State Health Plan News and Updates

The next meeting of the State Health Plan Board of Trustees is scheduled for Monday, December 10, from 10 a.m. to 1 p.m. The Board will meet at the Department of State Treasurer offices, Dogwood Conference Room, First Floor, 3200 Atlantic Avenue, Raleigh, N.C., 27604.

National Diabetes Month is a time when communities across the country team up to bring attention to diabetes and its impact on millions of Americans. State Health Plan members can find a varety of diabetes resources online.

State Treasurer Dale R. Folwell, CPA, announced today that the State Health Plan Board of Trustees unanimously passed a resolution favoring a new provider reimbursement strategy for North Carolina providers that care for Plan members.

The provider reimbursement strategy, to go into effect January 1, 2020, will move the Plan away from a commercial-based payment model to a reference-based government pricing model based on a percentage of publicly available Medicare rates, according to the resolution passed today. This effort is aimed to keep rising health care costs under control while promoting quality care, transparency and affordability.

State Treasurer Dale R. Folwell, CPA announced today that the State Health Plan (Plan) will launch a new medical reimbursement strategy for North Carolina providers that care for Plan members. This effort is part of a longer term strategy to take advantage of the Plan’s “largeness” to keep rising health care costs under control while promoting quality care, transparency and affordability.

The 2018 fall release for Benefitfocus went active September 8, 2018, and contains some cosmetic changes for eBilling, which are listed below. Also below are screen shots of the changes, which include...

2019 Open Enrollment ends October 31, 2018.

You should have already recieved your decision guide in the mail. This guide includes information to help you choose the best plan for yourself and your family. It is important to keep your address current!

The State Health Plan will conduct Open Enrollment September 29-October 31, 2018.

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.

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.

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).