Legacy college admissions come under renewed scrutiny. The IRS sets the maximum contribution each year. The State Health Plan will automatically enroll you into the Humana Group Medicare Advantage (PPO) Base Plan to become effective when you become Medicare-eligible/Medicare Primary. Eligibility Criteria Heres what state employees and teachers plus retirees and dependents need to know. Contracted healthcare providers with the Humana Medicare Advantage PPO plan will receive the contracted rate for services rendered. The new copay reductions for 2023 in the Humana Group Medicare Advantage Plans provide: Im proud to announce this big win for our Medicare Advantage plan members. Retirees that cancel their coverage for any reason will not be allowed to enroll unless they experience a qualifying life event or enroll during the next scheduled Open Enrollment. MyNCRetirement | My NC Retirement Individual applications are subject to eligibility requirements. The letter asks that you confirm your eligibility for Medicare benefits. Benefits do not reduce because of workers compensation, sick leave, vacation leave, or any other benefits. Your contributions will be deducted on a pre-tax basis from your paycheck evenly over the calendar year. State Health Plan Eligibility and Enrollment Support Center. The award of the contract was made to Humana after a required, competitive bidding process. Medicare Primary members have several options for health plan coverage. The nurse practitioner was sitting at her kitchen table in Henrico, Va., going over some patient charts, when her phone buzzed. You will receive information in the mail explaining your choices in detail. for printing without logging in. 2023 Retiree Benefits | NC State Health Plan - Humana Group Medicare * The Humana Group Medicare Advantage Plans have a benefit value equivalent to a 90/10 plan. 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. The contract, awarded by the State Health Plan Board of Trustees (Board), will provide Medicare Advantage products to the Plans Medicare-eligible members with services starting January 1, 2021. A lock icon or https:// means youve safely connected to the official website. Humana will provide coverage under a Group Medicare PPO plan.

, New Contract Generates $590 Million in Savings, Board to Vote on Premium-Free Coverage for Dependents. State Health Plan for TSERS . Need to download forms without any pre-filled information? But Folwell said in a news release that he looks forward to working with Aetna to provide price transparency, increase access and quality while lowering the cost of health care for those who teach, protect and serve, and taxpayers like them.. Humana Group Medicare Advantage (PPO) Base Plan (90/10) If you currently have TRICARE Select, Prime, or TRS benefits offered to the military community, you may be eligible and interested in the TRICARE Supplement Plan. PDF Important Changes to Retiree Health Insurance Eligibility Today, members pay $112 per month for spousal coverage and $224 for family coverage. (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.

State Treasurer Dale R. Folwell, CPA, and the State Health Plan have announced that Humana has been awarded the contract for its Medicare Advantage Plan. The contract, awarded by the State Health Plan Board of Trustees (Board), will provide Medicare Advantage products to the Plan's Medicare-eligible members with services starting January 1, 2021. The State Health Plan offers several health plan options for Medicare eligible retirees. Before applying for group coverage, please refer to the pre-enrollment disclosures for a description of plan provisions which may exclude, limit, reduce, modify or terminate your coverage. One premium rate band regardless of age or gender. Life will look different: NC student loan borrowers grapple with Supreme Court ruling. 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. Eligible members will continue to enjoy premium-free coverage for the Medicare Advantage Base Plan. pre-filled, please login. (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. Once you decide which plan is best for you, return the information or go online as instructed by the mailing to make your decision during the open enrollment period. Secure websites use HTTPS certificates. The plan is administered byEyeMed Vision Care. Humana is the brand name for plans, products and services provided by one or more of the subsidiaries and affiliate companies of Humana Inc. (Humana Entities). Eligible members will continue to enjoy premium-free coverage for the Medicare Advantage Base Plan. You have the following options: The Accident Plan pays benefits for specific injuries and events resulting from a covered accident that occurs on or after your coverage effective date. Any employee for tutoring and mentoring in public or private schools, or, any employee to volunteer in a literacy program in any public school. These benefits are selected by the DHHS Employee Insurance Committee. If you are eligible for State Health Plan benefits under the State Retirement Systems, then you will be auto-enrolled into either the Humana Group Medicare Advantage (PPO) Base Plan or the Base PPO Plan (70/30). After outbursts, court bans father and son from harassing Chapel Hill superintendent, Autopsy finds severely disabled North Carolina woman did drown in townhouse bathtub, House Republican appalled by NC Senates attempt to force a vote on medical marijuana, Has Buc-ees found a site for its 1st NC store? State Government websites value user privacy. Retirees will have up until the day before the health plan effective date to elect a Medicare Advantage option. Full-time permanent, probationary, time-limited or trainee appointment employees are granted at least 94 hours of vacation leave each year. Who We Are. Blue Cross and Blue Shield of North Carolina. If you have purchased an