NYSHIP Rehab Coverage. Long Island & New York
We help you use your NYSHIP insurance for addiction treatment in Nassau County, Suffolk County, and throughout New York.
NYSHIP is the New York State Health Insurance Program, a comprehensive health insurance plan for New York State public employees and their dependents. It offers multiple options, including the Empire Plan and various NYSHIP-approved Health Maintenance Organizations (HMOs), with benefits covering medical, dental, vision, and prescription drugs. Employees can also opt out of coverage in exchange for an incentive.
What’s typically covered
- Levels of care: Detox, Inpatient/Residential, PHP, IOP, Outpatient
- Coverage depends on your plan, network, and medical necessity
- Prior authorization is common for higher levels of care
- Out‑of‑pocket: deductibles, copays, and coinsurance vary
How we help New York families
- Same‑day benefits verification for NYSHIP
- Handle pre‑auths and clinical documentation
- Coordinate admissions & placement across Long Island
- Clear cost estimates before you say yes
What we’ll ask you
- Member ID & plan name
- Full name & date of birth
- County (Nassau/Suffolk) & service needed
- Any prior treatment this year
Frequently Asked Questions
We'll get on a call, assess your health history, and verify your insurance. Today is Day 1. We can't wait to celebrate Day 1000 with you!
Does the NYSHIP Empire Plan cover therapy?
Yes. The Empire Plan includes therapy benefits for individual, group, and family counseling when medically necessary.
Is NYSHIP the same as the Empire Plan?
NYSHIP is the overall program; the Empire Plan is one of its main options.
How do I know if therapy is covered under my insurance?
Call NYSHIP member services or let us verify your benefits and explain what’s covered for providers in Nassau and Suffolk.
Does insurance cover all therapy sessions?
Coverage varies by plan and clinical need. Some services may need prior authorization after a certain number of visits.
This information is general and may not reflect your specific policy. We’ll confirm exact benefits and authorizations with NYSHIP