Medical

As part of an exchange, employees have the ability to choose health insurance and benefit plans that fit their needs and budget from an ever growing range of choices.

ANTHEM OVERVIEW

Anthem is dedicated to delivering better care to our members, providing greater value to our customers and helping improve the health of our communities.

Network availability & ELIGIBILITY

ANTHEM

NEW YORK

NEW JERSEY

CONNECTICUT

NATIONWIDE

To enroll in PPO/EPO plans employees can Live/work/reside anywhere in the US. PPO/EPO* BlueCard BlueCard BlueCard
To enroll in Blue Access plans employees can Live/work/reside anywhere in the US. Blue Access* BlueCard BlueCard BlueCard
To enroll in Connection plans employees Can live/work/reside anywhere in the US. Connection** BlueCard BlueCard BlueCard
*Anthem PPO/EPO & Blue Access service area consists of five boroughs, Nassau, Suffolk, Westchester, Rockland, Orange, Putnam, Dutchess, Ulster, Sullivan, Delaware, Clinton, Essex, Albany, Columbia, Fulton, Green, Montgomery, Rensselaer, Saratoga, Schenectady, Schoharie, Warren and Washington (other New York areas access BlueCard Network).
**Anthem Connection service area consists of five boroughs, Nassau, Suffolk, Westchester and Rockland (other New York areas access BlueCard Network).

Pediatric Dental

ANTHEM

NEW YORK

NEW JERSEY

CONNECTICUT

NATIONWIDE

ANTHEM Dental Complete Dental Complete Dental Complete Dental Complete

Pediatric Vision

ANTHEM

NEW YORK

NEW JERSEY

CONNECTICUT

NATIONWIDE

ANTHEM Blue View Vision Blue View Vision Blue View Vision Blue View Vision

Telemedicine
  • Is available through the Sydney Health mobile app or livehealthonline.com from their computer. Virtual visits are covered at no charge for non-HSA plans, this includes virtual behavioral health visits. HSA plans will be subject to $59 copay towards the deductible for medical visits.

Rx Networks:

  • BaseRx Network – Includes Walgreens & Duane Reade
  • Advantage Network – Excludes Walgreens & Duane Reade
Prescription Mail Order
  • When a member uses CarelonRx to order a 90-day supply of a drug they will pay 2.5 months of copays.
Added Values
  • Gym reimbursement – 50 visits per a 6-month period and earn $200
    • Spouse/Domestic Partner and Dependents 18+ are also eligible for the $400 gym reimbursement per year
  • Acupuncture is a covered benefit
  • LASIK benefit:
    • Premier LASIK Network – Save on LASIK when you choose a featured provider
    • TruVision – save on LASIK eye surgery at over 1,000 locations
    • $200 wellness incentives available through the Sydney Health mobile app for
      completing certain activities throughout the year (annual physical, mammograms,
      health assessments, colonoscopy, etc)

 

Emblemhealth Overview

EmblemHealth is one of the nation’s largest not-for-profit health insurers, serving more than three million people in New York City and the tristate area. For the past 80 years, EmblemHealth has been taking care of New York’s heart and soul, its people. Today, healthcare is more complex than ever. That’s why EmblemHealth remains committed to finding new ways to deliver quality care at affordable prices.

Network availability & ELIGIBILITY

EMBLEMHEALTH

NEW YORK

NEW JERSEY

CONNECTICUT

NATIONWIDE

To enroll in Select Care plans
employees must live/work/reside in
NY.
Select Care N/A N/A N/A

Pediatric Dental

EMBLEMHEALTH

NEW YORK

NEW JERSEY

CONNECTICUT

NATIONWIDE

EmblemHealth Healthplex Healthplex Healthplex N/A

Pediatric Vision

EMBLEMHEALTH

NEW YORK

NEW JERSEY

CONNECTICUT

NATIONWIDE

EmblemHealth EyeMed EyeMed EyeMed EyeMed

Telemedicine
  • When a member uses their Teladoc services there is no charge excluding HSA plans there is a $0 copay after the deductible is met. AdvantageCare Physicians Centers are also available to schedule virtual visits. Medly Pharmacy medication delivery service is available at no cost.
Prescription Mail Order
  • When a member uses Express Scripts to order a 90-day supply of a drug they will pay 2.5 months of copays. Register on-line at https://www.express-scripts.com

Added Values

  • Gym reimbursement – 50 visits per a 6-month period and earn up to $200. The covered spouse earns $100 per 50 visits within a 6-month period.
  • Acupuncture is covered for 12 visits
  • LASIK benefit:
    • Save 15% off the retail price of 5% off the promotional price

OXFORD OVERVIEW

Oxford serves millions of people from their earliest years through their working lives and into retirement. What unites them is their mission to help people live healthier lives and make the health system work better for everyone.

Oxford is working to play their part in creating a more sustainable healthcare system: one that works better for everyone.

Network availability & ELIGIBILITY

Oxford

NEW YORK

NEW JERSEY

CONNECTICUT

NATIONWIDE

To enroll in Metro plans employees must live/work in NY and NJ. Metro* Metro N/A N/A
To enroll in Liberty non-gated plans employees can live anywhere in the continental US.
To enroll in Liberty gated (G) plans employees must live in NY, NJ and CT.
These members have access to Core Network when they travel or have children attending college outside of the Oxford service area (NY/NJ/CT).
Liberty** Liberty Liberty Core
*Oxford Metro service area consists of the five boroughs, Nassau, Suffolk, Westchester, Rockland, Orange, Putnam, Dutchess, Ulster and Sullivan.
**Oxford Liberty service area consists of five boroughs, Nassau, Suffolk, Westchester, Rockland, Orange, Putnam, Dutchess, Ulster and Sullivan (other New York areas access Core Network).

Pediatric Dental

Oxford

NEW YORK

NEW JERSEY

CONNECTICUT

NATIONWIDE

Oxford National Options PPO 20 National Options PPO 20 National Options PPO 20 National Options PPO 20

Pediatric Vision

Oxford

NEW YORK

NEW JERSEY

CONNECTICUT

NATIONWIDE

Oxford UnitedHealthcare Vision Network UnitedHealthcare Vision Network UnitedHealthcare Vision Network UnitedHealthcare Vision Network

Telemedicine
  • Oxford – Members can access virtual doctor visits on myuhc.com or through the UnitedHealthcare mobile app. Virtual visits are covered at no charge excluding HSA plans have a $49 charge per virtual visit and no charge after deductible.
Prescription Mail Order
  • When a member uses OptumRx to order a 90-day supply of a drug they will pay 2.5 months of copays. Register on-line at https://www.optumrx.com
Added Values
  • The covered spouse and eligible dependents (age 13 and older) earn $100 for 50 visits per 6-month period
  • Rewards Core – all plans except Liberty Motion (M) plan members can earn up to $300/year for reaching program goals and completing one-time reward activities
  • Rewards Premium – Liberty Motion (M) members can earn up to $1,000/year for reaching program goals and completing one-time reward activities. Rewards deposited
    directly into health savings accounts or used toward a Visa® gift card
  • Real Appeal – a personalized coach to help guide and customize steps to fit weight loss, personal preferences, medical history and goals. 24/7 online support
  • One Pass Select – a subscription-based fitness and well-being program that supports a healthier lifestyle.
    • Access to thousands of gyms, no long-term contracts or annual registration fees
    • Flexible fitness options & ability to use locations nationwide (not limited to 1 gym/1 city)
    • Add up to 4 family members (18+), 10% monthly discount & can change tiers monthly