The Suffolk County Employees Deferred Compensation Plan is a supplemental retirement plan to help with your future financial needs. Contributions are made before your income tax withholding is calculated, which reduces the amount of your taxes. There is currently one provider of the Plan that offer a wide variety of investment options. Unlike a savings plan, the funds that you invest in the Plan are subject to IRS and New York State regulations and therefore are not accessible until you leave County employment, with certain exceptions. Before joining the Plan, please make sure that your financial situation enables you to defer money without causing financial hardship. If you have any questions, you may wish to consult your financial advisor. For additional information that is updated regularly, visit the Plan's website at www.scdeferredcomp.org
Piggy bankAfter completing one year of service, an AME member can be eligible to receive 75% reimbursement for the cost of their tuition only, so long as the Tuition Reimbursement Committee approves their application, up to a maximum of 12 credits per calendar year. Their application must be submitted to AME before the course begins. Approval is based on each individual course or the matriculated course of study on the basis of its relevance and relatedness to the employee's present job, and an appraisal of the applicant's need for the requested course or course of study in relation to the employee's current position within the County. Please contact AME Headquarters at 631-589-8400 or login to our members area for the rules and regulations of the program, instructions to complete an application, and the actual application to complete.
EMHP - Balance Billing in Effective Scenarios
We have had a number of SCAME members file Empire BlueCross BlueShield appeals. In response to your concerns, we asked our Empire BlueCross BlueShield representative for some information. We will continue to follow-up with the insurance companies and healthcare providers as we continue to address member inquiries. The following is an explanation of balance billing in elective medical situations as per our representative. Please feel free to follow-up with us if you need further assistance or explanation.
In an ELECTIVE (non-emergency - scheduled) medical procedure, only the member is covered according to the status (Participating or Non-Participating) of the treating provider. That is the benefit in accordance with the Employee Medical Health Plan of Suffolk County (EMHP) plan design. Many times a decision to use a non-participating provider is not in the hands of the member.
Members are currently held harmless in terms of hospital based providers such as radiologists, anesthesiologists, pathologists, and emergency room physicians. EMHP negotiates with these types of providers and takes the member out of the middle.
However, an attending physician, assistant surgeon, and others within the hospital may not be participating, subjecting the members to some extensive balance billing.
There are a couple of things to do in order to prevent some of these situations from happening.
These are suggestions that may help, but we cannot guarantee the end results. You always have your appeal rights if this is not successful. Ask any attending physician that visits you in a hospital setting whether or not they participate in your plan. If they say no, you can either deny their visit or ask them if they would be willing to sign off on accepting what the plan pays for the service as payment in full.
- Ask any attending physician that visits you in a hospital setting whether or not they participate in your plan. If they say no, you can either deny their visit or ask them if they would be willing to sign off on accepting what the plan pays for the service as payment in full.
- When visiting a hospital for pre-surgical testing (prior to surgery), or visiting a surgeon in their office, ask these questions about the day of your planned surgery: "Are all assistant surgeons participating in my plan?"
If not, will they accept what the EMHP plan pays as payment in full.
If so, just make sure that you have that in writing.
Remember, if the provider is not participating in our POS program they can balance bill you for the deductible, coinsurance plus any of the billed amount that is not considered as the customary amount for your program.