Click on a the links below for information regarding your benefits or download the complete VHHSBP Summary Plan Description.
Benefits at a Glance
Benefits by Hospital (Chart)
General Benefits Summary (Chart)
Enrollment and Eligibility
Eligibility
Change in Family Status
Open Enrollment
Qualified Medical Child Support Orders
Termination and Extension of Coverage
Family and/or Medical Leave
Reinstatement of Coverage After Leaves of Absence
Military Leave
COBRA
COBRA Initial Notice – Continuation Coverage Rights
Dental Benefits
Dental Plan Options
Managed Dental Guard (MDG)
Manged DentalGuard Overview
Choice of Dentists
Referrals
Emergency Dental Services
MDG Co-pay Chart
DentalGuard Preferred (DGP)
DentalGuard Preferred Overview
Covered Charges
List of Covered Dental Services (Percentage)
Rollover Provisions
Dental Claims and Appeals
Disability Benefits
Short-Term Disability (STD) Overview
Filing a Disability Claim
Appeals
Disability for Qualified NY Employers
Disability for Non-Qualified NY Employers
Disability for NJ Employers
Long-Term Disability
Life Insurance
Life Insurance (Term)
Life Insurance (Term) for Spouse or Registered Partner
Ancillary Death Benefit
Medical Coverage (Empire BlueCross/BlueShield)
Health Insurance – Empire Plan Overview
Empire Medical Management Program
Empire Contacts (Chart)
In-Network vs. Out-of-Network Coverage (Chart)
Co-pay/Co-insurance (Chart)
Exclusions and Limitations
Claims and Appeals
Prescription Benefits (Express Scripts, Inc.)
Express Scripts (ESI) Prescription Coverage
Prescription Co-payments (Chart)
Mail Order Prescriptions
Covered Drugs
Exclusions
Claims and Appeals
Vision Benefits
Vision Benefit Summary
Vision Benefit Flyer
Other Benefits through VHHSBP
Accidental Dismemberment
Hearing Aid
Claims Submissions and Additional Plan Information
Filing a Claim
Claims Review and Appeal Procedure
Coordination of Benefits
Other Important Information
Notice of Electronic Disclosure
HIPAA Privacy Practices
