Saratoga Hospital’s health plan is an Exclusive Provider Organization (EPO) providing benefits through a domestic network of Saratoga Hospital facilities and providers, an Albany Med Health System Affiliate network and a non-domestic local and national network of providers and facilities. The plan is administered by CDPHP who also administers our prescription benefit.

 ***Plan provides Domestic Partner Benefits.

Eligibility

• Full time employees budgeted at a minimum of 72 hours bi-weekly for 12-hour employees and 75 for all other employees per pay period. Part time employees budgeted at a minimum of 36 hours bi-weekly for 12-hour employees and 37.5 for all other employees per pay period.

New for 2022

• aptihealth - Virtual Behavioral Care That Takes Care Of You
  • The pandemic has added significant stress to the lives of healthcare workers, increasing the burnout already common in the industry. You may be noticing the symptoms of stress in others, or be experiencing them yourself.
    
    aptihealth has partnered with CDPHP to provide Saratoga Hospital employees and their families* with fast, easy access to confidential, goal-oriented online therapy. Receive support from a licensed therapist and prescriber (if needed) and be empowered to feel better within 90 days. 
    
    Let's get you feeling better. Click here. 

Reminders

• Albany Med Health System Affiliate Network: Albany Med Health System Affiliate Network is included as part of the Hospital’s insurance plan through CDPHP.  This tier allows you to seek medical care at reduced cost from Albany Med and the other affiliates: Columbia Memorial Health and Glens Falls Hospital.  As in the past, the courtesy discount will be offered to all eligible employees through the growing Saratoga Hospital Domestic Network.  Please note that the courtesy discount does not include the Albany Med Health System Affiliate tier.  More information is available on the Saratoga Hospital Website by clicking on “For Employees” and then 2022 Open Enrollment Information.
• The co-pay for Malta Med Emergent Care is $0.00 for those benefit eligible employees enrolled in the hospital’s health/rx plan.  For benefit eligible employees that have health/rx coverage elsewhere, the courtesy discount is applied to this location.

Company Information:

• CDPHP: 518-641-3100 or toll free 877-724-2579
• Care Team: 1-800-365-4180
• Referral Line: 1-888-942-3747
• Customer Connect: 518-641-4400
• Website

Health Insurance:

• Plan Information:
  • 2022 Health/RX, Dental, and Vision Rates
  • Domestic Network Providers List
  • Outpatient Infusion Center Locations
  • CDPHP Care Team Line Flyer
  • Fitness Connect Flyer
  • Customer Connect Flyer
  • CDPHP Breastfeeding Support Guide
  • CDPHP Price Check Member Flyer
  • Virtual Fitness Classes Flyer
  • Single-Source Referral Flyer
  • CDPHP Health Resources Flyer
    • CDPHP Rights and Responsibilities Flyer
    • CDPHP Finding the Right Provider Flyer
    • CDPHP How We Coordinate Care Flyer
    • CDPHP Dependable Rx Coverage Flyer
    • CDPHP Suicide Prevention Flyer 
• Albany Med Health System affiliate their changes, effective January 1, 2022
  • This tier is only available to those enrolled in the Saratoga hospital health/Rx plan
    • $250 Deductible Health/Rx Plan
      • Primary Care office visit copay - changes from $15 to $10
    • $500 Deductible Health/Rx Plan
      • Primary Care office visit copay - changes from $15 to $10
  • For both the $250 and $500 Deductible Health/Rx plans
    • CDPHP In-Network Emergency Room Copay - changes from $150 to $100
• $250 Deductible Plan Information
  • Summary
• $500 Deductible Plan Information
  • Summary

Prescription Insurance

• Prescription plan is administered through CDPHP.  
• Co-pay structure is as follows:
  • $10 generic
  • $40 brand and non-preferred generic
  • $55 non-formulary brand
  • Specialty drug (Tier 4) is 25% coinsurance after deductible (max of $150 for 30 day supply)
  • Specialty drug (Tier 5) is 37.5% coinsurance after deductible (max of $150 for 30 day supply)
• The mail order option is available through CVS Caremark and offers a 90-day supply for a co-pay of 2.5 times the 30-day co-pay cost.    
• CDPHP also provides a program called Rx for Less that provides significant savings on certain medications with a cost as low as $1.00 per script for many medications. Other medications may have a higher cost but still less than our co-pay amount. More information is available at CDPHP.com
• **Plan provides Domestic Partner benefits.
• Eligibility
  • Part time and full time employees budgeted at a minimum of 36 hours for 12 hour employees and 37.5 for all other employees per pay period. 

Plan Information:

• Prescription Mail Order
• RX for Less Flyer
• NY RX Program – Free RX Assistance