New York State Health Insurance Program

Health Insurance Coverage in New York

Health Plan Overview

Insurance CompanyNew York State Health Insurance Program
StateNew York
Websitenyship.ny.gov
Number of Hospitals in Network1
Number of Plans Offered3

Network Hospital Locations

Hospitals in Network (1)
Ellenville Regional Hospital

Available Plans

MEDICARE PART D

1 plan

PPO

1 plan

SELF FUNDED

1 plan

Plan Details
Plan NamePlan Type
Empire PlanPPO
Empire PlanSELF FUNDED
Empire PlanMEDICARE PART D

Recent News

2025-02-25
An article discusses significant changes to the Empire Plan that became effective on July 1, 2023, affecting certain employee groups. These changes include annual visit limits for acupuncture and massage therapy services and the launch of a new Center of Excellence for Substance Use Disorder Program.
2025-02-03
The NYS Department of Civil Service issued a memorandum announcing updates to the Empire Plan Certificates. Revised certificates with changes effective July 1, 2023, and January 1, 2024, as well as amendments through December 31, 2023, are available through NYSHIP Online and are being mailed to enrollees.
2025-01-01
The New York State Health Insurance Program (NYSHIP), The Empire Plan, and Student Employee Health Plan have introduced updated logos and ID cards. The new versions are currently being phased in.
2024-12-04
The Empire Plan and HMO premium rates for 2025 have been finalized by the Department of Civil Service. Rates are adjusted annually based on enrollee utilization and projected costs, and the employee/state premium percentage cost share remains unchanged from 2024 to 2025. The Option Transfer Period ran through December 31, 2024.
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A claims deadline for 2024 Empire Plan claims is approaching. Network providers typically submit claims, but for non-network claims, subscribers must complete forms and include billing information. The page also provides information on using the Empire Plan while traveling and the benefits of using network providers.

State Leadership

Empire Plan

Chief Medical Officer

Chief Medical Officer for the UnitedHealthcare Empire Plan. Previously Chief Medical Officer for the Office of Quality and Patient Safety within the New York State Department of Health.