2020 Open Enrollment: High Deductible Health Plan Members

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The High Deductible Health Plan (HDHP) benefit option is available only to employees eligible for coverage under G.S. §135 48.40(e). Please check with your employer's Human Resources department to confirm your eligibility before considering this plan.

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2020 HDHP Benefit Information

During Open Enrollment, if you do not make any changes, you will be automatically re-enrolled in the HDHP at your current coverage level (for example, employee only). If you disenroll yourself from coverage, your enrolled dependents will also no longer be covered under the HDHP.

For 2020, there are no benefits changes for this plan. The formulary or drug list of covered medications, changes quarterly, so changes in drug coverage are possible.

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    2020 Benefit Resources

    Pharmacy Resources

    *For drug lookup tool: If a drug is not covered, the following advisory will appear under Plan Notes: “Not covered: Ask your doctor about alternatives.”

    CVS Caremark is the State Health Plan’s Pharmacy Benefit Manager.

    The State Health Plan utilizes a custom, closed formulary (drug list). The formulary indicates which drugs are excluded from the formulary and not covered by the Plan. All other drugs that are on the formulary are grouped into tiers. Your medication’s tier determines your portion of the drug cost.

    Please Note: These tools include information based on the 2019 formulary and are subject to change prior to January 1, 2020.

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