Nys Empire Plan Mental Health Providers


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Our Clinicians And Staff

Medicare Part 2: Coordinating Your NYSHIP Benefits

Our team includes psychiatrists, psychologists, licensed clinical social workers and licensed professional counselors. We help you develop a unique treatment plan focused on setting and achieving goals for your mental wellness. It is possible to redevelop a healthy and happy lifestyle. Our staff helps you take the steps necessary to achieve this.

With multiple locations in southeast Pennsylvania and some weekend and evening availability, we make treatment convenient and accessible. The Light Program serves adults and adolescents and accepts most major commercial insurances.

How Can I Book An Appointment Online With An Empire Plan Psychiatrist

Zocdoc is a free online service that helps patients find Empire Plan Psychiatrists and book appointments instantly. You can search for Empire Plan Psychiatrists by symptom or visit reason. Then, choose your location. Based on that information, youll see a list of providers who meet your search criteria, along with their available appointment slots.

If You Have Questions

If you have questions about information in The Empire Plan and Medicare+Choice HMOs, please call the Health Benefits Administrator of your former agency before you enroll in one of these plans.

Information in this document is provided to help you understand how your Empire Plan health insurance benefits will be affected if you join a Medicare+Choice HMO. Care has been taken to ensure accuracy. However, the HMO contracts and the Empire Plan Certificate of Insurance and amendments are the controlling documents for benefits available under NYSHIP. Read your Empire Plan Certificate and Empire Plan Reports for complete information.

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Tips To Find Affordable Therapy On The Empire Plan

The Monarch Directory by SimplePractice can help you find the right therapist for you.

Many of the therapists on Monarch offer free 15-minute initial consultation sessions to make sure they are a good fit for your specific needs, whether you’re experiencing anxiety, depression,grief, ADHD, or other mental health concerns.

How Can I Find A Therapist In New York Who Sees Clients After Hours

Leslie Villodas

Find a therapist who sees clients after hours on Zencare. Many therapists inNew York offer appointments outside of traditional business hours. Simply filter by Office Hours under More Filters to choose the time of day that works best for you, whether that be early morning before work, in the evenings, or even over the weekend. After hours sessions are a good option for busy individuals, couples, and families dealing with hectic schedules and who need a flexible option for their mental health care.

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How Can I Make An Appointment With A Therapist In New York

Start your search for an appointment with a therapist in New York on Zencare. Many mental health professionals located in New York require clients to have an introductory call before booking a full appointment online. In this free call, the prospective therapist will ask about your goals for treatment, and make sure that their skills, specialized training, and scope of private practice are a match for your mental health issues. At the same time, you should assess if you feel comfortable talking with the therapist, as studies show that the most important determinant of successful therapy is the relationship between therapist and client. After an initial call, youll typically be given the option to book an appointment with the therapist, or continue your search if its not a good fit. At the initial session, youll likely discuss the therapeutic process and determine goals for your personal growth. Common therapy goals include learning effective coping strategies to deal with negative feelings, increasing self-awareness, and gaining a deeper understanding and insight into relationship patterns.

Telehealth Level Of Care Assessment

  • At the scheduled time and date, log into our BlueJeans video conferencing system with the login information emailed to you by the admissions team.
  • In order to complete the assessment, you will need access to reliable internet, a front-facing camera, and a working email address to receive consents and telehealth links. A smart phone can be used.
  • During the LOCA, an experienced clinician will work with you to determine the level of care necessary to achieve their treatment goals.
  • LOCAs take approximately 1 hour 30 minutes to complete.
  • A Light Program admissions professional will verify that treatment services are covered by your insurance provider during the assessment process.
  • If a completed assessment indicates that you should pursue outpatient , intensive outpatient , or partial hospitalization treatment with The Light Program, we can admit within 24-48 hours, or potentially the same day, depending on the next scheduled session day.
  • If our assessment determines that you require a higher level of care than we offer, we will refer you to our network of trusted partners.

Any professional referrals to outside treatment centers or community resources that come about as a result of the assessment are based on your identified needs and best interests.

Whether or not you pursue treatment with The Light Program following the assessment process, we will remain an available resource for questions, support, and other needs.

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Outreach Representatives For The Light Program

If you or someone you know are interested in treatment from The Light Program, please contact our outreach representatives directly. They can assist you with scheduling an intake appointment and assessment, and answer any general questions you may have about The Light Program. Our intake phone number is .

If you are a behavioral healthcare professional, organization, or treatment provider or are interested in speaking with a The Light Program representative in your area, our outreach representatives are available to help via phone or e-mail.

How Do I Find A Therapist In New York Who Offers Online Sessions

Reach Out SUNY | Mental Health program

Find a therapist who offers online sessions on Zencare. Most therapists inNew York continue to offer appointments online you can filter by Online to find a provider who is accepting new clients for teletherapy sessions. In order to see a therapist, they must be licensed to provide online sessions to clients living in your state. Online therapy is different from text therapy, or asynchronous therapy online therapy offers the same consistent relationship with a local New York therapist that an in-person session would, with sessions taking place via phone or a video sessions through a secure teletherapy platform. Online therapy sessions are a convenient way to find a therapist near New York without leaving the comfort of your home or office.

