Treasurer Dale Folwell announced that the plan will switch contractors from BlueCross BlueShield of North Carolina, also known as Blue Cross NC, to Aetna insurance. Frequently Asked Questions About Retiree Health Care Changes, BCBSNC 70/30 Secondary insurance to Medicare. Treasurer Folwell Announces $1.5 Million in Savings for State Health 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. A lock icon or https:// means youve safely connected to the official website. 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? If under 65 (and not Medicare-eligible), you will be automatically enrolled in the health plan you were enrolled in as an active employee along with any covered dependents. NOTE: You become Medicare eligible the first of the month you turn 65 (e.g., 65th birthday is 3/15, you become Medicare eligible 3/1). The State Health Plan mails you a Medicare eligibility letter prior to your 65th birthday. The tobacco attestation premium credit applies only to the employee-only premium. More than 700,000 teachers, state employees, dependents and retirees are on the NC State Health Plan. The rate earned is based on total number of years of state service and is earned monthly. Below are answers to some Frequently Asked Questions to help retirees navigate this change. Were always looking at ways to improve this benefit by making it more affordable for those that utilize it, said Treasurer Folwell. In addition to the health and dependent care spending accounts, the program offers vision care, accidental death and dismemberment insurance, dental insurance, grouptermlife insurance, cancer insurance,critical illness plan,accident plan,and a TRICARE Supplementon a pre-tax basis. Coverage is portable. For example: If your retirement date is January 1, your retiree health plan benefit effective date is February 1. An annual comprehensive eye exam for a $20.00 co-pay. Home | NC State Health Plan - 2023 Retiree Benefits | NC State Health Plan One of these options is the Humana Group Medicare Advantage PPO Base Plan (90/10)*, which includes Medicare prescription drug coverage. Discount plans are offered by HumanaDental Insurance Company, Humana Insurance Company, or Texas Dental Plans, Inc. Arizona residents insured by Humana Insurance Company. The Humana Dental is one of the nation's largest dental benefits companies offering group dental insurance to employees. EAP is offered at no cost to employees and family members and the service is confidential. For qualified retirees, the plan is premium-free for retiree-only coverage. 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). 95 on May 23, 2019, extending Paid Parental Leave to state employees in Cabinet agencies. Planning for Retirement | NC State Health Plan Q&A: What does the Blue Cross NC ouster mean for State Health Plan members? Blue Cross ramps up drive to win back State Health Plan contract, New documents show how Aetna won NCs State Health Plan contract, State Health Plan emails show lost confidence in Blue Cross NC before big switch, Under the Dome podcast: The latest developments with the State Health Plan, NC employee health plan switch is sure to sink Dale Folwells aspirations to be governor | Opinion, What NC teachers, state employees, retirees need to know about health insurance change. Members will receive information on this transition prior to this falls Open Enrollment. Part-time (half-time or more) permanent, probationary, and time-limited employees are eligible for leave at a prorated amount. Waiver of premium included at no additional cost. If you would like to calculate benefits without pre-filled personal information, use the options below. Critical Illness Insurance is administered by Allstate Benefits and complements your existing medical coverage but does not replace it. If the employee dies after retirement and has chosen a beneficiary protection option, the surviving family member may continue to receive income even after the death of the employee. Online resources are available in ORBIT and on our website - myNCRetirement.com. NC State Health Plan Formulary List of covered drugs 42 PLEASE READ: THIS DOCUMENT CONTAINS INFORMATION ABOUT THE DRUGS WE COVER IN THIS PLAN. By Mail North Carolina Department of State Treasurer Retirement Systems Division 3200 Atlantic Avenue Raleigh, NC 27604. Your coverage will remain mostly unchanged with Humana. An official website of the State of North Carolina An official website of NC How you know . These contributions are not credited to a members individual account. The nurse practitioner was sitting at her kitchen table in Henrico, Va., going over some patient charts, when her phone buzzed. 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 plan helps offset medical deductibles, copays, and coinsurance. State employees are eligible for many valuable Benefits in addition to their regular pay. Benefits under the BCBSNC plan will remain the same. No. 