nc state health plan vision coverage

1-855-202-4081 (TTY: 711). Sign up for weekly emails to receive the deals using the steps below. Changes in tax laws or other requirements might cause changes in the plan. PDF NC Medicaid Medicaid and Health Choice Routine Eye Examination and The plans are outlined below for all in-network vision care services. Blue365, open to all active employees and non-Medicare retirees, offers premier health and wellness discounts and is free to join for State Health Plan members. Our Vision Plans We offer two vision plans to fit your budget or vision needs. 2023 Retiree Benefits | NC State Health Plan View plan provisions or check with your sales representative. It includes screenings, check-ups, vaccinations, patient counseling, and some medications. Applicable fees are disclosed at time of enrollment. For details, please go to the Plan Overview page and view your plan's Preventive Medical Services Summary or Preventive Medications List. If you have purchased an association plan, an association fee may also apply. Forexample, if your last day of work is March 20, your coverage would end on March 31. For more information, please see theAdding Dependentssection of your plans Benefits Booklet, speak with your Health Benefits Representative or call the Eligbility and Enrollment Support Center at 855-859-0966. 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). Exciting Hearing Aid discount benefit! If you have purchased an association plan, an association fee may also apply. North Carolina health insurance plans | UnitedHealthcare Find North Carolina health insurance options at many price points. Who We Are. Base PPO Plan (70/30) and Enhanced PPO Plan (80/20) Members: Adult and child (age 6+) nutrition and weight management services are included under the Affordable Care Acts preventive services, meaning that they are covered at 100% for members on the Base PPO Plan (70/30) and Enhanced PPO Plan (80/20). medical, dental, or vision plan. In the event of any discrepancy between what is written here and what is in the plan document and insurance certificates, the plan document and insurance certificates will govern. In addition, all Plan members who are tobacco users and wish to enroll in PCP tobacco cessation counseling may do so. The portal also includes a variety of resources: The Personal Health Portal is available via eBenefits, your one-stop shop for all member benefit information. The NCFlex Vision Plan offers three plan levels of benefits. Check out the following health and wellness resources available to State Health Plan members by clicking the boxes below! To locate a provider in your area, visit the EyeMed Vision Care web site. The deadline to elect to participate in the NC State Health Plan Network under the Clear Pricing Project contract and pricing terms was August 5, 2019. Health Benefit Coverage. Vision Insurance Plans for North Carolina | Blue Cross NC View Now Changes made in the online enrollment system by the 10th of the month should be reflected in the next payroll. Seniors Health Insurance Information Program (SHIIP). Your Health and Wellness Resources Disease and Case Management Nutrition and Weight Management Maternity Resources Tobacco Cessation Resources Personal Health Portal Blue365 For costs and complete details of the coverage, refer to the plan document or call or write your Humana insurance agent or the company. The State Health Plan is self-insured and exempt from the Employee Retirement Income Security Act (ERISA) as a government-sponsored plan. In the event of any disagreement between this communication and the plan document, the plan document will control. Not available with all Humana health plans. Work for NC. Policy, (both need to be completed to expedite your receipt of important information), Contact Lenses: Once every 12 months(contacts in lieu of lenses and frame). Eligibility. For questions regarding your bill for premiums. To share comments, concerns or general feedback on specific medical or pharmacy issues. Group Name (Plan Sponsor): North Carolina State Health Plan for Teachers and State EmployeesGroup Numbers: 12326, 12327, 12328, 12329, 12330, 12331, 12332, 12333 Look inside to learn more about the health services and drug coverages the plan provides. Exam and Materials: F3345 To share concerns or feedback to the Board of Trustees. Eligibility. Our state continuation laws allow terminated employees and members to continue coverage under their employer's group health plan when they terminate employment or lose their eligibility under the plan. You will be logged in to the online enrollment system. Vision Plan. To find an in-network dietitian, use our Find a Doctor tool and search under "Specialist" for a licensed dietitian/nutritionist. Go to article library To appeal a claim decision or to file a grievance. Contracted healthcare providers with the Humana Medicare Advantage PPO plan will receive the contracted rate for services rendered. NC State Health Plan Network FAQs | Blue Cross NC To enroll, go to theMyPack Portaland log in. There is no . All Rights Reserved. Learn more about Copays. PDF 2020 Summary of Benefits - Nc 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. or Humana Health Benefit Plan of Louisiana, Inc. Discount plans offered by HumanaDental Insurance Company or Humana Insurance Company. The vision plan's benefits are as follows: $10 Yearly Eye Exam Copay; $10 Standard Plastic Lens Copay; $150 Lenses/Contact Lens Allowance available every 12 . Email: hrsbenefits@ncsu.edu, Benefits, Employee Wellness and Work Life, Retirement Plans (Voluntary/Supplemental), Employee + Family (may be employee + spouse, employee + children or employee + family). This plan is administered by EyeMed Vision Care. View contact information for various State Health Plan vendors to address specific questions or concerns. State Employee Resources. 