association plan, an association fee may also apply. Judge clears NCs 12-week abortion ban to go into effect, blocking only one provision. Benefits and Wellness | NCDHHS 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. In addition, with this new contract, it will be recommended to the Board that all eligible dependents on the Medicare Advantage Base Plan be premium free as well. The State Health Plans Clear Pricing Project (CPP) helps members control health care costs and protects the Plans financial future. If you are already retired and about to turn 65, you will become eligible for Medicare and your options under the State Health Plan will change. Member identification card: Please see below for examples of the 2021 member identification card for North Carolina State Health Plan retirees. Although the Retirement System's primary purpose is to provide retirement income, it also provides death benefits. To learn more, view our full privacy policy. Critical Illness Insurance is administered by Allstate Benefits and complements your existing medical coverage but does not replace it. DHHS promotes employee health and wellness including hosting a variety of programs to promote healthy living. If the retiree has dependents that are non-Medicare Primary, they will be automatically enrolled into the health plan they were enrolled in as an active dependent. Members should be aware of the Medicare primary change and the need to elect Medicare Part B to be effective as of the date of their retirement. State employees are eligible for many valuable Benefits in addition to their regular pay. Heres what you need to know. The Enhanced PPO Plan (80/20) is a Preferred Provider Organization (PPO) plan administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). Plans, products, and services are solely and only provided by one or more Humana Entities specified on the plan, product, or service contract, not Humana Inc. Not all plans, products, and services are available in each state. EAP is offered at no cost to employees and family members and the service is confidential. To enroll in Medicare, please contact the Social Security Administration at 800-772-1213 or www.socialsecurity.gov. You must enroll to receive this free benefit. Core: available to employees at no cost. Planning for Retirement | NC State Health Plan You will still be able to receive the same benefits as you do now through United Healthcare plus some additional benefits. State Health Plan Medicare-eligible members can choose either the Humana Medicare Advantage Base Plan (90/10) or Enhanced Plan (90/10). Medicareeligible retirees of North Carolina State Health Plan will move to the Humana Medicare (Group) Preferred Provider Organization (PPO) plan for their healthcare coverage, effective Jan. 1, 2021. Paid Parental Leave will be paid at 100 percent of the eligible employees regular pay, excluding overtime pay, shift premium, on-call, and callback pay. Parents for child involvement in the schools; Any employee for volunteer activity in the schools or, Any employee for volunteer activity in a not-for-profit Community Service Organization, or. North Carolina state retirees are moving to Humana PPO plan Jan. 1. State Health Plan Medicare retirees have several options for health plan coverage. 2023 Retiree Benefits | NC State Health Plan Humana group dental plans are offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, Humana Health Benefit Plan of Louisiana, The Dental Concern, Inc., Humana Medical Plan of Utah, CompBenefits Company, CompBenefits Insurance Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., or DentiCare, Inc. (DBA CompBenefits). Medical policies can be found here on the Blue Cross and Blue Shield website. After 10 years of total state service, an employee is eligible for longevity payments. Sick leave can be accumulated and applied as time toward service retirement. 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. You have the option to elect Accident Plan coverage to meet the needs of you, your spouse, and/or children. However, if you want to make a change, you will need to notify us no later than 30 days before your Medicare coverage is to become effective. Seniors' Health Insurance Information Program (SHIIP). The rate earned is based on total number of years of state service and is earned monthly. However, it will be important to remember to enroll in Medicare Part B to become effective as of your retirement date. Retiring members who are eligible for coverage under 65 will be automatically enrolled in the health plan they were enrolled in as an active employee along with any covered dependents, regardless of contribution status. Home | NC State Health Plan Click here for more information. By Mail North Carolina Department of State Treasurer Retirement Systems Division 3200 Atlantic Avenue Raleigh, NC 27604. Our state agencies have invested in this contractual agreement to offer you a wide range of support services and work/life options. Humana individual dental and vision plans are insured or offered by Humana Insurance Company, HumanaDental Insurance Company, Humana Insurance Company of New York, The Dental Concern, Inc., CompBenefits Insurance Company, CompBenefits Company, CompBenefits Dental, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Benefit Plan of Louisiana, Inc., or DentiCare, Inc. (DBA CompBenefits). For costs and complete details of coverage, call or write Humana or your Humana insurance agent or broker. A lock icon or https:// means youve safely connected to the official website. Pays in addition to any other insurance coverage the employee may have. The DDCFSA offers you a tax-free way to pay yourself back for eligible dependent care expenses throughout the year. For the complete appeals process, please click here. To enroll in Medicare, contact the Social Security Administration at 800-772-1213or by visiting