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. Employees with a hire date on or after 1/1/2021 are not eligible for retiree health benefits at retirement. State Health Plan ousts longtime insurer Blue Cross NC, signs new contract with Aetna, North Carolina State Health Plan for Teachers and State Employees. Part-time employees who work half-time or more are granted prorated leave. Automatically enrolled in the Base PPO Plan (70/30). Learn more about TSERS retiree health coverage. An official website of the State of North Carolina Into functionary website the NC How you known . Be in pay status by working or using leave for at least 1040 hours during the preceding 12 months. If so, you will need to register to create your account. Secure websites use HTTPS certificates. 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. 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. The 24 hours is prorated proportionately for part-time (half time or more) permanent, probationary, trainee, or time-limited employees. To qualify for PPL you must meet all of the following eligibility criteria: Learn more about Paid Parental Leave (login required). 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. A lock icon or https:// means youve safely connected to the official website. Supplemental insurances are not part of the Medicare Advantage plans. For questions regarding the Base PPO Plan (70/30). Click here to learn more about Humana. Discounts are available on vision materials if needed. State Health Plan Operations 101; Affordable Care Act Information; Benefits and Wellness | NCDHHS Enhanced PPO Plan (80/20) for Non-Medicare Retirees For enrollment information, please contact your Division/Facility Health Benefits Representative. Administered by Humana Insurance Company. 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. Humana group medical plans are offered by Humana Medical Plan, Inc., Humana Employers Health Plan of Georgia, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Health Plan of Ohio, Inc., Humana Health Plans of Puerto Rico, Inc. License # 00235-0008, Humana Wisconsin Health Organization Insurance Corporation, or Humana Health Plan of Texas, Inc., or insured by Humana Health Insurance Company of Florida, Inc., Humana Health Plan, Inc., Humana Health Benefit Plan of Louisiana, Inc., Humana Insurance Company, Humana Insurance Company of Kentucky, or Humana Insurance of Puerto Rico, Inc. License # 00187-0009, or administered by Humana Insurance Company or Humana Health Plan, Inc. For Arizona residents, plans are offered by Humana Health Plan, Inc. or insured by Humana Insurance Company. 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. The State Health Plan offers medical and prescription drug coverage. You may also add coverage for your spouse or dependents based on different coverage amounts. The State Health Plan is self-insured and exempt from the Employee Retirement Income Security Act (ERISA) as a government-sponsored plan. 2023 Retiree Benefits | NC State Health Plan - Humana Group Medicare The value of the award increases in proportion to tenure. You can lower your monthly premiums in the Enhanced 80/20 Plan, and the Traditional 70/30 Plan by completing the tobacco attestation. In-network and out-of-network benefits are the same. State Health Plan Awards Medicare Advantage Plan Contract to Humana Click here to download a helpful resource for when you are planning for retirement. If you did not have coverage in the State Health Plan . For more information regarding these benefits and what is covered, please call Customer Service at 888-234-2416. No. You must enroll to receive this free benefit. Member identification card: Please see below for examples of the 2021 member identification card for North Carolina State Health Plan retirees. This story was originally published January 4, 2023, 1:26 PM. The IRS sets the maximum contribution each year. To enroll in Medicare, contact the Social Security Administration at 800-772-1213or by visiting their website at www.socialsecurity.gov. 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. The new benefit changes represent the latest savings in the 2020 Medicare Advantage Fully Insured Plan and Related Services contract with Humana. 3200 Atlantic AveRaleigh, NC 27604 Map Itppo.inquiries@nctreasurer.com855-859-0966, 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. Heres what state employees and teachers plus retirees and dependents need to know. Prescription Drug guide - Humana The plan will be dependent upon when your retirement paperwork is processed and approved by the State Retirement Systems. 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. Customer Service Center:1-800-662-7030 The beneficiary(ies) receive a refund of the employee's retirement contributions plus interest. No. Humana will provide coverage under a Group Medicare PPO plan. Who We Are. To learn more, view our full privacy policy. (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. To learn more, view our full privacy policy. Learn how you can save money in 2023 by visiting a CPP provider! 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. For questions regarding Social Security. State Government websites value user privacy. 