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The Empire Plan And Medicare+choice Hmos

You may receive information from Medicare and from HMOs in your area describing Medicare options available to you that are not part of NYSHIP. You may wonder whether to join one of these plans to supplement or replace your Empire Plan coverage.

Please be aware that your Empire Plan benefits will be significantly reduced if you join one of these plans. Under a Medicare+Choice contract, you assign your Medicare benefits directly to the HMO. You give up the right to Medicare coverage for services outside the HMO. All benefits must be received from that plan, even if you also have Empire Plan coverage, for example, through your spouse.

If you cancel your NYSHIP coverage, you lose several benefits:

  • Your former agency is no longer required to reimburse you or your Medicare-eligible dependents for the Part B premium.
  • If your former agency allows your sick leave credit to be used to reduce your premium, it will no longer do so.
  • If you wish to re-enroll in NYSHIP, you will be subject to a three-month waiting period before your coverage again becomes effective.
  • If you die while you are not enrolled in NYSHIP, your dependents are not eligible for dependent survivor coverage.

If you are enrolled in the Empire Plan and you or your enrolled dependent also joins a Medicare+Choice HMO, the HMO coverage will replace your original fee-for-service Medicare coverage and drastically reduce or eliminate benefits available under the Empire Plan.

How Do I Find An Affordable Therapist In New York

Many therapists offer a sliding scale, or a range of session fees based on financial need to clients who would not otherwise be able to afford typical therapy rates in New York. If you are struggling to pay for therapy, consider asking for a sliding scale, looking for an in-network therapist, or seeking services through a local agency, college counseling center, or hospital.

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How Can I Find A Top

You can use Zocdoc to find Empire Plan Psychiatrists who are highly rated by other patients. These ratings are based on verified reviews submitted by real patients. Every time a patient completes an appointment booked on Zocdoc, theyre invited to review their experience. Each review must comply with Zocdocs guidelines.

The Empire Plan Offers Telemedicine At No Cost To Enrollees

Charles Cordova

Each day, CSEA continues to address the ever-changing needs of our members during this unprecedented time. In light of the current COVID-19 outbreak in New York State, CSEAs Joint Committee on Health Benefits has worked with New York State to offer a pilot Telemedicine Program for Empire Plan enrollees/dependents to begin immediately.

This voluntary Telemedicine Program, through LiveHealth Online, allows Empire Plan enrollees/dependents access to a live doctor 24 hours a day, 7 days a week without leaving their home . Covered-in-full services are available for medical as well as mental health visits through Dec. 31, 2020.

If you are enrolled in the Empire Plan, you will be receiving a postcard from New York State describing how to use this benefit by using an electronic device such as a laptop, tablet or smartphone. This telemedicine program is provided by LiveHealth Online claims for the telemedicine visits will be processed by Empire BlueCross, the Empire Plans hospital carrier.

Empire Plan enrollees/dependents who require immediate access to medical or mental health telemedicine services can visit Empire Blue Crosss website and register through the LiveHealth Online link. To receive paid-in-full benefits, the Empire Plan specific coupon code must be added when registering for medical telemedicine services or when receiving mental health telemedicine services.

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Your Empire Plan Participating Provider

  • has a participating provider agreement in effect with UnitedHealthcare or MPN
  • submits claims directly to UnitedHealthcare for covered services or supplies you receive and
  • accepts your copayment plus UnitedHealthcare’s payment as payment in full for covered services and supplies.

Please keep in mind that, under the medical component of The Empire Plan, you are not guaranteed access to a participating provider in every specialty in every geographic area. Also, providers listed in the directory are not obligated to accept new patients. The Empire Plan does not require that a participating provider refer you to a participating specialist, laboratory, urgent care center or outpatient surgical locations. Ask for a participating provider. When you use a non-participating provider, covered benefits are payable under the Basic Medical portion of the Plan, but using a participating provider lowers your out-of-pocket expenses. Always ask your provider if he or she is a participating provider before you receive services.

For physical therapy and chiropractic services, managed care components of The Empire Plan, you are guaranteed access to a participating provider. Call 1-877-769-7447 if you need help locating a participating provider in those specialties.

Does The Empire Plan Cover Mental Health

Yes, nearly all Empire Plan insurance plans cover mental health and behavioral health. Here’s how to find Empire Plan mental health providers.

You can quickly see all therapists and counselors who take The Empire Plan in your area, and book appointments online for in-person or telehealth therapy sessions.

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Are Video Visits With A Psychiatrist Online Covered By Empire Plan

Most insurers provide coverage for video visits at the same cost as in-person visits. You can search on Zocdoc specifically for Psychiatrists who accept Empire Plan for video visits by selecting your carrier and plan from the drop-down menu at the top of the page. We recommend you check with your insurance carrier directly to confirm your coverage and out of pocket costs for video visits.

