Clarifies that New York's state health insurance program adheres to financial services law and covers usual and customary costs for out-of-network.
The bill amends the civil service law to ensure that New York's state health insurance program remains subject to certain provisions of the financial services law. It specifies that coverage must include reimbursement for out-of-network health care services at the level of at least eighty percent of the usual and customary cost, defined as the eightieth percentile of charges for the particular service in the same or similar specialty and geographical area. This clarification aims to maintain consistent coverage standards for state employees.
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