Posted: Monday, December 3, 2012
Empire Plan Deductibles and Coinsurance for 2013
Empire Plan Annual Deductible
Effective January 1, 2013, annual deductibles for CSEA, NYSCOPBA, PEF, and M/C employees will be $1,000 per enrollee, $1,000 per enrolled spouse or domestic partner, and $1,000 for all dependent children combined. The annual deductible for UUP and PBANYS will increase to $417. These changes reflect the 4.2 percent increase in the medical care component of the Consumer Price Index for Urban Wage Earners and Clerical Workers (CPI-W) for the period July 1, 2011, through June 30, 2012.
The annual deductible for calendar year 2013 will be reduced to $500 for CSEA, NYSCOPBA, PEF, and M/C employees in (or equated to) salary grade 6 or below on January 1, 2013.
Empire Plan Coinsurance
Effective January 1, 2013, the coinsurance maximum (out-of-pocket expenses) for the following employees will increase to reflect the change in the Consumer Price Index:
CSEA, NYSCOPBA, PEF, M/C: $3,000
The coinsurance maximum for calendar year 2013 will be reduced to $1,500 for CSEA, NYSCOPBA, PEF, and M/C employees in (or equated to) salary grade 6 or below as of January 1, 2013.
Note: there is no deductible or coinsurance when employees use the Empire Plan Participating Provider Network.
Please call Human Resource Management at ext. 4821 with questions.