Your Health & Wellness Resources

Icon representing health and wellness

The State Health Plan is committed to helping you reach your best health. All of the resources offered are provided as part of your State Health Plan benefit and are free or provided at a low cost to you as a State Health Plan member. ​

Check out the following health and wellness resources available to State Health Plan members by clicking the boxes below!

Your Health and Wellness Resources

Disease and Case Management

Disease and Case Management

Disease and Case Management services are available for members with chronic obstructive pulmonary disease (COPD), congestive heart failure, coronary artery disease, diabetes, asthma, cerebrovascular disease and peripheral artery disease. If you are eligble for this service, you will be notified.

 

 

Nutrition and Weight Management

Nutrition and Weight Management

80/20 Plan Members:

Adult and child (age 6+) nutrition and weight management services are included under the Affordable Care Act’s preventive services, meaning that they are covered at 100% for 80/20 Plan members. These services can be delivered in an in-network* office, urgent care, or outpatient facility settings and include:

  • Nutritional Counseling, which may include counseling specific to achieving or maintaining a healthy weight
  • Obesity Screening
  • Behavioral Intervention

70/30 Plan Members:

In-network* nutritional counseling visits for members with diabetes are covered at 100% for the first 6 visits. After the 6th visit, members will pay 30% after the deductible has been met.

In-network* nutritional counseling visits related to any other condition are limited to a combined in- and out-of-network maximum of 4 visits per benefit period for a $40 copayment per visit.

*For out-of-network costs associated with these services, please go to the Employee Benefits page and see your plan’s Benefit Booklet.
 
To find an in-network dietitian, use our Find a Doctor tool and search under "Specialist" for a licensed dietitian/nutritionist.

FDA-approved weight management medications and bariatric surgery are covered benefits. Go to the Employee Benefits page and refer to your plan’s Benefit Booklet and the Preferred Drug List for additional information and restrictions.

Members eligible for services are members whose primary health coverage is through the State Health Plan. Federal law prohibits the Plan from using your personal health information to discriminate against you in any way or from giving this information to your employing agency/school or other unauthorized third party, unless required by law.

Mental Health Resources

Mental Health Resources

Plan benefits cover mental health and chemical dependency treatment, including office visits for a Primary Care Provider copay.

For information and details regarding mental health, behavioral health, and substance use disorder benefits and services, please go to the Employee Benefits page and refer to your plan’s Benefits Booklet for the 70/30 Plan or 80/20 Plan as appropriate.

As part of your benefit you also have access to several online resources that include information on managing stress, anxiety, depression, drug misuse, or a substance use disorder. Visit Beacon Health Options, the Plan’s mental health case manager’s website, or call 800-367-6143.

Members eligible for services are members whose primary health coverage is through the State Health Plan. Federal law prohibits the Plan from using your personal health information to discriminate against you in any way or from giving this information to your employing agency/school or other unauthorized third party, unless required by law.

Maternity Resources

Maternity Resources

Pregnancy Diagnosis and Maternity Visits
You can expect to pay an initial copay or coinsurance cost for your first pregnancy visit (diagnostic visit), or first visit, however, visits thereafter will be covered at no charge. Your remaining maternity visits are covered by one global fee subject to the inpatient copay, deductible, and coinsurance upon hospital admission/delivery.

Adding Newborns to Your Health Plan
You must take action to add your newborn to your health plan.  Your newborn must be added to your health plan within 30 days of their date of birth.

Remember, if you currently have employee-only or employee-spouse coverage, your coverage will change when you add your newborn to either employee-child or employee-family coverage. As a result, you will have to pay the additional premium for the month in which the child is born.

For more information, please see the Adding Dependents section of your plan’s Benefits Booklet, speak with your Health Benefits Representative or call the Eligbility and Enrollment Support Center at 855-859-0966.

Members eligible for services are members whose primary health coverage is through the State Health Plan. Federal law prohibits the Plan from using your personal health information to discriminate against you in any way or from giving this information to your employing agency/school or other unauthorized third party, unless required by law.

Tobacco Cessation Resources

Tobacco Cessation Resources

Tobacco Cessation Resources

As a State Health Plan member, you have access to a variety of tobacco cessation resources to help you quit smoking, chewing tobacco, using snuff, or even e-cigarettes (vaping).

  • All plans cover in-person counseling with your provider or behavioral therapist
  • $0 Prescription Medications (70/30 & 80/20 plans)
    • Nicotrol (nicotine inhalation system)
    • Nicotrol NC (nicotine nasal spray)
    • Generic bupropion sustained-release 150 mg
    • Chantix for members ≥ 18 years old
      • Chantix is limited to 6-month supply in a 12-month period

CVS MinuteClinic Tobacco Cessation Counseling

During Open Enrollment, Annual Enrollment or when enrolling within 30 days of being first eligible, State Health Plan members will need to attest that they do not use tobacco or will commit to visit a CVS MinuteClinic for at least one tobacco cessation counseling session within 90 days after the last day of Open Enrollment or from their initial hire date, or risk losing their premium credit.

Subscribers will receive a CVS MinuteClinic voucher in the mail for two tobacco cessation counseling sessions covered at 100%. Only one session is required in order to maintain the premium credit. Subscribers must bring the voucher to each session and present your State Health Plan ID card in order for the visit to be covered at 100% by the Plan. If you lose your voucher, you must contact CVS Caremark at 888-321-3124 to have the voucher re-issued.

In addition, all Plan members who are tobacco users and wish to enroll in CVS MinuteClinic tobacco cessation counseling may do so. To receive a voucher for two free sessions, they must contact CVS Caremark at 888-321-3124 and request a voucher.
 

QuitlineNC

QuitlineNC offers support by phone to all North Carolinians. Please note that as of January 1, 2019, this telephonic service does NOT include a premium credit for Plan members.

QuitlineNC offers:

  • FREE one-on-one support from a Quit Coach® by telephone
  • Coaching 24 hours a day, seven days a week
  • Quit Coaches that speak English and Spanish
  • Web coaching at www.QuitlineNC.com
  • Support via text messaging using Text2Quit™

Call 800-QUIT-NOW (800-784-8669). Available 24 hours/7 days a week.  

Visit QuitlineNC for more information.

Personal Health Portal

Personal Health Portal

Personal Health Portal

The Personal Health Portal, open to all active employees and non-Medicare retirees, provides a comprehensive library of tools and resources to help you assess health risks and engage in healthy activities.

The portal also includes a variety of resources:

  • Health Challenges: Each quarter of the year you will have the opportunity to complete a 4-week challenge, covering nutrition, physical activity, weight management and stress.
  • Online Health Assessment: This 15-minute online assessment helps you gauge your current health status and identify any concerns, so you can track your progress in the months ahead.
  • Healthy Living Conversations: These are quick, interactive conversations covering a variety of health topics, such as stress, back pain and getting active.
  • Online Monthly Seminars: Fun and interesting online seminars are available each month and focus on various health and wellness topics, such as nutrition, fitness and stress reduction.
  • Extensive Health and Video Library: The portal provides a library of resources to assist you in assessing health risks and engaging in healthy activities, including more than 500 videos.

The Personal Health Portal is available via eBenefits, your one-stop shop for all member benefit information. To get started, click on eBenefits. Once logged into eBenefits, look for a link to Blue Connect in the left-hand menu. Once in Blue Connect, click Wellness at the top of the page.