State Health Plan e-Newsletters

Blue Cross and Blue Shield of North Carolina (Blue Cross NC), the State Health Plan’s Third Party Administrator, has launched a significant redesign and improvement of several online member transparency tools, making it even easier for your employees to find the care they need.

These transparency tools are part of our State Health Plan initiative to enhance the tools you use to get the most out of your health benefit at the lowest cost. We call that being a State Health Plan Watchdog!

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House Bill 1056 became law on June 25, 2018.  This legislation mandates employing unit cooperation in collecting through wage garnishment money that members owe the State Health Plan (Plan). Specifically, any payment of benefits or other amounts to, or premiums or claims paid on behalf of, any Plan member that is later determined to be an overpayment, an erroneous payment, or a benefit or amount for which the Plan member was ineligible, shall be repaid by the Plan member.

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Screenshot of the new Explanation of Benefits

Your Explanation of Benefits, or EOB, is a detailed financial statement of how one or more of your medical claims has been processed. It outlines what the State Health Plan has paid and what is your responsibility. It’s not a bill, but it can help 70/30 Plan and 80/20 Plan members track their health care costs.Image of a video image of the Explanation of Benefits versus new Explanation of Benefits

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  • Reminder: Enrollment System Has a New Name - eBenefits!
  • Be a Watchdog: Enhanced Transparency Tools Now Available
  • Keep Your Address Current!
  • New eBenefits Mobile App is Here!
  • Reminder: 'Understanding Your Medical Plan Options When You Become Medicare-Eligible' Information Sessions
    Under Way!

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