PDF Important Changes to Retiree Health Insurance Eligibility A lock icon or https:// means youve safely connected to the official website. Your contributions will be deducted on a pre-tax basis from your paycheck evenly over the calendar year. For questions regarding enrollment or eligibility, to make address changes or for assistance with the eBenefits enrollment system. State Government websites value user privacy. Susanna Gibson remembers where she was and what she was doing on June 24, 2022, the way some remember 9/11 or the Challenger explosion. (Raleigh, N.C.) - State Treasurer Dale R. Folwell, CPA, and the State Health Plan (Plan) Board of Trustees today announced benefit changes for Humana Medicare Advantage members offering a substantial decrease in the cost of critical dialysis and lab services costs, saving impacted members more than $1.5 million for the 2023 benefit year. Texas residents insured or offered by Humana Insurance Company, HumanaDental Insurance Company, or DentiCare, Inc. (DBA CompBenefits). Member identification card: Please see below for examples of the 2021 member identification card for North Carolina State Health Plan retirees. We are excited that Humana continues to partner with the Plan on ways to lower costs and improve health care for our members, who have faithfully taught, protected and served throughout their careers.. Your coverage will remain mostly unchanged with Humana. Find a Doctor Online resources to help you find a provider, including Clear Pricing Project providers. These benefits include the State Health Plan, DHHS Supplemental Benefits, NCFlex Benefits, Retirement, 401K/457 Prudential Savings Plans, Leave Benefits, EAP, Service Awards, and many other important Benefits options. 3200 Atlantic Ave Raleigh, NC 27604 Map It ppo.inquiries@nctreasurer.com 855-859-0966. Core: available to employees at no cost. Blue Cross NC was one of the three insurance companies that went through the request for proposals process, along with Aetna and UMR, Inc. People insured by the State Health Plan will get more information during their 2024 benefits enrollment process. A formulary exclusion exception process is available for Plan members who, per their provider, have a medical necessity to remain on an excluded, or non-covered, medication. Please make sure that you do not inadvertently discard mailings from the North Carolina State Health Plan. Humana group vision plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Health Benefit Plan of Louisiana, Humana Insurance Company of Kentucky, Humana Insurance Company of New York, CompBenefits Insurance Company, CompBenefits Company, or The Dental Concern, Inc. Humana group life plans are offered by Humana Insurance Company or Humana Insurance Company of Kentucky. This means that any dependents will be premium free beginning January 1, 2021. For your convenience, you can find a downloadable presentation and recorded webinar from our "Understanding Your Medical Plan Options When You Become Medicare-Eligible" series our our Presentation Archive page. Below are answers to some Frequently Asked Questions to help retirees navigate this change. Enhanced PPO Plan (80/20) for Non-Medicare Retirees You have the option to elect Accident Plan coverage to meet the needs of you, your spouse, and/or children. A lock icon or https:// means youve safely connected to the official website. Discount plans are offered by HumanaDental Insurance Company, Humana Insurance Company, or Texas Dental Plans, Inc. Arizona residents insured by Humana Insurance Company. For qualified retirees, this plan is also premium-free for retiree-only coverage. Health Benefit Coverage. Folwell said the start date for the switch from Blue Cross NC to Aetna begins on Jan. 1, 2025. For only $17.24 per month, you receive access to experienced Network Attorneys, industry-unique online tools and trusted resources with full-time legal protection that offers 100% paid-in-full coverage for most legal matters. Basic:A plan that provides an annual comprehensive eye exam and your choice of glasses or contact lens, frame allowance and contact lens allowance. Part-time employees who work half-time or more are granted prorated leave. Medicare Retirees | NC State Health Plan - shpnc.org * The Humana Group Medicare Advantage Plans have a benefit value equivalent to a 90/10 plan. You are encouraged to talk with your Health Benefits Representative (HBR) or Human Resources department ahead of time to plan the proper steps. Medicare Retirees Base PPO Plan (70/30) Man Group Medicare Advantage Base Plan (90/10) . The new benefit changes represent the latest savings in the 2020 Medicare Advantage Fully Insured Plan and Related Services contract with Humana. After that, there is the option to renew the contract for two one-year terms, according to the treasurers office. Partial disability benefit is available after you have been paid the total disability benefit for at least one full month immediately prior to your being partially disabled. To learn more, view our full privacy policy. 