insurance plans. All changes will become effective on January 1st, 2020. All benefit eligible employees must complete the open enrollment process. Please be advised that all medical elections will go through our benefit portal, INAVIGATOR. Anyone logging into INAVIGATOR for the first time must create a user name and password to log in. Medical open enrollment ends on November 30th, so please be sure to complete the medical open enrollment before the deadline.
The following free benefits are available on a confidential basis. Counseling benefits, peak performance coaching, training and personal development benefits, self-help resources, work/life benefits, personal assistant, wellness benefits, and lifestyle benefits. To learn more download EAP benefits flyer or contact the EAP toll-free at 800.252.4555.
September EAP Newsletter - Am I Normal?
View the October 2019 Issue of your EAP Newsletter
September EAP Newsletter - Supporting Friends who Have Cancer
View the September 2019 Issue of your EAP Newsletter
Open Enrollment Flex
September 1st- September 17th, 2019 is open enrollment for the District’s Flex plan administered through Wage Works. Enrollment is optional; however, if you are interested, then you must enroll during the designated open enrollment period. You will not be able to enroll once open enrollment has ended. The plan year will begin on October 1st, 2019 and runs through September 30th, 2020. We offer FSA (Flexible Spending Account) Unreimbursed Medical Expenses and DCA (Dependent Care Account). The maximum amount this plan year for FSA Unreimbursed Medical is $2700.00. The maximum for DCA is $5000.00 per household. Enrollment must be completed through INAVIGATOR. September is also the open enrollment month for Aflac. This is the time when you can add or drop an Aflac policy. Information will be available on INAVIGATOR starting on 9/1/19. Please check your 8/30/19 email for enrollment details.
August EAP Newsletter - Save Money with your EAP
View the August 2019 Issue of your EAP Newsletter
Agreement with Westchester Medical Center Health Network Reinstated Retroactive to June 1, 2019
The Westchester Medical Center Health Network (WMCHN) and Empire BlueCross (the Hospital Program administrator) reached a contract agreement that reinstates the hospital system’s network status retroactive to June 1, 2019. WMCHN includes the following facilities: Bon Secours—Good Samaritan Hospital; Bon Secours—Mercy Community Hospital; Bon Secours—St. Anthony’s Hospital; Mid-Hudson Regional Hospital and Westchester Medical Center.
Claims for services received at these facilities on or after June 1, 2019 will be processed as in-network and will be subject to in-network copayment, where applicable. If preadmission certification was received for a future hospital admission, services will be approved for an in-network level of benefits and the corresponding claim will be subject to in-network copayment, where applicable.
If enrollees have any questions, please have them call 1-877-7-NYSHIP (1-877-769-7447) and select option 2 for the Hospital Program.
2019-2020 Health Insurance Buy-Out May -1 June 14th, 2019
Information will be going out in May 2019 via district email regarding our Open Enrollment period for the Health Insurance Buy-Out. If you are taking the medical buy-out for the 2019-2020 school year, you must log into the INAVIGATOR benefit portal and enroll in the health insurance buy-out online. In addition, you must also upload a copy of your current health insurance ID card to the INAVIGATOR portal. The health insurance buy-out open enrollment period runs from May 1, 2019- June 21, 2019. You must complete the buy-out enrollment each year that you are electing to enroll in the medical buy-out. Please remember there is a June 14, 2019 deadline. Enrollments not received by that date will not receive the 2019-2020 health insurance buy-out in the first pay of October 2019.
EAP Coaching Programs Available (Click Image To Download)
2018 Holiday Survival Toolkit from our EAP
We wish you all the joys of the season and the best for the New Year! And to help ensure that your holidays stay happy, we have included a 2018 Holiday Survival Toolkit, with links to tools on navigating stress, budgets, family dynamics, holiday health and more.
While the holidays can be full of rich time with family and friends, they can also be a time of high stress or depression for some, such as those who are struggling financially, those who have suffered a recent loss or any number of other reasons. If you or a family member are experiencing any difficulties this season, large or small, your EAP can help.
Remember that your EAP is available 24-7-365 for help with any difficulties you may experience. For confidential help from experienced counselors simply call 800.252.4555.
Important Information for NYSHIP Enrollees concerning copayment increases.
The following information concerns changes to the Empire Plan copayments for Medical, Hospital, and Mental Health and Substance Abuse Services, and to the combined annual deductible and coinsurance maximum amounts for non-network services. These changes were negotiated by State employee unions that settled their collective bargaining contracts with New York State or the Unified Court System and they are being extended to Participating Agencies (PAs) and Participating Employers (PEs). These changes are effective January 1, 2019 and apply to PA and PE enrollees who are active employees, retirees, dependent survivors or COBRA enrollees with Empire Plan Benefits. See Full Notice including Charts
Contact Health Benefits
Keisha Martinez, Health Benefits Specialist
BOE/ Library Complex
124 Grand Street
Important Phone Numbers
|Marshall & Sterling||1-914-962-1188
ext 2481 or 2489
NTA BENEFIT TRUST FUND FORMS
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GENERAL FORMS AND DOCUMENTS
Insurance Marketplace Information
Health Coverage and Medical Terms
Change of Address
Cancer Screening Leave Form
Family and Medical Leave Act Form
EAP Benefits Flyer
MVP PPO Health Risk Screening Form
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MVP PPO Account Setup & HRA Mngm.
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