At A Glance
Who's Covered?
The State Health Plan provides health care coverage to more than 649,000 teachers, state employees, retirees, current and former lawmakers, state university and community college personnel, state hospital staff and their dependents. A breakdown of that total includes:
- More than 486,000 active employees and dependents. (Dependents include spouses and unmarried children under age 19-or under age 26 if full-time students.)
- More than 2,000 COBRA participants and their dependents.
- More than 161,000 retirees and their dependents.
NC Health Choice
In addition, the State Health Plan administers NC Health Choice, which provides health insurance to uninsured children in NC. NC Health Choice is a fee-for-service program providing free or low-cost health insurance for children and teens up to their 19th birthday. In addition to the health benefits -- vision, dental and hearing services are covered and follow the same guidelines as Medicaid. More than 127,000 children are covered under NC Health Choice.
State Health Plan Options
The State Health Plan offers three PPO plans, using the Blue OptionsSM network.
Click to compare plans.
Funding and Compliance
The State Health Plan is self-insured and exempt from ERISA as a government-sponsored plan.
North Carolina HealthSmart
North Carolina HealthSmart is a healthy living initiative that aims to:
empower healthy members to stay healthy help those with chronic disease or disease risk factors better manage their health offer integrated, cutting-edge resources and programs to members at work, at home, and through their health care providers
