2022 Open Enrollment Information: Medicare Members 2022 Open Enrollment Information: Medicare Members As a Medicare-eligible member, you will continue to have three plan options in 2022: The Humana® Group Medicare Advantage (PPO) Base Plan (90/10)* The Humana® Group Medicare Advantage (PPO) Enhanced Plan (90/10)* The 70/30 PPO Plan, administered by Blue Cross and Blue Shield of NC *The Humana Group Medicare Advantage Plans have a benefit value equivalent to a 90/10 plan. These are the same plans that were offered in 2021. The Plan just added the benefit value to the name of the plans. 2022 Open Enrollment for Medicare Members If you are currently on the Medicare Advantage (Base or Enhanced) Plan (90/10) or the 70/30 PPO Plan, you will REMAIN on that plan for 2022 and do not need to take action during Open Enrollment, unless you wish to change your plan or add a dependent. If you have non-Medicare Primary dependents on your plan, they have different options: the 80/20 PPO Plan and the 70/30 PPO Plan. If they are currently enrolled in the 80/20 PPO Plan, they will be moved to the 70/30 PPO Plan for the 2022 benefit year. You will need to take action during Open Enrollment if your non-Medicare Primary dependents want to be enrolled in the 80/20 PPO Plan for the 2022 benefit year. If you are not currently enrolled in the Humana Group Medicare Advantage Plans (90/10), you need to take another look! They have a benefit value equivalent to a 90/10 plan, which could mean significant savings for you! Register for a webinar to learn more of what you might be missing! Open Enrollment is October 11-29, 2021. Members who need to take action are encouraged to not wait until the last minute to enroll, in case you have questions to ask or documents to gather. 2022 Medicare Primary Monthly Rates Medicare Primary Plans for Medicare Subscribers Medicare Primary Plans for 50% Contributory Medicare Subscribers Medicare Primary Plans for 100% Contributory Medicare Subscribers 2022 Group Medicare Advantage Plan (90/10) Resources 2022 Plan Comparison 2022 Decision Guide Humana Website for SHP Members 2022 OE Instructions for Medicare Retirees 2022 OE Medicare Outreach Webinar Recording 2022 Humana Medicare Advantage Base Plan (90/10) Resources 2022 Summary of Benefits 2022 Annual Notice of Changes 2022 Evidence of Coverage 2022 Full Formulary List 2022 Prescription Drug Summary of Benefits 2022 Humana Medicare Advantage Enhanced Plan (90/10) Resources 2022 Summary of Benefits 2022 Annual Notice of Changes 2022 Evidence of Coverage 2022 Full Formulary List 2022 Prescription Drug Summary of Benefits Humana Group Medicare Advantage Plan (90/10) vs 70/30 PPO Plan Humana Group Medicare Advantage Plan (90/10) vs 70/30 PPO Plan Medicare Advantage Plans (90/10) 70/30 PPO Plan NO deductible Spousal Coverage for $4 Prescription Drug coverage No referral needed to see a specialist Preventive services covered at 100% Disease and case management services Ability to see providers outside the network for the same copay or coinsurance as in-network providers as long as provider participates in Medicare and accepts your plan Insulin copay waived Customized plan for you combining Medicare Parts A and B along with Medicare Part D (prescription coverage) into one plan Free enrollment in SilverSneakers Hearing aid benefit Routine eye exams Routine hearing exams Humana Well Dine Meal Program Receive 2 meals per day for 14 days, (total of 28 meals) delivered after an inpatient stay in a hospital or nursing facility In-home Personal Care for $0 A minimum of 3 hours per day, up to a maximum of 6 hours for certain in-home support services following a discharge from a skilled nursing facility or from an inpatient hospitalization 2022 70/30 PPO Resources 2022 Uniform Summary of Coverage - 70/30 PPO Plan 2022 70/30 Benefit Booklet 2021 Comprehensive Formulary 2021 Preferred Drug List 2021 Specialty Drug List 2021 Special Quantity Limit Drug List 2021 Preventive Medications 2021 Preventive Services *70/30 Plan Drug Cost Lookup Tool 2021 Pharmacy Locator 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. CVS Caremark is the State Health Plan’s Pharmacy Benefit Manager. *The prescription medications listed or their tier placement may change from time to time due to a change in cost and/or classification of medication. These tools include information based on the 2021 formulary and are subject to change prior to January 1, 2022. Medicare Open Enrollment Outreach Webinars Learn more about your 2022 health plan options to help you make the best choice for 2022! Plan to attend one of the State Health Plan’s Medicare Outreach webinars. Select the link below for the date and time that works best for you to register! WEBINAR DATES WEBINAR TIMES Oct. 5 10:00am & 2:00pm Oct. 6 2:00pm & 7:00pm Oct. 7 10:00am & 2:00pm Oct. 8 10:00am Oct. 12 10:00am & 2:00pm Oct. 13 10:00am & 2:00pm Oct. 14 2:00pm & 7:00pm Oct. 19 10:00am & 2:00pm Oct. 20 10:00am & 2:00pm Oct. 21 2:00pm & 7:00pm Oct. 25 10:00am Oct. 26 10:00am & 2:00pm Oct. 27 2:00pm & 7:00pm Humana Medicare Advantage Plan (90/10) Telephone Town Hall FOR Medicare Members on 70/30 PPO Plan This Telephone Town Hall will take place on October 18, 2021 at 2pm is designed for Medicare members who are currently enrolled in the 70/30 PPO Plan. This town hall event will give you the chance to learn more about the Humana Group Medicare Advantage (PPO) Base Plan (90/10) and the Humana Group Medicare Advantage (PPO) Enhanced Plan (90/10). Open Enrollment will take place October 11-29, 2021. Participating is easy! Simply provide your phone number as part of the registration process and we’ll call you to join the Telephone Town Hall at the start of the event. Please note that your phone number will remain confidential. We will be opening the phone lines to take your questions and provide answers live on the call. Please RSVP to reserve your spot! If you have questions, please email us at PPO.Inquiries@nctreasurer.com or call the RSVP Hotline 1-866-720-0114, Monday-Friday, 8 a.m. to 5 p.m. for assistance. Click here to register!