Where Can I Get Mental Health Therapy In New York

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Start your search for mental health therapy in New York on Zencare. All therapistsare quality-vetted for excellence in clinical care. When youre struggling with your mental health, it might be time to seek professional support in the form of counseling services, couples therapy, or psychiatric medication management. There are a wide range of private practice therapists to choose from in New York consider narrowing your search by criteria like insurance carrier, therapy budget, specialty, or provider identity to find a great fit!

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Common Insurance Providers: The Empire Plan

The principal health insurance plan in New York is The Empire Plan, also known as NYSHIP . It is the largest public employer health insurance program in the U.S., with over 1.2 million members.

This program, created decades ago, offers an impressive range of health plans to both state and local government employees. Not only are active employees eligible for coverage, but so are retirees, dependents and dependent survivors. However, the program was not always so versatile. When NYSHIP was first founded in the late 1950s, coverage only extended to state employees. It eventually branched out to include employees of local government and local employees of the school district.

A few decades later, in 1986, the Empire Plan was rolled out, qualifying an even larger group of state and local employees for coverage. This steady growth is a testament to the companys dedication to covering those New Yorkers on whom the public counts with members ranging from public school teachers, to local librarian staff, to firemen and utility company workers.

The premiums are notoriously affordable and they rarely spike in cost, unlike other for-profit insurance companies within the state. In addition to low premiums, policy holders are granted access to a widespread network of doctors, surgeons and specialists. There are over 190,000 doctors available to Empire Plan policy-holders.

Fact: The average Empire Plan premium increase was 4% throughout the last five years

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By clicking “Get the newsletter”, I agree toMonarch Terms andPrivacy Policy and to receive emails from Monarch. I know I may unsubscribe any time.

Monarch does not employ any provider and is not responsible for the conduct of any provider listed on our site. All information in member profiles, and messages are created from data provided by the providers and not generated or verified by Monarch. As a user, you need to perform your own diligence to ensure the provider you choose is appropriate for your needs and complies with applicable laws and licensure requirements. Monarch is not intended to be a substitute for professional advice.

Monarch assumes no responsibility, and shall not be liable, for the quality or any other aspect of the services a provider may provide to you, nor will Monarch be liable for any act, omission or wrongdoing committed or allegedly committed by any provider.

Articles and information and assessments posted on Monarch are for informational purposes only, and it is not intended to diagnose or treat any health conditions. Treatment and diagnosis should be performed by an appropriate health care provider.


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How Can I Make A Same

On average, patients who use Zocdoc can search for a Psychiatrist who takes Empire Plan insurance, book an appointment, and see the Psychiatrist within 24 hours. Same-day appointments are often available, you can search for real-time availability of Psychiatrists who accept Empire Plan insurance and make an appointment online.

How To Search The Directory

Work Force December_2019

Upon clicking Search for physicians, laboratories or other facilities you may customize your search by selecting Change address and completing details about the location where you want to search. Once complete, you can enter the name of a provider, facility, specialty or condition and the site will accept any additional information you enter to create a customized search for you. You can easily modify your mile radius or select a specialty from the Physician Specialties, Facilities or Specialty Centers drop down lists. As you make modifications you can view more information about a provider, locate the office on a map, save the contact information or even send yourself a text message to recall the information at a later time. At any time you can initiate a new search by selecting Start New Search in the upper right corner of the screen.

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Connect With A Therapist Today

Therapists trained in a range of different modalities: Psychodynamic, Strengths-Based, Mindfulness, and more. We specialize in a range of different areas: Anxiety, Depression, Communication, Autism Spectrum Disorder, LGBTQIA+, Young Adult, EMDR, Codependence, Mindfulness, Individual Therapy, Stress, and more.

Currently conducting sessions in-person and via Telehealth video/phone calls. Find a therapist you connect with and call or email today to get started on your journey towards mental health. Some insurance plans accepted, in and out of network: Northwell Direct, United Healthcare , Oxford, UMR, Aetna, NYSHIP and more.

Northwell psychologist Northwell Direct Tier 1 Insurance.

Northwell Direct

The Empire Plan Expands Use Of Unitedhealthcare Network

The Empire Plan members have nationwide network access, starting Jan. 1, 2021.

Starting Jan. 1, 2021, members of The Empire Plan will have in-network access to the UnitedHealthcare Options preferred provider organization network for all states and U.S. territories outside of New York.

The Empire Plan Supplement will be included with the 2021 UnitedHealthcare Care Provider Administrative Guide. When the guide is posted, the supplement will apply to care providers in all markets outside New York, as well as national care providers and a limited number of providers in New York with The Empire Plan specifically added to their UnitedHealthcare Participation Agreement.

Identifying members of The Empire Plan

Members are New York State government employees, local government employees with Empire Plan or Excelsior Plan benefits, graduate student employees in the Student Employee Health Plan , retirees and their dependents. Empire Plan benefit ID cards have New York State Health Insurance Program and The Empire Plan on the front of the card. Recent cards also have the UnitedHealthcare logo. Cards arent replaced each year and some valid cards may look different.

Youll be able use UHCprovider.com tools to verify member eligibility and coverage, submit prior authorization requests and advance notification, submit claims and check claim status.

Different carriers manage coverage for The Empire Plan

Learn more

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