Health Insurance |
| Sharon Smith, Health Benefits Specialist ssmith@nyscopba.org 518.427.1551 or 888.484.7279 x 236 | Information on plan costs, benefits, providersandthings toconsider. |
| Health care coverage, benefits, services and providers may change often. The best resource for updated information on Vision, Dental and Health coverage is available on the NYS Civil Service web site. | |
Current News | |
Contact Information | ||
| Davis Vision- 888.588.4823 | GHI Dental- 800.947.0101 | EAP- 800.822.0244 |
| Davis Vision Lasik- 888.588.4823 | Retiree Ins.- 800.833.4344 | OAP- 518.489.9072 |
| Workers Comp- 518.474.6674 | ||
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Health Maintenance Organizations | ||
CENTRAL REGIONCDPHP- 800.777.2273 | DOWNSTATE REGIONAetna U.S. Healthcare- 800.323.9930 | MID HUDSON REGIONAetna U.S. Healthcare- 800.323.9930 |
NORTHERN REGIONCDPHP- 800.777.2273 | WESTERN REGIONBlue Choice- 800.462.0108 | |
Health Insurance Forms | |
| Empire Plan Waiver of Premium | For members on LWOP who are enrolled in the Empire Plan only and wish to apply for a waiver of premium |
| Empire Plan/United HealthCare Predetermination Request | For members who wish to submit a predetermination of benefits to United HealthCare concerning a particular procedure to verify coverage |
| Empire Plan/United HealthCare Claim Form | To submit claims to United HealthCare received by an out-of-network provider |
| Coordination of Benefits (COB) United HealthCare - BlueCross/BlueShield | Notify carrier that a dependent has or doesn't have other insurance |
| Student Verification Forms GHI - Davis Vision | Notify carrier of dependent’s (age 19-25) full-time college status (must submit each semester) |
| Add a young adult dependent (up to age 26) | |
