2023 Retiree Benefits Column Paragraph Explore Your 2023 Plan Benefits! Let us help you navigate through your 2023 State Health Plan benefits so you can enjoy retirement! Plans for Non-Medicare Members Base PPO Plan (70/30) The Base PPO Plan (70/30) is a Preferred Provider Organization (PPO) plan administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). This plan offers freedom of choice among in-network providers and lower out-of-pocket costs. Preventive services and medications are covered at 100% under this plan. Enhanced PPO Plan (80/20) The Enhanced PPO Plan (80/20) is a Preferred Provider Organization (PPO) plan administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). A PPO plan offers freedom of choice among in-network providers, lower out-of-pocket costs and a strong emphasis on preventive health. Preventive services and medications are covered at 100% under this plan. Plans for Medicare Members Humana Group Medicare Advantage Base Plan The Humana Medicare Advantage Base Plan is a Group Medicare Advantage Plan that includes prescription drug coverage. Humana Group Medicare Advantage Enhanced Plan The Humana Medicare Advantage Enhanced Plan is a Group Medicare Advantage Plan that includes prescription drug coverage. Base PPO Plan (70/30) The Base PPO Plan (70/30) is a Preferred Provider Organization (PPO) plan administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). For Medicare members, this plan serves as secondary to Medicare. Column Paragraph Retiree Resources Planning for Retirement Rehired Retiree Information Retiree Contact Information Social Security Administration Medicare Required Documentation for Qualifying Life Events & Dependent Eligibility Column Paragraph Subrogation/Recovery The State Health Plan has the right of subrogation upon its injured members' right to recover from liable third parties. The Plan's objective is to recover medical expenditures incurred by the Plan where a third party is liable for the care.
