Annual Enrollment, May 20-31, 2013
The State Health Plan will conduct Annual Enrollment May 20-31, 2013. You do not need to do anything during Annual Enrollment if you are satisfied with your current plan. If you take no action, you and any dependents will remain on your current plan. There are no changes to member or dependent premiums.
During Annual Enrollment you can:
When adding dependents to your benefit plan, you may be asked to provide documentation of your dependent's State Health Plan eligibility.
Any plan changes made during this time will become effective July 1, 2013. Once you make any changes, you may not elect to switch plans until the next open enrollment period unless you experience a qualifying life event. This includes adding or removing a dependent. For a list of qualifying life events, refer to your Benefits Booklet.
Beginning July 1, 2013, the mental health/substance abuse office copay has been reduced to align with the primary care visit copay. For the 70/30 Basic Plan, the copay is $35. For the 80/20 Standard Plan, the copay is $30.
Important note: Your current benefit year runs from July 1-June 30 of the following year. However, the State Health Plan Board of Trustees recently approved moving the benefit year to a calendar year. To facilitate the transition to a calendar year benefit period, the upcoming benefit period will only be six months: July 1, 2013 — Dec. 31, 2013. This means your deductibles and out-of-pocket maximums will be reduced by half.
The Plan encourages members to have a Primary Care Provider (PCP) to provide proactive, preventive and chronic care management throughout all stages of their lives. You will be able to select a PCP for yourself and any covered dependents during enrollment. Your selection will appear on your member ID cards. With the addition of the PCP information, each family member will receive an individual ID card. If you are enrolled in the Express Scripts Medicare Part D Prescription Drug Plan you already have individual ID cards for you and your dependents.
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Annual Enrollment Mailers:
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