North Carolina State Health Plan
The mission of the State Health Plan for Teachers and State Employees is “to improve the health and health care of North Carolina teachers, state employees, retirees, and their dependents in a financially sustainable manner, thereby serving as a model to the people of North Carolina for improving their health and well-being.”
The Plan is self-insured and exempt as a government-sponsored program and offers two PPO options, the 70/30 and 80/20 plans for active and non-Medicare members. The plan offers a high-deductible health plan for those deemed eligible by their employing agency and offers temporary same plan coverage with COBRA for members who may lose coverage.
Search and review the informative plan websites provided below, by clicking each hyperlinked title, to determine the best options for you and your eligible dependents.
70/30
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The 70/30 plan is a PPO plan that offers an emphasis on preventative health, lower out-of-pocket costs, and freedom of choice of in-network providers.
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80/20
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The 80/20 a PPO plan that offers an emphasis on preventative health, lower out-of-pocket costs, and freedom of choice of in-network providers. Members also have the option of lowering their monthly premium by completing a wellness activity.
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HDHP
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The high-deductible health plan (HDHP) is an Affordable Care Act (ACA) in-network provider of preventative services that are covered at 100%.
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COBRA
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COBRA allows certain employees and their eligible dependents to temporarily continue same-plan group coverage.
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BlueConnect
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Are you looking for an in-network provider? Do you want to view claims? Do you need to request an ID card for the 80/20 or 70/30 plan? If so, please visit BlueConnect.
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CVS Caremark
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Learn about our plan’s preferred prescription drugs, locate a pharmacy that is within network or file a claim for prescription drugs. You can call CVS Caremark at 888-321-3124.
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NCFLEX State Insurance Plans
NCFlex State Insurance Plans provide a variety of pre-tax plans to meet the needs of state employees and their families. For eligibility, employees must work 20 hours or more per week in a permanent, probationary, or time-limited position. All plan deductions are withdrawn from your pay on a pre-tax basis, which lowers your taxable income and saves you money.