NYS Employees
From No Cost to Low Copay
New York State employees who live or work in the Capital Region, Central New York, and the Hudson Valley are invited to enroll in CDPHP. The benefits are extensive, the cost little to nothing.
- Low $20 copay.
- No deductibles and easy paperless referrals.
- Nearly 9,000 practitioners and providers. To find a participating doctor, specialist, laboratory, or pharmacy near you, go to Find-A-Doc .
- Worldwide coverage for urgent and emergency care when you travel.
- Out-of-area coverage for college students while school is in session.
- Group Medicare Choice coverage for Medicare eligibles.
Summary Information - 2010
Services are provided by CDPHP participating physicians and coordinated by the member’s primary care physician.
No Charge, No Kidding
- Annual adult exam — no charge.
- Well-child care, including routine immunizations — no charge.
- Prenatal and postnatal visits — no charge after initial visit.
- Most diagnostic lab services and X-rays at designated sites — no charge.
- Inpatient hospital services — no charge.
- No charge for most diagnostic lab and X-rays at designated sites.
- No charge for inpatient hospital services.
Wellness Benefits
- CVS ExtraCare Health Card - Present the CVS ExtraCare card at a CVS retail store and receive 20% discount off CVS brand health-related items.
- CDPHP Health Coach ConnectionSM - Talk personally to a Health Coach, a knowledgeable and caring health care professional, any time, day or night.
- SmartMoves™ – CDPHP's quarterly member newsletter.
- Free Wellness Workshops – Learn how good nutrition, regular exercise, and stress management can improve your health.
- Complementary & Alternative Medicine Discount Program - Free access to Web-based resources and discounts for alternative forms of therapy such as yoga, acupuncture, massage, and holistic medicine.
- Weight Loss Support Programs - Weigh 2 Be available for adult members and KidPower for children.
- My Online Wellness - News, quizzes, polls, calculators, and fun facts to improve your health.
- SilverSneakers - CDPHP Medicare members may take SilverSneakers fitness classes at participating facilities at no cost.
Prescription Drug Coverage
CDPHP offers a three-tier prescription drug plan for New York State employees. For your convenience, covered prescriptions can be filled at any Caremark network pharmacy throughout the United States (includes virtually all chain stores and most independent pharmacies). To find a participating pharmacy near you, please go to Pharmacy Locator.
- Prescription drug copay for a 30-day supply: $5 generic, $30 brand formulary and $50 non-formulary.
- Mail order prescription plan: Obtain a 90-day supply of maintenance medications.
For more information on mail order benefits as well as a list of formulary (covered) drugs, please logon to Caremark.com.
At Your Service
CDPHP Member Service Representatives answer inquiries, respond to concerns, and provide materials quickly and efficiently. Contact CDPHP Member Services.
Spanish speaking representatives and a translation service for other languages are available. A TDD system for the hearing-impaired is available at 1-877-261-1164.
No Habla Inglés
Nao falar inglés. Ikke taler Engelsk. Non parlare Inglese. Sprechen Sie Englisch nicht. Ne pas parler anglais.
To help non-English speaking members, CDPHP's member services staff includes Spanish speaking representatives. CDPHP also makes available a telephone translation service for other languages. Member services staff also can help you find a PCP who speaks your language.
Para ayudar a los miembros que no hablan ingles, CDPHP tiene representantes que hablan español. CDPHP también hace disponsible un servicio telefonico que traduce varios idiomas. Las personas en el departamento de servicios para los miembros, también le pueden ayudar a encontrar un PCP (doctor primario, o doctor de cabecera) que habla español.
All benefits of this plan are subject to coordination of benefits. These summaries are designed to highlight the benefits of the plan and do not detail all benefits, limitations or exclusions. It is not a contract and may be subject to change. For more detailed information a Membership Certificate is available for your review upon request.
Note: All non-emergency health services must be provided by a Capital District Physicians’ Health Plan, Inc. participating physician/provider (including hospital admissions) unless otherwise pre-authorized by Capital District Physicians’ Health Plan, Inc.