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), NCStatemanualreferrals@rawlingscompany.com. Some services may only be available with prior authorization (pre-approval) or if medically necessary. ET, Monday - Friday www.UHCRetiree.com/ncshp Read the FAQs related to Executive Order 278, emphasizing how skills and experience can substitute for academic degrees in thousands of open state jobs. Only one session is required in order to maintain the premium credit. 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). NCFlex Vision Documents | NC Office of Human Resources To locate a provider in your area, visit the EyeMed Vision Care web site. Payment may include an administration fee. Benefits and services All health plans offer the same basic benefits and services. In addition to making healthy lifestyle choices, preventive care is an essential part of living a longer, healthier life. See if your current vision care provider is in our network. 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. New Mexico: Humana group dental and vision plans are insured by Humana Insurance Company. Under the Employee Self Service tiles>Click on the Benefit Details tile>Click on Enroll in Benefits (on the leftmake sure your pop up blocker is off). 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. Save the most money by using a network provider. Mailing Address: MSC 1331, Raleigh, NC 27699-1331, Physical Address:116 W. Jones Street, Raleigh, NC 27603. Plan benefits may vary by state. They process medical claims and oer a provider network, but taxpayers like you pay for your . State Government websites value user privacy. MetLife Dental Low Option Certificate UNC Chapel Hill 01 01 20. (This fee is non-refundable as allowed by state). Learn more about Copays. Benefits / Health Insurance - Durham Public Schools Association membership and fees may be required on some plans in some states. MetLife Dental Low Option Certificate 01 01 20. For Arizona residents: Insured by Humana Insurance Company. 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. The State of North Carolina provides health care benefits to teachers, employees, retirees, and their . In the event of a dispute, the policy as written in English is considered the controlling authority. In addition to your State Health Plan benefits, the State Health Plan strongly recommends you enroll in Medicare Part B coverage, as well as Part A, when you become eligible as a retiree, in order to maintain your same level of coverage under the State Health Plan. You have questions, let us point you in the right direction! Waiting periods may apply outside of the newly hired initial 30-day eligibility period. North Carolina state retirees are moving to Humana PPO plan Jan. 1. North Carolina Health Insurance Plans | Blue Cross NC North Carolina State Health Plan. You are eligible for coverage in the State Health Plan if you are employed in a permanent position working 30 hours or more each week. Skip to main content Insurance Plans Medicare and Medicaid plans Medicare ks7*?d,BZh1K_dm*4o0oA&xf`a4kk 61vG#|J! NCFlex | NC Office of Human Resources Click here to view the vision plan rates. For information regarding Humana, call 888-700-2263 or visit their website. By Mail North Carolina Department of State Treasurer Retirement Systems Division 3200 Atlantic Avenue . A lock icon or https:// means youve safely connected to the official website. To learn more, view our full privacy policy. Allowance for eyeglass frames every 12 months (includes designer brands), Covered 100% with in-network provider if medically necessary, Annual allowance for elective contacts in lieu of eyeglass lenses, 1-855-202-4081 (TTY: 711) PDF Nsurance Benefits for State Employees In states, and for products where applicable, the premium may include a $1 administrative fee. Smart NC is a program provided by the NC Department of Insurance. The State Health Plan of North Carolina 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. Medical benefits and services include: Ambulance services Cardiac procedures Services provided by Local Education Agencies that are included in your child's: Individualized Family Service Plan (IFSP), Section 504 Accommodation Plan (504 Plan), The fabrication of eyeglasses including complete eyeglasses, eyeglass lenses and eyeglass frames, A provider in the health plan's network will fit the NC Medicaid Direct eyeglasses and give them to you, Some health plans also offer added services. About Us. To locate a provider in-network, visit the State Health Plan website at www.shpnc.org and click "Find a Doctor." There are no copays with this plan. Employees can choose from two coverage levels: (NCFlex Vision Plan). 2022 NCFlex Vision Plan Details.pdf. To learn more, view our full privacy policy. Copyright 2023 Pierce Insurance. To learn more, view our full privacy policy. PDF A Consumer'S Guide to Health Insurance Continuation Rights Vision insurance | UnitedHealthcare For questions on how to navigate BEACON or other BEACON system assistance. During Open Enrollment or when enrolling within 30 days of being first eligible, State Health Plan members will need to attest that they do not use tobacco or will commit to visit a Primary Care Provider (PCP) who offers counseling for at least one tobacco cessation counseling session within 60 days after the last day of Open Enrollment or from their initial hire date, or risk losing their premium credit. Behavioral Health and Chemical Dependency/ Substance Use Services. Members eligible for services are members whose primary health coverage is through the State Health Plan. North Carolina State Retirees Move to Humana PPO Plan - Humana To learn more, view our full privacy policy.
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