Enroll in ’09 Flex Spending now to save $$
Get help managing chronic illnesses
By LORRAINE SIMPKINS

If you are covered by the Empire Plan and you or any of your covered dependents suffer from a chronic medical or mental health condition, you may take advantage of a free disease management (DM) program.

The program will help you take a central role in managing your care and avoid more serious problems.

Currently, DM programs – including three new ones that began July 1 – are offered for: asthma; cardiovascular/
coronary artery disease; chronic kidney disease; congestive heart failure; chronic obstructive pulmonary disease; depression; attention deficit hyperactivity disorder (ADHD); eating disorders (anorexia, bulimia, and binge eating); diabetes; and sleep apnea. All of the DM programs provide education and support, are confidential, and use nationally-recognized clinical practice guidelines and recommendations.

ValueOptions, the company that manages mental health and substance abuse services for the Empire Plan, is offering two of the new DM programs.

The ADHD Identification and Management Program includes:
• A free, confidential screening tool that you can access online, or request by phone;
• Information about ADHD symptoms and treatment; and
• Help assessing treatment options and coordinating care among treatment providers.
The Eating Disorders Management Program includes:
• Information about eating disorder symptoms and treatment;
• Free eating attitude survey that can be taken online;
• Help assessing treatment options and coordinating care among treatment providers; and
• Intensive care management services for people with more severe symptoms.

For more information about these mental health DM programs, visit www.ValueOptions.com online or call the Empire Plan at 1-877-7NYSHIP and select “Option 3” for ValueOptions.

United HealthCare, through its partner, OptumHealth, is offering the DM program for individuals with chronic kidney disease.
If you or your covered dependent (the Empire Plan must be your primary insurance) have chronic kidney disease, you may be invited to participate in the Kidney Resource Services Program. This program is designed to identify patients early in their course of treatment and provide interventions to delay the progression of the disease.
Participants will be offered educational materials and other services to help manage their kidney disease.

Also, you may be contacted by a registered nurse in conjunction with this program.

For more information, call the Empire Plan at 1-877-7-NYSHIP and choose “Option 5” for the Empire Plan NurseLine.

The Communicator Home Page
By DEBORAH STAYMAN
If you are in the PS&T unit, the Flex Spending Account is a program negotiated by PEF and the state to help you save money on your taxes.

The program has two benefits – the Health Care Spending Account (HCSAccount) and the Dependent Care Advantage Account (DCAAccount) – that help you pay for health care or dependent care with pre-tax dollars. And the state may help you pay for your dependent care.

Even if you enrolled last year for 2008, you must enroll again now – between September 22 and November 14, 2008 – if you want to participate in 2009. However, if you experience a qualifying event, such as marriage or childbirth, you may be allowed to enroll or change your level of contributions later.
Go to www.flexspend.state.ny.us or call 1-800-358-7202 to enroll. Enrollment is voluntary. Savings vary.

You may not pay directly for eligible expenses from these accounts. You must pay the expenses first and then submit claims for reimbursement from your flexible spending account.

How HCSAccount works

If eligible, you may authorize any amount from $100 to $4,000 annually in pre-tax dollars be withheld from your pay and set aside in a special HCSAccount. You can then reimburse yourself by check or direct deposit from that account for out-of-pocket medical, dental, vision, or hearing costs not reimbursed by health insurance.

By law, you must lose any money left in the account at the end of the year, so carefully estimate your annual out-of-pocket health care costs and be conservative in setting your biweekly contribution amount.

Examples of allowable costs are: prescription drug copayments, dental implants, and orthodontia fees paid to non-participating providers, deductibles, laser eye surgery, contact lenses and certain over-the-counter drugs and supplies. For a list of these items, go online to www.flexspend.state.ny.us.

How DCAAccount works
If you pay someone to care for your child, elderly parent, or disabled spouse while you work, you may set aside up to $5,000 in pre-tax salary through payroll deduction to reimburse yourself for these expenses.

Expenses eligible for DCAAccount reimbursement include child care expenses (up to age 13), summer day camp, before/after school programs, adult day care, home aide, and housekeeper or cook if they also provide custodial care.
 
The state will contribute up to $800 to your 2009 DCAAccount. How much it contributes depends on your annual salary. The less you earn, the more the state will contribute.

The 2009 employer contribution rates are:
• $800 for salaries up to $30,000;
• $700 for $30,001 to $40,000;
• $600 for $40,001 to $50,000;
• $500 for $50,001 to $60,000;
• $400 for $60,001 to $70,000;
• $300 for more than $70,000.

If you have additional questions, e-mail them to fsa@goer.state.ny.us.