NOTICE of changes to the

North Shore-LIJ Employee Aetna Plans and

North Shore-LIJ Employee Empire Plan

 

 

Dear Physician/Provider                                                                    November, 2009

 

Over the past year, as a member of the North Shore-LIJ Clinical Integration IPA (CIIPA), you have treated employees of the North Shore-LIJ Health System (NSLIJ) and/or their dependents. On behalf of Michael Dowling, CEO of  NSLIJ we thank you for your continued high quality service to our employees, their families and the population served by the NSLIJ Health System and we hope you continue to provide services for many years to come.

 

We would now like to notify you of recent changes to the Employee Benefit Plan for our employees and their dependents.  As of January 1, 2010, the NSLIJ Health System will offer a total of four health benefit plan choices to its employees and their dependents. We will continue to offer the NSLIJ Employee Aetna Plus (PPO) and NSLIJ Employee Empire PPO plans. In addition, we have added two new Aetna plans: the NSLIJ Employee Aetna Core Plan, and the NSLIJ Employee Aetna Basic Plan. 

 

All plans encourage employees to select providers who participate in CIIPA and are thereby associated with the NSLIJ System (“In-System”). Employees will have little or no co-pays or co-insurance if they select a CIIPA In-System provider, such as yourself. However, some of the plans either do not permit or have high costs associated with seeing providers outside the system. In the interest of helping to keep medical expenses for our employees as low as possible we are requesting that you send any referrals for follow-up care to a CIIPA provider and to NSLIJ System facilities.

 

For your convenience, a list of these CIIPA providers and NSLIJ System facilities is available at www.northshorelij.com/OpenEnrollment. Click on “Materials & Resources”, then select “Your Guide to North Shore-LIJ In-System Facilities.”  To find an in-system provider, select the custom "Aetna and Empire DocFind" links, using the above instructions. You may print out a copy for your records or save it to your files.

 

As a reminder, as a preferred Provider in the CIIPA network you agree to provide services to our employees and their dependents who select any of the above plans. Regardless of which plan the employee selects, you will continue to be reimbursed at the same reimbursement rate.

 

Text Box: The enrollment process to update your participation in the NSLIJ Employee Empire and Aetna Plans is simple: 1. Go to the NSLIJ webpage at www.nslij.com and click on the “Healthport” button on the top right section of the screen. 2. The CIIPA web box and 3 documents are on the top right section of the screen. 3. Complete the “NSLIJ Employee Plan Participation Agreement” following the instructions within the document.

 

 

If you have any questions, please contact me directly at ciipa@nshs.edu or at (516) 465-8808.

 

Thank you again for working with NSLIJ to provide the best care to patients in the greater New York City area.

 

Sincerely,

Phil Gautreau

Vice President, Network Development