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Published byGeorge Arnold Modified over 9 years ago
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Pharmacy Benefits Manager State Employees’ Prescription Drug Plan administered by Medco – All health plans (except CHP and FHCP Medicare Advantage) – Plan benefits the same – Mail order requirements the same for PPO Plan – Preferred Drug List and Maintenance Drug List – Transfer prescriptions – Limited Network – Walgreens out of network
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Medco www.medco.com/sofrxplan (now) Toll-free (877) 531-4793 Welcome kit Medco ID cards www.medco.com (starting January 1)
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Procurement Results One HMO per county in most counties Single pharmacy benefits manager (Medco) Reduce costs – $400 million over two years
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How HMO Changes Affect You Eligibility – Employees – live or work county – Retirees – live county
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How HMO Changes Affect You Mapping if your HMO is going away – One HMO option – new HMO – More than one HMO option – PPO Plan Plan benefits stay the same Most providers in more than one network – Show new member ID card in January – Nominate out-of-network providers with new HMO
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Premium Information Employee health insurance premiums the same Retiree HMO rates changing in December – see personalized benefits statement Dental plan rates increasing for: CompBenefits Network Plus Prepaid CIGNA Dental Prepaid CompBenefits Preferred Plus PPO 201120122011201220112012 Employee Only$21.90$23.00$26.32$27.38$29.50$30.98 Employee + Spouse$43.18$45.34$47.32$49.22$54.58$57.32 Employee + Child/Children$51.48$54.06$55.68$57.92$60.98$64.04 Employee + Family$65.76$69.06$67.56$70.26$88.56$92.98
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Other Changes HSA contribution limits increasing – Individual $3,100 – Family $6,250 Alta now CIGNA Health and Life Insurance Company (CHLIC)
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Take TIME! Take ACTION!
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