Pharmacy Benefits Manager • State Employees’ Prescription Drug Plan administered by Medco • All health plans (except CHP and FHCP Medicare Advantage) • Plan benefits the same • Mail order requirements the same for PPO Plan • Preferred Drug List and Maintenance Drug List • Transfer prescriptions • Limited Network – Walgreens out of network
Medco • www.medco.com/sofrxplan (now) • Toll-free (877) 531-4793 • Welcome kit • Medco ID cards • www.medco.com (starting January 1)
Procurement Results • One HMO per county in most counties • Single pharmacy benefits manager (Medco) • Reduce costs – $400 million over two years
How HMO Changes Affect You • Eligibility • Employees – live or work county • Retirees – live county
How HMO Changes Affect You • Mapping if your HMO is going away • One HMO option – new HMO • More than one HMO option – PPO Plan • Plan benefits stay the same • Most providers in more than one network • Show new member ID card in January • Nominate out-of-network providers with new HMO
Premium Information • Employee health insurance premiums the same • Retiree HMO rates changing in December – see personalized benefits statement • Dental plan rates increasing for:
Other Changes • HSA contribution limits increasing • Individual $3,100 • Family $6,250 • Alta now CIGNA Health and Life Insurance Company (CHLIC)
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