Related Links

DEHIC’s Health Insurance Carrier:

Empire Blue Cross/Blue Shield

– Did you know that you can view and print a copy of your membership card from their website? www.empireblue.com
– Did you know that you can register on Empires Website, gaining access to your claim information and other services 24 hours/day- 7 days/week ?
– Did you know that you can view and print a copy of your membership card from their website?

Empire BCBS Benefit Summary [pdf format]:

Alternate PPO
Healthy Advantage PPO
EPO Select 20

Summaries Of Benefits and Coverage (SBC)

Alternate PPO
Healthy Advantage PPO
EPO Select 20

Certificates of Coverage [pdf format]:

Alternate PPO:

with Domestic Partnership clause
without Domestic Partnership clause

Healthy Advantage PPO

with Domestic Partnership clause
without Domestic Partnership clause

EPO-20

with Domestic Partnership clause
without Domestic Partnership clause

Forms for Downloading & Printing [pdf format]:

Coordination of Benefits [COB] BlueView Vision:
– BlueView Vision: Alternate PPO – Summary Of Benefits
– BlueView Vision: Healthy Advantage PPO and EPO Select 20 – Summary Of Benefits

Eligibility
• For additional details, please refer to the Memorandum Explaining Coverage Eligibility for the DEHIC Empire Blue Cross and Blue Shield Plan
Formulary – choose The Drug List/Formulary option for the most recent medication list. Select National Drug List 3-Tier (Searchable).
Health Insurance Claim
Individual Authorization
Prescription Drug Claim
Request for Coverage for an Over Age Dependent – Coordination of Benefits [COB]

“Health Corner”:

Anthem Behavioral Health
Blue Cross and Blue Shield Association
Catskill Regional Medical Center
Kingston Hospital
Northern Dutchess Hospital
Saint Francis Hospital and Health Centers
St Luke’s Cornwall Hospital
Sharon Hospital
Vassar Brothers Medical Center