2021-2022 Summary of Benefits and Coverage:
Empire BlueCross BlueShield

• Please note not all plans are available to all employees.
  
• Your entitlements are driven by your Collective Bargaining Agreement.

What this Plan Covers & What You Pay for Covered Services
Coverage Period: 07/01/2021– 06/30/2022
ALT PPO: Q&A
ALT PPO - Your Summary of Benefits
EPO Select 20: Q&A
EPO Select 20 - Your Summary of Benefits
Healthy Advantage PPO (HA PPO): Q&A
Healthy Advantage PPO (HA PPO) Your Summary of Benefits
Benefit Comparison:  ALT PPO / HA PPO / EPO Select 20

2021-22 vs. 2020-2021 Coverage Rates

Certificates of Coverage:
Empire PPO Health Advantage PPO Plan with Domestic Partner Coverage
Empire EPO EPO Select Plan
Empire PPO Alt PPO Plan