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Tobacco claims the lives of approximately 14,200 North Carolinians each year. The third Thursday of every November marks the Great American Smokeout. By quitting, even for one day, smokers take an important step toward better health. It’s never too late to quit!
National Diabetes Month is a time when communities across the country team up to bring attention to diabetes and its impact on millions of Americans. State Health Plan members can find a varety of diabetes resources online.
State Treasurer Dale R. Folwell, CPA, announced today that the State Health Plan Board of Trustees unanimously passed a resolution favoring a new provider reimbursement strategy for North Carolina providers that care for Plan members.

The provider reimbursement strategy, to go into effect January 1, 2020, will move the Plan away from a commercial-based payment model to a reference-based government pricing model based on a percentage of publicly available Medicare rates, according to the resolution passed today. This effort is aimed to keep rising health care costs under control while
State Treasurer Dale R. Folwell, CPA announced today that the State Health Plan (Plan) will launch a new medical reimbursement strategy for North Carolina providers that care for Plan members. This effort is part of a longer term strategy to take advantage of the Plan’s “largeness” to keep rising health care costs under control while promoting quality care, transparency and affordability.
2019 Open Enrollment ends October 31, 2018.
The 2018 fall release for Benefitfocus went active September 8, 2018, and contains some cosmetic changes for eBilling, which are listed below. Also below are screen shots of the changes, which include...
The State Health Plan will conduct Open Enrollment September 29-October 31, 2018.

You will receive a Decision Guide in the mail in September which will include information to help you choose the best plan for yourself and your family. Therefore, it is important to keep your address current! It is critical for your address to be accurate in eBenefits, the Plan’s enrollment system. It’s also important to inform your employing unit or the State Retirement Systems.
Your Explanation of Benefits, or EOB, is a detailed financial statement of how one or more of your medical claims has been processed. It outlines what the State Health Plan has paid and what is your responsibility. It’s not a bill, but it can help 70/30 Plan and 80/20 Plan members track their health care costs.
House Bill 1056 became law on June 25, 2018.  This legislation mandates employing unit cooperation in collecting through wage garnishment money that members owe the State Health Plan (Plan). Specifically, any payment of benefits or other amounts to, or premiums or claims paid on behalf of, any Plan member that is later determined to be an overpayment, an erroneous payment, or a benefit or amount for which the Plan member was ineligible, shall be repaid by the Plan member.
Blue Cross and Blue Shield of North Carolina (Blue Cross NC), the State Health Plan’s Third Party Administrator, has launched a significant redesign and improvement of several online member transparency tools, making it even easier for your employees to find the care they need.

These transparency tools are part of our State Health Plan initiative to enhance the tools you use to get the most out of your health benefit at the lowest cost. We call that being a State Health Plan Watchdog!