Coverage
Worldwide coverage—
whether on vacation, traveling for business or away at school, Empire Plan benefits are available to you and your dependents for —
- All covered services - not just emergency or urgent care
- In most cases, without pre-authorization or phone calls.
- Medically necessary care — with no caps or maximum benefits.
- Guaranteed access to network benefits for mental health and substance abuse services, home care and durable medical equipment, chiropractic treatment and physical therapy (when you contact the program before receiving services and follow program requirements).
Benefits to Meet Your Every Need—
designed to help you manage both unexpected and chronic health care needs, a safety net you’ll be glad you chose.
- Centers of Excellence programs for Cancer, Infertility and Transplants
- Voluntary Disease Management programs for Asthma, Attention Deficit Hyperactivity Disorder (ADHD)*, Cardiovascular Disease, Chronic Kidney Disease (CKD)*, Chronic Obstructive Pulmonary Disease, Congestive Heart Failure, Depression*, Diabetes and Eating Disorders*
- Network Providers for Prosthetics and Orthotic Devices—no copayment for device meeting individual’s functional need
- Hospice—no copayment, no limit
- Hearing Aids—up to $1,200 or $1,500 per aid per ear every 4 years (2 years for children) if medically necessary
* for unrepresented and settled groups only
24-hour Access—
because life doesn’t just happen between 9 and 5.
The Empire Plan’s single toll-free number (1-877-769-7447) provides access to:
- Pharmacists 24 hours a day to answer questions about your prescriptions
- The Empire Plan Nurseline 24-hour access to health information and support
- Eligibility and claims status information
State of the art website provides:
- Password protected, electronic access to claims information via the web at myuhc.com and empireblue.com.