HARP

HARP is the Empire Health and Recovery Plan. It’s an enhanced benefit package for Medicaid members with complex behavioral health needs.

What You Get with Empire

We help you reach your mental health goals with the Health and Recovery Plan (HARP). Get:

Care that’s about you

You come first, so we built your health plan around you. You can go to doctors and pick up your prescriptions close to home. You can also get answers about your benefits straight from us, because we’re right in your neighborhood! Visit any of our offices to talk with associates in your preferred language.

Care when you need it

We’re here for you anytime, day or night! Simply call our 24/7 NurseLine to get answers from our nurses.

Care for our community

We believe a healthier community makes a happier, healthier you. That’s why our associates volunteer with local organizations to build up our area. This year, we’re fighting hunger with the food bank. We’re also delivering clothing and supplies to nearby shelters. And we’re hosting neighborhood health fairs and food workshops to bring healthier choices to those in need.

HARP includes Medicaid benefits like:

  • A primary care provider (PCP) to help you get the care you need
  • Prescriptions*
  • Wellness visits and immunizations
  • Dental and vision care
  • Specialty physician services
  • Psychiatric services

Plus, if you qualify for HARP, you can get:

  • Job and school assistance
  • Housing help
  • Independent living advice
  • Help finding a job
  • Stress management support
  • Crisis prevention
  • Peer and family support training

*Copays may apply for medications. There are no copays for services that are part of your benefits.

For more information about Empire HARP, speak with a case manager at by calling 1-800-300-8181 (TTY 711).

To learn more about applying for health insurance including Child Health Plus and Medicaid through NY State of Health, The Official Health Plan Marketplace, visit nystateofhealth.ny.gov or call
1-855-355-5777.

Empire Healthy Rewards

New Baby, New Life℠ Empire BlueCross BlueShield HealthPlus Healthy Rewards Incentives

  • $25 incentive for prenatal visit in the first trimester or within 42 days of enrollment into Empire
  • $25 incentive for attending postpartum visit 21 to 56 days after delivery
  • $25 incentive for attending at least six prenatal care visits
  • $25 incentive for baby’s 2-week checkup
  • $25 incentive for attending at least six well-child checkups by 15 months of age

For more information, check online at mss.empireblue.com/healthyrewards or call 1-877-868-2004.

Prescription Drugs

Preferred Drug List

Empire works with Express Scripts to provide your pharmacy benefit. We cover a wide range of prescriptions and many over-the-counter medicines. Starting May 1, Rite Aid is no longer a pharmacy in your plan. Go to Express Scripts to find a plan pharmacy near you.

If you have any questions about your pharmacy benefit, please call our Member Services department at 1-800-300-8181 (TTY 711) Monday through Friday from 8 a.m. to 8 p.m. and Saturday from 9 a.m. to 5 p.m.

Searchable Formulary

Search for name brand and generic drugs that are on the formulary. You can search for your drug by:

  • Typing the name (at least first three letters) of the drug in the search box
  • Using the A-Z list to search by the first letter of your drug
    • OR
  • Clicking on therapeutic class of the drug
Searchable Formulary

Drug Interactions and Side Effects

Learn more about drug interactions or side effects on the ESI Drug Information website.

Getting your prescription filled is easy!

Simply present the written prescription from your doctor to a participating network pharmacy. Or your doctor can call in the prescription to your local participating pharmacy. You will also need to show the pharmacy your Empire ID card to have a prescription filled.
It is good to use the same pharmacy each time. This way, your pharmacist will know about problems that may occur when you are taking more than one prescription. If you use another pharmacy, you should tell the pharmacist about any medicines you are taking.

You can use the links below to get more pharmacy information:

New York HealthPlus Preferred Drug List (PDL)

Common Over-the-Counter (OTC) Medicines

ESI Online Registration Instructions

ESI Mail Order Form

Eligibility

Empire BlueCross BlueShield HealthPlus is a New York Managed Care Organization (MCO). We offer New York State-sponsored Medicaid programs. Our new HARP program is an enhanced benefit package for members with complex behavioral health needs. It is made up of physical health, behavioral health, pharmacy and waiver services. HARP helps members get the care they need and meet their goals, while keeping them in their homes and communities.

With the Empire Health and Recovery Plan (HARP), you get all your regular Medicaid benefits. You also get extra benefits like:

  • Home and Community Based Mental Health Services
  • Health Home — community-based resources offering additional behavioral health case management and referral services
  • Personalized Recovery Oriented Services (PROS)
  • Peer Support Services

You may be covered by Medicaid if:

  • You live in Brooklyn, the Bronx, Queens, Manhattan, Staten Island, Putnam, or Nassau.
  • You receive Supplemental Security Income (SSI)
  • You meet certain income, resource, age or disability requirements

Find out more about income and resources limitations.

You can also call New York State of Health, The Official Health Plan Marketplace at 1-855-355-5777.

You may be eligible for HARP if you:

  • Are 21 years old or older
  • Are enrolled in Medicaid
  • Have been diagnosed with serious mental illness (SMI)
  • Have been diagnosed with substance use disorder (SUD)
  • Meet specific criteria and risk factors determined by the state of New York

For help with enrolling or if you have questions, call us at 1 888 809 8009 (TTY 711). You can also visit one of our office locations.

Already a member, and have questions?

Call Member Services at 1-800-300-8181 (TTY 711). Member Services is open for routine services or questions Monday through Friday from 8 a.m. to 8 p.m. and Saturday from 9 a.m. to 5 p.m. We are happy to serve you!

Member Handbooks

Your member handbook is your go-to guide for health services. It tells you how you can get the most from Empire BlueCross BlueShield HealthPlus. You’ll find answers to these items:

  • Your benefits
  • How to get help after your doctor’s office closes
  • How to choose a primary care provider
  • Renewing your coverage
  • How to reach Member Services if you have a question

Member Handbooks

Notice of Privacy Practices