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. Member could be left without Medicare coverage being effective as of their retirement date thus increasing their out-of-pocket cost for medical services in addition to limiting members plan selection to the Base PPO Plan (70/30) administered by Blue Cross, NC for the remainder of the plan year. Full-time permanent, probationary, time-limited or trainee appointment employees are granted at least 94 hours of vacation leave each year. An employee is recognized at important milestones in their career upon granting of Career Status and every five years thereafter until retirement. NC 401(k) and NC 457 Plans with Retirees; Learn about Cost of Living Adjustments (COLAs) Domestic Relations Orders; Report a My Death; . Benefits begin the first day, if you are hospitalized, regardless of the elimination period you select. Other eligible state employees will receive four weeks (160 hours) of paid leave to bond with and care for the child (under the age of 18). Please see the table below. For costs and complete details of coverage, call or write Humana or your Humana insurance agent or broker. You will still be able to receive the same benefits as you do now through United Healthcare plus some additional benefits. The State Health Plans board of trustees voted in a closed-session meeting to award Aetna a contract that has been in the hands of Blue Cross NC for more than 40 years. The U.S. Social Security Administration administers Social Security, a social insurance program consisting of retirement, disability and survivors' benefits. If you disagree with the way a claim has been handled, you can request an appeal or grievance review. State and Local Government Finance Division, Humana Medicare Advantage Plan Members to See Zero Cost Dialysis Care and Lab Services in Urgent Care Centers and Outpatient Facilities, An official website of the State of North Carolina, Treasurer Folwell Announces $1.5 Million in Savings for State Health Plan Members on Medicare Advantage Plans in 2023, Lab services at an urgent care facility (currently $40 copay Base; $10 copay Enhanced) will now have a $0 copay, Dialysis services at an outpatient facility (currently 20% coinsurance on both plans) will now have a $0 copay, Dialysis services at a dialysis center (currently 20% coinsurance on both plans) will now have a $0 copay. The employee contribution is 6 percentof gross salary. The plan options are the 70/30 PPO Plan or a Group Medicare Advantage Base Plan or a Group Medicare Advantage Enhanced Plan. Contracted healthcare providers with the Humana Medicare Advantage PPO plan will receive the contracted rate for services rendered. 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. A minimum one-year, initial contract period may be required for some dental and vision plans, excluding Dental Savings Plus. Your contributions will be deducted on a pre-tax basis from your paycheck evenly over the calendar year. For qualified retirees, this plan is also premium-free for retiree-only coverage. The website is maintained outside of New York state and the insurer is not authorized to transact the business of insurance in New York. Blue Cross fights back: Its appealing NCs pick of Aetna for health plan. Under this term life insurance, your premium is based on the amount of coverage you choose. This means you can choose to enroll in Medicare Part A but you can delay enrollment into Medicare Part B until you actually retire from state employment. ORBIT provides convenient access to forms 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. There are also employer contributions to TSERS which are determined each year by the North Carolina General Assembly.
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. State Health Plan Eligibility and Enrollment Support Center. The contract will provide Medicare Advantage products to the Plan’s Medicare-eligible members with services starting January 1, 2021.
Secure websites use HTTPS certificates. You can keep your coverage with NO INCREASE in premiums if you change jobs or retire. Please note that all new retirees who are eligible for State Health Plan coverage will be automatically enrolled into a plan at the time of retirement even if a member did not have Plan coverage as an active employee. 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. Health Benefits | My NC Retirement 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.. Eligible members will continue to enjoy premium-free coverage for the Medicare Advantage Base Plan. A lock icon or https:// means youve safely connected to the official website. for printing without logging in. Home Home Topics Related to Medicare Retirees IN-PERSON: Understanding Your Medical Plan Options When You Become Medicare-Eligible These in-person sessions are designed for active employees who will soon be 65, are already 65 or older, and retirees getting ready to turn 65. Thispageis designed to assistmembers as theyprepare for retirementand for members who are already retired, but becoming Medicare eligible. To learn more, view our full privacy policy. DHHS employees can participate inNCFlex,a pre-tax program offered by the state. Need to download forms