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State Group Health Insurances Breakdown30 day enrollment or change deadline
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The State Group Health Insurances provide comprehensive hospital, surgical, and medical benefits. All of the health plans offer a uniform benefit package with more detail available in the Reference Guide and the Decision Guide. |
| Benefits | Uniform Benefits for Eligible Participants Excluding Retirees |
| Annual Deductible | No deductible |
| Annual Coinsurance & Out-of-Pocket Maximum (OOPM) | 90%/10% to annual OOPM $500 individual/$1,000 family except as described |
| Routine Preventive | 100% (As required by federal law) |
| Hospital Days | 90%/10% coinsurance to OOPM as medically necessary, plan providers only. No day limit |
| Emergency Room | $75 copay per visit, 90% coinsurance thereafter to OOPM |
| Ambulance | 90%/10% coinsurance to OOPM |
| Pharmaceutical (Navitus for all Plans) |
Three levels of copayments:
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Preventative and diagnostic dental coverage will vary among the plans so please review the provider summary carefully using the links below before choosing a Health Insurance.
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| * Tier 3: Price range from $115 up to $575 per month. | ||
| Standard Plan: For those who will need the flexibility of out of state coverage, the Standard Plan is available to select. The Standard Plan is a self-funded plan that has different coverage and does not cover dental. This plan will cost anywhere from $109.50 to $548.00 depending upon your employment classification and coverage level. Access the Standard Plan Guide for more information. | ||
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