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A total health solution that helps members become more healthy, or live better with a condition, while lowering the cost of health care.
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Benefit Summaries

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Benefit Summaries are organized by group size and product and can be downloaded and printed to view and/or hand out to your employees. Click on the icons in the "Upstate" column if you are located in one of the following New York counties: Albany, Clinton, Essex, Fulton, Montgomery, Rensselear, Saratoga, Schenectady, Schoharie, Washington, Warren. For employers located in all other counties choose "Downstate".  

    Region
Benefit Summaries (2 – 50 Eligible Employees)
Downstate
Upstate

Empire EPO Essential

PDF Format

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Empire PPO

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HMO

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    Region
 
Benefit Summaries (51+ Eligible Employees)
Downstate
Upstate

Direct POS

PDF Format

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Empire Total BlueSM with HRA

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Empire Total BlueSM with HSA

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Empire Total BlueSM EPO with HRA

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Empire Total BlueSM EPO with HSA

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Empire PrismSM EPO

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Empire PrismSM EPO w/ In-Network Cost Sharing

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Empire PrismSM Deductible First EPO

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HMO

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PPO

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PPO (with In-Network Cost-Sharing)

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Empire PrismSM PPO

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Empire PrismSM PPO (with In-Network Cost-Sharing)

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Empire PrismSM Deductible First PPO

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PDF Format

 
    Region
 
Dental Benefit Summaries
Downstate
Upstate

Empire Dental Prime and Complete

PDF Format

PDF Format

Dental HMO, Comprehensive Care

PDF Format

N/A

Dental HMO, Preventive Care/Preventive Care Plus

PDF Format

N/A

Dental Open Access – Voluntary
(For Groups with 5 or More Eligible Employees)

PDF Format

PDF Format

Dental Premium Care PPO
(For Groups with 5 to 50 Eligible Employees)

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Dental Premium Care PPO
(For Groups with 51 to 99 Eligible Employees)

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Dental Premium Care PPO
(For Groups with 100 Plus Eligible Employees)

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Progressive Dental
(For Groups with 2 to 4 Eligible Employees)

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Dental Premium Care Voluntary PPO
(For Groups with 51 and 99 Eligible Employees)

PDF Format

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Dental Premium Care Voluntary PPO
(For Groups with 100 Plus Eligible Employees)

PDF Format

PDF Format

 
    Region
 
Vision Benefit Summaries
Downstate
Upstate

Blue View Vision Exam Only

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Blue View Vision Full Service

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Blue View Vision Discounts

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PDF Format

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Services provided by Empire HealthChoice HMO, Inc. and/or Empire HealthChoice Assurance, Inc., licensees of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans, serving residents and businesses in the 28 eastern and southeastern counties of New York State. All external sites will open in a new browser window. Please view our Website Privacy Policy for more information.