without any pre-filled information? The United Healthcare contract will expire and no longer be a plan choice. There are NO benefit changes for 2021 on the Medicare Base Plan. It offersthreeschedules of benefits, andall threeprovide a comprehensive eye exam and benefits for vision materials. You may receive either eyeglasses or contact lenses in a benefit period but not both. Seniors' Health Insurance Information Program (SHIIP). To learn more, view our full privacy policy. Remember: It is essential for the State Health Plan to have your most up-to-date contact information (i.e., both physical and mailing addresses, phone numbers, email address) to ensure you receive important benefit details and other information. North Carolina state retirees moving to Humana PPO, Humana legal entities that offer, underwrite, administer or insure insurance products and services. The premiums you pay go toward covering the cost of the insurance policy, and the remaining balance is invested and earns interest on a tax-deferred basis and may increase the cash and death benefit values. However, it will be important to remember to enroll in Medicare Part B to become effective as of your retirement date. Annual cost savings under the contract will total almost $600 million over the course of the three-year contract. 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. By Fax 3200 Atlantic AveRaleigh, NC 27604 Map Itppo.inquiries@nctreasurer.com855-859-0966, State Health Plan Policies and Procedures, An official website of the State of North Carolina, State Health Plan Awards Medicare Advantage Plan Contract to Humana, 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), It will be recommended that beginning January 1, 2021, the Medicare Advantage Base Plan will offer. 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). To learn more, view our full privacy policy. Dawn Baumgartner Vaughan is the Capitol Bureau Chief for The News & Observer, leading coverage of the legislative and executive branches in North Carolina with a focus on the governor, General Assembly leadership and state budget. Pays in addition to any other insurance coverage the employee may have. 3200 Atlantic AveRaleigh, NC 27604 Map Itppo.inquiries@nctreasurer.com855-859-0966, 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). Instead, they are placed in the various trust funds for the payment of specific benefits. Folwell said the start date for the switch from Blue Cross NC to Aetna begins on Jan. 1, 2025. State Health Plan for TSERS . You can choose a maximum benefit amount of $15,000 or $25,000. Each employee selects and builds a plan that fits their individual financial needs. 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. State Government websites value user privacy. Automatically enrolled into the Humana Group Medicare Advantage (PPO) Base Plan. The letter asks that you confirm your eligibility for Medicare benefits. 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.. State employees are eligible for many valuable Benefits in addition to their regular pay. The award of the contract was made to Humana after a required, competitive bidding process. 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. You can contact McLaughlin Young Group at 704-717-5295 or 1-888-298-3907. Employees may retire with full benefits after: Reduced benefits are offered at early retirement after: The amount of an employee's retirement benefit is based on: The State offers the following voluntary supplemental retirement plans to provide a way for an employee to save money and supplement state retirement benefits by making contributions through payroll reduction and postpone paying tax on these contributions until after the employee retires: To support healthy families and strengthen our economy, Governor Roy Cooper issued Executive Order No. Medicare Retirees Base PPO Plan (70/30) Man Group Medicare Advantage Base Plan (90/10) . 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. Any employee for tutoring and mentoring in public or private schools, or, any employee to volunteer in a literacy program in any public school. See the following for benefits features and cost information. PDF Medicare and the State Health Plan for Teachers and State - NC Sick leave can be accumulated and applied as time toward service retirement. 2023 Retiree Benefits | NC State Health Plan For questions regarding the Medicare Advantage Base and Enhanced plans. Our state agencies have invested in this contractual agreement to offer you a wide range of support services and work/life options. 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. (8:30 a.m. - 4:30 p.m.) (919-814-4590) By Email NC.Retirement@nctreasurer.com. What comes next? Real-time updates and all local stories you want right in the palm of your hand. In observance of Independence Day, the North Carolina Retirement Systems will be closed Tuesday, July 4. The Supreme Court just issued its biggest rulings of the year. For more recent information or other questions, please contact the NC State Health Plan Humana Customer Care Team with any questions at 1-888-700-2263 or for TTY