Prescription Drugs Mandatory Generic Substitution Requirement Participants pay a copay for each prescription filled through participating pharmacies. Participants must pay a copay for each prescription or refill. Prior approval needed for some drugs. This option is only available to staff who reside or work in an area of New York State served by a Health Maintenance Organization. This type of program provides prepaid medical services, rather than reimbursement toward the direct cost of health care services.
Employees share the cost of coverage with New York State.
Coverage is effective on the first day of the month following the completion of six full consecutive months of service. New York State provides this coverage at no cost to staff and dependents. Dependent Coverage Employees may enroll in single or family coverages for both health and dental. Unmarried children under age 19. Unmarried children up to age 25 who are enrolled as full-time students and receive more than half of their support from the staff member.