Important: The information on this page is for current (2017) plan members enrolled in the Consumer-Directed Health Plan (CDHP) for Non-Medicare Members. To view information on 2018 plans including rates and what’s new for Non-Medicare Members, please click the Learn More button.
The Consumer-Directed Health Plan is a high deductible health plan that is accompanied by a Health Reimbursement Account (HRA), which is set up by the State Health Plan. This plan includes the ability to lower your monthly premium by completing wellness activities.
Affordable Care Act (ACA) Preventive Services performed by an in-network provider are covered at 100% in this plan, which means there is no charge to you.
2017 Affordable Care Act (ACA) Preventive Medications List
2017 Uniform Summary of Coverage
2017 CDHP Benefit Booklet
2017 CDHP Preventive Medications List
2017 Plan Comparison Chart
2017 Consumer-Directed Health Plan (CDHP) Preventive Services Summary
Consumer-Directed Health Plan (85/15) for Active and Non-Medicare Subscribers
Consumer-Directed Health Plan (85/15) for 50% Contributory Non-Medicare Subscribers
Consumer-Directed Health Plan (85/15) for 100% Contributory Non-Medicare COBRA Subscribers and Other 100% Contributory Subscribers
Members indicated as 50% or 100% contributory notes the percentage of the premium for which they are responsible.
Although your Benefits Booklet provides a good overview of what services and products are available to you under the PPO plans, the medical policies provide detailed information around the circumstances under which certain services and products are and are not covered. Medical policies can be found here on the Blue Cross and Blue Shield website*.
* If any of the State Health Plan medical policies conflict with the Blue Cross and Blue Shield of North Carolina medical policies, the State Health Plan medical policies will prevail.
Certain services require prior review and certification before they can be covered by your health insurance plan. Click here for more information.
If you disagree with the way a claim has been handled, you can request an appeal or grievance review. For the complete appeals process, please click here.
Visit the Enroll Now/Access Benefits page
to access Blue Connect. From there, you will log into
eEnroll, the Plan's enrollment system, through the appropriate portal.
Once you're logged into eEnroll, you will see a Blue Connect Quick Link
on the left side of your screen. Blue Connect is your online
resource that can help you manage costs, make more informed health
decisions and reach personal health goals anytime.