their website at www.socialsecurity.gov. Benefits under the BCBSNC plan will remain the same. If you disagree with the way a claim has been handled, you can request an appeal or grievance review. An annual comprehensive eye exam for a $20.00 co-pay. If you are nearing retirement, click here to learn more . NC teachers, state employees health insurance change | Raleigh News Fromthere, you will log into eBenefits,thePlan's enrollment system, through the appropriate portal. For complete details on these legal matters, visitARAGLegalCenter.comand enter Access Code 11246nc. ARAG is a comprehensive legal services plan that provides access to a wide range of covered legal matters. If you are actively working for the state after 65, the Plan will continue to be your primary coverage and Medicare will be secondary. The State Health Plan, a division of the Department of State Treasurer, provides health care coverage to more than 750,000 teachers, state employees, retirees, current and former lawmakers, state university and community college personnel, and their dependents. 3200 Atlantic AveRaleigh, NC 27604 Map [email protected], State Health Plan Policies and Procedures, An official website of the State of North Carolina, 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), IN-PERSON: Understanding Your Medical Plan Options When You Become Medicare-Eligible, WEBINAR: Understanding Your Medical Plan Options When You Become Medicare-Eligible. 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. It was one of her best friends, sharing a link to a news article. Have 12 months of continuous service in the preceding 12 months, Work full time or part time (20 hours or more), and. Age 65 and completion of five years of service, Age 60 and completion of 25 years of service, Any age and completion of 30 years of service, Age 50 and completion of 20 years of service, Age 60 and completion of five years of service, Average compensation during the four highest paid consecutive years of service, The payment option selected by the employee, State of North Carolina 401K Plan (Traditional Pre-Tax and Roth After-Tax), State of North Carolina 457 Deferred Compensation Plan (Traditional Pre-Tax and Roth After-Tax). Separate holiday schedules may be established for 24-hour operations. The sections below contain important information categorized by age and by Medicare eligibility. This formulary was updated on 12/01/2022. For yourself, you may choose $20,000, $30,000, $40,000, up to $500,000 of coverage (at intervals of $10,000). It encourages cessation tobacco use, proper nutrition, increased and consistent physical activity, and healthy coping strategies and skills. For group plans, please refer to your Benefit Plan Document (Certificate of Coverage/Insurance or Summary Plan Description/Administrative Services Only) for more information on the company providing your benefits. Work in a permanent or time-limited position. Click here to download a helpful resource for when you are planning for retirement. Enhanced:A plan that provides an annual comprehensive eye exam and your choice of contact lens,or glasseswith increased frequency,and ahigherframeand contact lens allowance. There are also employer contributions to TSERS which are determined each year by the North Carolina General Assembly. The State Health Plan is for state employees, teachers, their dependents, retirees, state lawmakers, state community college and university workers, which is an estimated 740,000 people, according to the plan. A maximum of 240 hours can be carried over to the following calendar year. Please make sure that you do not inadvertently discard mailings from the North Carolina State Health Plan. Secure websites use HTTPS certificates. I saw this text come in, and the feeling of anger and sadness, and just fury but also powerlessness that I felt I will never forget that, she said. For questions regarding the Medicare Advantage Base and Enhanced plans. 3200 Atlantic AveRaleigh, NC 27604 Map [email protected], State Health Plan Policies and Procedures, An official website of the State of North Carolina, 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). 3200 Atlantic AveRaleigh, NC 27604 Map [email protected], State Health Plan Policies and Procedures, An official website of the State of North Carolina. After that, there is the option to renew the contract for two one-year terms, according to the treasurers office. Employees hired on or after January 1, 2021 who enroll in either the Teachers' and State Employees' Retirement System (TSERS) or the University of North Carolina Optional Retirement Plan (ORP) will not be able to continue health insurance coverage under the North Carolina State Health Plan (State Health Plan) when they retire. Not for about two years. Find a Doctor Online resources to help you find a provider, including Clear Pricing Project providers. It will be very important for you to enroll in Medicare Part A and Medicare Part B as soon as you are permitted. To learn more, view our full privacy policy. ORBIT provides convenient access to forms Blue Cross fights back: Its appealing NCs pick of Aetna for health plan. State Health Plan retiree group coverage begins on the first day of the month after your effective date of retirement. Automatically enrolled in the Base PPO Plan (70/30). 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. State Government websites value user privacy. You may receive either eyeglasses or contact lenses in a benefit period but not both. If active member is planning to retire within a few months of turning 65, remember Medicare effective date will be delayed if member enrolls the month they turn 65 or during the three (3) months after their birthday month. Your coverage will remain mostly unchanged with Humana. To learn more, view our full privacy policy. The payment is a percentage of salary based on years of service.