2023 Retiree Benefits | NC State Health Plan - Humana Group Medicare Participation in the Retirement System of North Carolina is mandatory for every permanent, probationary, time-limited or trainee appointment employee who works at least 30 hours each week. You can contribute to the DDCFSA to pay for dependent daycare and eldercare expenses on a pre-tax basis if both you and your spouse work, your spouse goes to school full-time or your spouse isnt able to care for himself or herself. Visit RelayNCfor information about TTY services. However, it will be important to remember to enroll in Medicare Part B to become effective as of your retirement date. The value of the award increases in proportion to tenure. An official website of the State of North Carolina Into functionary website the NC How you known . for printing without logging in. State Health Plan retiree group coverage begins on the first day of the month after your effective date of retirement. Thispageis designed to assistmembers as theyprepare for retirementand for members who are already retired, but becoming Medicare eligible. Non-Medicare Retirees Base PPO Plan (70/30) Non-Medicare Retirees Enhanced PPO Plan (80/20) Medicare Retirees Base PPO Plan (70/30) . * If any of the State Health Plan medical policies conflict with the Blue Cross and Blue Shield of North Carolina medical policies, the State Health Plan medical policies will prevail. Non-Medicare Retirees Base PPO Plan (70/30), Non-Medicare Retirees Enhanced PPO Plan (80/20), Humana Group Medicare Advantage Base Plan (90/10), Humana Group Medicare Advantage Enhanced Plan (90/10), you can find a downloadable presentation and recorded webinar from our "Understanding Your Medical Plan Options When You Become Medicare-Eligible" series our our Presentation Archive page, Retiring members and/or dependents who are Medicare-eligible AND, Retirement paperwork (6E Form and any other required documents) is processed and approved. Click here for more information. If so, you will need to register to create your account. However, Blue Cross NC will appeal the decision, The News & Observer reported Wednesday. The United Healthcare contract will expire and no longer be a plan choice. So why arent they running? Eligible state employees who give birth will receive eight weeks (320 hours) of paid leave to recover from the birth and to bond with and care for their newborn. NOTE: To access forms with your information pre-filled, please login. These benefits are selected by the DHHS Employee Insurance Committee. She has received the McClatchy Presidents Award, N.C. Open Government Coalition Sunshine Award and several North Carolina Press Association awards, including for politics and investigative reporting. Read about the latest plans here, Duke basketball coach Jon Scheyer makes a staff change, with others looming, Affirmative action for white people? EAP is offered at no cost to employees and family members and the service is confidential. Home | NC State Health Plan These options include the following plans: In order for a retiree to be eligible for the Humana Group Medicare Advantage (PPO) Plans, the retiree must be enrolled in Medicare Parts A and B. Full-time permanent, probationary, time-limited or trainee appointment employees are granted at least 94 hours of vacation leave each year.
, New Contract Generates $590 Million in Savings, Board to Vote on Premium-Free Coverage for Dependents. The Humana Dental is one of the nation's largest dental benefits companies offering group dental insurance to employees. NC Department of Health and Human Services
Aetna NC CEO: You shouldnt worry about the change in the state health plan | Opinion. If a member is approved for the excluded drug, that drug will be placed into Tier 3 or Tier 6. By Fax How much did DeSantis make off his book deal? No. (This fee is non-refundable as allowed by state). You may also participate in the State Health Plan by paying the full cost for coverage, employee premium and employer share, if you work in a permanent part-time position working 20-29 hours. The state offers a systematic savings program that provides income to retirees and their families.
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