Evening outpatient mental health care for Empire Plan members.
A structured program for New York State and participating agency employees, retirees and dependents, delivered by video.
- Group sessions three evenings a week
- Individual therapy weekly, 50 minutes
- Psychiatry on the team. Licensed clinicians
- PPO plans only. Not Medicaid or Medicare
The Empire Plan runs mental health through a separate administrator with its own clinical referral line. That line is called first. The Empire Plan and other PPO plans may cover it, out of network. Out-of-network benefits checked free by phone. A benefit check is not a guarantee of payment.
Empire Plan members, and the people who send them.
Ask for the referral desk. No clinical detail by email, and nothing is discussed without a release.
A week in the program.
How the benefit works.
What a referral looks like.
Send the plan, not a chart
Carrier, plan type and the last four digits of the member ID. Nothing clinical by email.
Shift runs the benefit check
A call to the plan. Then a call back: deductible, coinsurance, what is left this plan year, program cost. Free, about ten minutes.
Clinical screen
A licensed clinician confirms fit and availability in that state.
What comes back to the referrer
A start note, and a discharge summary at the end, with a release on file.
Three answers, no contact details on the first screen. A member can fill it in, or a referrer can walk through it with them on the phone.