What is NC State PPO?

The 80/20 PPO Plan is a Preferred Provider Organization (PPO) plan administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). A PPO plan offers: freedom of choice among in-network providers. lower out-of-pocket costs (copay only for most in-network office visits)

Who is covered under NC state health plan?

Our Membership Includes: More than 501,000 active employees and dependents on the Plan. More than 188,000 Medicare eligible retirees and their dependents. More than 53,000 non-Medicare eligible retirees and their dependents. More than 1,400 COBRA participants and their dependents.

Does NC state health plan cover abortions?

In North Carolina, these additional funding restrictions apply: No state dollars can be used to pay for abortion care, except in very limited circumstances. Passed a law removing abortion coverage from the state employee health plan, except in limited cases.

What is a CPP specialist?

The Certified Protection Professional (CPPⓇ) is considered the “gold standard” certification for security management professionals and demonstrates your knowledge and competency in seven key domains of security. Globally recognized as the standard of excellence for security management professionals.

What does a PPO plan cover?

Unlike an HMO, a PPO offers you the freedom to receive care from any provider—in or out of your network. This means you can see any doctor or specialist, or use any hospital. In addition, PPO plans do not require you to choose a primary care physician (PCP) and do not require referrals.

What are state benefits in North Carolina?

State employees are eligible for many valuable Benefits in addition to their regular pay. These benefits include the State Health Plan, DHHS Supplemental Benefits, NCFlex Benefits, Retirement, 401K/457 Prudential Savings Plans, Leave Benefits, EAP, Service Awards, and many other important Benefits options.

Does North Carolina offer state health insurance?

The taxpayers of North Carolina invest in teachers and state employees by offering eligible employees full medical and pharmacy benefits through the State Health Plan (Plan). The Plan provides health care coverage to more than 700,000 teachers, state employees, retirees and their dependents. …

Does NC state health plan cover cologuard?

Please note that the Cologuard® FIT-DNA test, is not covered under our members’ benefit plans at 100% coverage because the provider of Cologuard is not a Blue Cross NC in-network provider.

What is CPP state health plan?

The Comprehensive Protection Plan (CPP) provides peace of mind for you and financial security for your family. The plan, which is self-insured and funded by plan sponsor contributions, includes death benefits, long-term disability income replacement and other survivor benefits.

What does CPP mean in medical insurance?

A commercial package policy (CPP) is an insurance policy that combines coverage for multiple perils, such as liability and property risk. A commercial package policy allows a business to take a flexible approach to obtain insurance coverage.

Is a PPO plan expensive?

How much does a PPO plan cost? Since PPO plans provide the most flexibility for the insured, most individuals will find that they have the most expensive monthly premiums.

What is NC healthconnex?

North Carolina’s Health Information Exchange Network, NC HealthConnex, is a secure, computer-based electronic network for doctors, hospitals and other health care providers to share information that can improve your care – so that no matter where you are providers can access your information. Click to learn more. Find Out How You Can Be a Watchdog!

How to contact Blue Cross and blue shield of North Carolina?

For questions regarding benefits or any claim inquiries. 888-234-2416 TTY: 800-442-7028 M-F 8AM to 6PM . State Health Plan c/o BCBSNC PO Box 30085 Durham, NC 27702. 70/30 & 80/20 Members. Appeals & Grievances (Blue Cross & Blue Shield of NC) To appeal a claim decision or to file a grievance.

How do I enroll or make changes to my state health plan?

To enroll or make changes to your State Health Plan benefits, members use the eBenefits system. If you are employed by any of the organizations above, or your organization uses any of these systems, please enroll by clicking on the corresponding gold button above. Outside of Open Enrollment, members can make changes due to a qualifying life event.

Does Blue Cross NC offer Medicaid in North Carolina?

With Healthy Blue, Blue Cross NC is serving Medicaid members across the state. Learn more about how Medicaid works in North Carolina and Healthy Blue eligibility. Did you get a Blue Cross NC “OTC” or “Health & Wellness Card” in the mail?