Open Enrollment is Sept. 30-Oct. 31, and changes are coming for State Health Plan (Plan) members. You’ll notice that enrollment used to take about 50 “clicks” to complete but now takes about 10! This is just one of several changes that reduce complexity, maintain quality health coverage and contribute to the Plan’s long-term financial stability. Also:

• Family premiums have been frozen;
• Co-pays and deductibles will not increase;
• You only have to complete the tobacco attestation credit, not a 34-question survey; and
• The Consumer-Directed Health Plan (CDHP) is being eliminated (HRA funds must be used by Dec. 31, 2017).

2018 Plan Options, Premiums – Why the Change?

To reduce complexity, members will have two plan options: the 70/30 Plan and 80/20 Plan. Both plans will have employee-only premiums, which are necessary because:

• Medical costs are projected to increase 7 percent.
• Pharmaceutical costs are projected to increase 8.5 percent.
• The Governor and General Assembly only funded the plans at a 4 percent increase.

Each plan will have an employee-only premium. After completing tobacco attestation, members will pay:

• $25 per month employee-only premium for the 70/30 Plan*
• $50 per month employee-only premium for the 80/20 Plan*

* You will be automatically enrolled in the 70/30 Plan unless you TAKE ACTION to elect the 80/20 Plan. Also, you must complete tobacco attestation to receive the lower monthly premium. Remember: co-pays and deductibles are not increasing.

Help is Available!

The Plan will host Open Enrollment events in-person and online. For more information and to register, go to www.shpnc.org. You’ll also receive information by mail. Please READ IT so you can pick the best choice for you and your family.

For questions, call the Eligibility and Enrollment Support Center at 855-859-0966. During Open Enrollment extended hours will be available Monday-Friday, 8 a.m.-10 p.m. ET, and Saturday, 8 a.m.-noon ET.