NY Allergy & Sinus Centers accepts Empire Blue Cross Blue Shield / Empire Health Plus (JLJ). If you have JLJ on your member ID card, you are enrolled in Empire Blue Cross Blue Shield Health Plus. It is your responsibility to know your benefits and coverage. The information we receive may not always have the most accurate and updated benefit coverage. It may be helpful for you to contact your insurance provider’s member services department before coming
to see the physician. Know what your individual plan covers before you visit NY Allergy & Sinus Centers. Contact Empire Health Plus Member Services at 800-450-8753 or by calling the number on the back of your insurance card to verify your benefits and coverage. What to Ask: Explain to the representative that you are planning to visit a specialist at NY Allergy & Sinus Centers. 1. Confirm that we are in-network with your insurance plan. 2. Ask about coverage for: If services are subject to your deductible you may want to request prices for such services. Be sure to provide our call service agents your insurance
identification number and plan when booking an appointment. Also, remember to bring your insurance card to your appointment. Know your policy holder’s name and date of birth in addition to our practice name and the office address in which you are visiting. For any questions regarding your office visit and insurance, please call us at (212) 686-4448. Online or MobileSee what’s covered by your plan; check your claims; get ID cards; find a doctor, drug or facility; compare estimated treatment costs and more. It’s quick and so easy! Try Blue Connect Already registered? Log In Here Ask questions about your plan or how to cancel it, how to set up Blue Connect or reset your password. Email Us TelephoneFor questions about your plan, bills or claims, call the Customer Service number on the back of your Blue Cross NC member ID card. Don’t have your ID card? Call: 1-888-206-4697. Hearing- or Speech-Impaired:Please call 1-800-442-7028/TTY users dial 711. Please note that you will need to identify yourself in order to be directed to the appropriate Customer Service department for your plan.
Quick Facts
Plan SummaryThe Empire Blue Cross PPO provides worldwide coverage for hospitalization and surgical, medical, vision and prescription drug expenses. Under this plan, medically necessary treatment for a covered illness or injury may be obtained at a hospital or from a physician of one’s own choosing, whether an in-network or out-of-network provider. In addition, members of the Empire Blue Cross plan have access to ActiveHealth as part of participation in this plan. Coverage when travelling or living outside of the US is handled by Blue Cross Blue Shield Global Core. Information Material - All about Your PlanDescription of Benefits - Empire Blue Cross PPOThe below resources are official outlines of the available Empire PPO. We kindly advise you to carefully review the plan details before making a decision on which plan is best suited for your needs. Description of Benefits - Empire Blue Cross PPO Specific Benefits available through the Empire Blue Cross PPOThe below resources are related to additional benefits available through the Empire Blue Cross PPO, such as special programmes, telehealth, international care and the Sydney Health App. Empire Home Delivery Programme Care outside the US through Empire Global Core LiveHealth Online - Telehealth Guide Sydney App ActiveHealthBoth Aetna and Empire Blue Cross offer access to ActiveHealth that provides you with various resources intended to help you take better care of yourself, including coaching and health assessments. ActiveHealth Overview ActiveHealth Flyer ActiveHealth Flyer 2 UnitedHealthcare Global Assistance & RiskUnitedHealthcare Global Assistance & Risk is a facility available to Aetna and Empire Blue Cross subscribers when they are 100 or more miles away from home. UnitedHealthcare Global Assistance & Risk is a programme providing emergency medical assistance management — including coordinating emergency evacuation and repatriation — and other travel assistance services. FAQsWhat is the time limit to submit medical claims? All claims must reach Empire Blue Cross within two years after the date on which the expenses were incurred. How can I access care outside the US? The Blue Cross Blue Shield Global Core Program gives UN participants benefits when living or traveling outside the US. More information can be found on www.bcbsglobalcore.com. Are Assisted reproductive technologies covered under Empire Blue Cross PPO? Assisted reproductive technologies including but not limited to In-vitro fertilization, Artificial insemination,Gamete and zygote intrafallopian tube transfer and Intracytoplasmic sperm injection are not covered under the Empire Blue Cross PPO plan. How can I submit a claim for care rendered in the United States? Once you have registered to the Empire member pages (www.empireblue.com/login), you can access the claim form section through this weblink: https://membersecure.empireblue.com/member/claim-form. This secure webpage will guide you through the claiming process. How can I submit a claim for care rendered outside the United States? Once you have registered to the Empire Global Core member pages (www.bcbsglobalcore.com), you can access the claim form section through this weblink: https://www.bcbsglobalcore.com/Claims/. This secure webspage will guide you through the claiming process. |