New York state employees who live or work in the Capital Region, Central New York, and the Hudson Valley are invited to enroll in a CDPHP plan.
The CDPHP HMO plan offers extensive benefits at a minimal cost, as well as:
- Low $20 copay
- No deductibles and easy paperless referrals
- A national network of nearly 10,000 practitioners and providers – use the Find-A-Doc search tool to find a participating doctor, specialist, laboratory, or pharmacy near you
- Worldwide coverage for urgent and emergency care when you travel
- Out-of-area coverage for college students while school is in session
Prescription Drugs
CDPHP offers a three-tier prescription drug plan for New York state employees. For your convenience, covered prescriptions can be filled at any Caremark network pharmacy throughout the United States (includes virtually all chain stores and most independent pharmacies). Use the pharmacy search on Find-A-Doc to find a participating pharmacy near you.
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Prescription drug copay for a 30-day supply: $5 generic, $30 brand formulary, and $50 non-formulary
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Mail-order prescription plan: Obtain a 90-day supply of maintenance medications. Visit Rx Corner for more information on mail-order benefits as well as a list of formulary (covered) drugs.
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Rx for Less: CDPHP members with prescription drug benefits can get significant discounts on specific generic drugs when purchased at any CVS, Walmart, Hannaford, ShopRite, or Price Chopper pharmacy.
Life Points®
Earn up to $365 in Life Points per year for visiting your doctor, eating well, staying fit, and more. You can then redeem your points for a variety of gift cards from local merchants. Learn about the Life Points program.
Services are provided by CDPHP participating physicians and coordinated by the member’s primary care physician.
All plan benefits are subject to coordination of benefits. These summaries are designed to highlight the benefits of the plan and do not detail all benefits, limitations, or exclusions. This is not a contract and may be subject to change. For more detailed information, a Membership Certificate is available for your review upon request.
Note: All non-emergency health services must be provided by a Capital District Physicians’ Health Plan, Inc. participating physician/provider (including hospital admissions) unless otherwise pre-authorized by Capital District Physicians’ Health Plan, Inc.