Deadlines Approaching for Flex Spending and Empire Plan Claims

Employees enrolled in the Flex Spending Account for the 2009 plan year have until March 31, 2010 to send in reimbursement claims for eligible expenses incurred under the Health Care Spending Account and the Dependent Care Advantage Account.

 

Visit the Flex Spending Account web site at www.flexspend.state.ny.us to download a reimbursement claim form or call Fringe Benefits Management Company at 1-800-342-8017 to request one.  You can submit your reimbursement claim form and supporting documentation in one of the following three ways:

 

Mail form to:

 

Fringe Benefits Management Company

Post Office Box 1820

Tallahassee, Florida 32302-1820   or

 

Fax form to: (800) 743-3271   or

 

Submit form online at:  www.myFBMC.com

 

If you fax your reimbursement claim form to FBMC or submit it online, do not mail the form as well.

 

’09 Empire Plan claims due March 31

Empire Plan enrollees take note:  Time is running out for filing claims for covered medical services and items received in 2009.

March 31 is the last day to submit your 2009 claims to:

United HealthCare for the Empire Plan Basic Medical Program, the Home Care Advocacy Program (HCAP), and for non-network physical medicine services;

OptumHealth Behavioral Solutions for non-network mental health and substance abuse services; and

Medco for prescriptions filled in 2009 at non-participating pharmacies or without using your Empire Plan Benefit Card

If the Empire Plan is your secondary insurer, you must submit claims by March 31, or within 90 days after your primary health insurance plan processes your claim, whichever is later. If you are covered under the Empire Plan as both an enrollee and as a dependent, you may submit secondary claims to the Empire Plan for expenses not reimbursed under your primary coverage, such as copayments (including prescription drug copayments), deductibles and coinsurance amounts.

Claims submitted after the deadline will be rejected. The carriers will only reconsider their denial of these claims if you provide documentation indicating it was not reasonably possible for you to meet the deadline (for example, due to illness).

Ask your agency Health Benefits Administrator for claim forms, or call the Empire Plan toll-free telephone number 1-877-7NYSHIP (1-877-769-7447).  Or, just download the forms using the NYS Department of Civil Service website, www.cs.state.ny.us.

From the home page, click on “Benefit Programs” and follow the prompts to access NYSHIP Online.  Then click on “Using Your Benefits”.

Mail completed claim forms with supporting bills, receipts and, if applicable, a Medicare Summary Notice or statement from your other primary insurer to:

United HealthCare
P.O. Box 1600
Kingston, New York 12402-1600

OptumHealth Behavioral Solutions
P.O. Box 5190
Kingston, New York 12402-5190

The Empire Plan Prescription Drug Program

c/o Medco Health Solutions

P.O. Box 14711

Lexington, KY 40512