2015 Decision Guide, Summary and Rates
2015 SHBP Educational Videos/Sessions
2015 State Health Benefit Plan Video (This a YouTube video, so you may have difficulty opening and viewing it from some computer locations)
Houze Employee Education Presentation updated 10-20-14
Options for 2015, Providers and Plan Options
Contact Listing of all resources including SHBP, Pharmacy, Wellness and Carriers
Blue Cross Blue Shield of Georgia (BCBSGA) www.bcbsga.com/shbp
Health Reimbursement Arrangement (HRA): Gold Option, Silver Option, Bronze Option
Health Maintenance Organization (HMO)
Blue Cross Blue Shield Video
Kaiser Permanente (KP) www.my.kp.org/shbp
Health Maintenance Organization (HMO) for SHBP members who live or work in the 27 county metro Atlanta service area. Included is the Prescription Plan.
Kaiser Permanete Video
Wellness benefits for participants in BCBS or UHC plans.
Wellness Incentive Credits must be earned between Jan 15 - Dec 15, 2015
Express Scripts www.express-scripts.com/georgiashbp
Pharmacy benefits for participants in BCBS or UHC plans will continue to be administered by Express Scripts.
Peachcare for Kids www.peachcare.org
PeachCare include dental, vision and health insurance at low premiums and low co-payments.
Employees may complete an application on-line or may call and request a paper application be mailed to them by calling PeachCare.
Tricare Supplement www.asicorporation.com/ga_shbp
Available to SHBP eligible individuals who are also eligible for TRICARE, the military health benefit program
No Split Option - Everyone covered under the contract must be in Tricare
Enrollment for Medical through ADP
www.mySHBPga.adp.com. Need a User ID/Password or Forgot it? See the Houze ADP Flyer or "Quick Reference Guide" for more complete instructions on registration and update procedures
You must bring your User ID and Password for the Benefits Counselor to assist you with SHBP enrollment
See attached "Member User Guide" for detailed instructions on using all features of the new ADP website
2014 Medical Plan Options
See 2014 UPDATED Decision Guide for Plan Changes and Updates
Healthways will be the new wellness provider
BeWell SHBP provides details on the Wellness incentive will increase $480 for employee and spouse
See www.bewellshbp.com or 1-888-616-6411 (after 12/15)
Wellness requirements must be started after January 1, 2014.
Base HRA Credit and 2013 earned credits will be available January 1 with roll-over from 2013 being transferred by April 2014.
Three plan designs will be offered - gold, silver, and bronze
2014 Monthly Employee Rates
Rates do not include the $80 per month surcharge for tobacco users. No spousal surcharges will apply in 2014
Medicare Advantage and Tricare plans mirror 2013 plans
Generic Drug Savings Information
Many brand name drugs are coming off of patent protection and generic drugs at significant savings are available. The two links below provide information on the generic availability and potential savings.
Listing of Brand Name Drugs with new Generic Drug Availability
Discount Drug Lists
You may be able to save on prescription drugs without using your medical card by using the generic drug lists published below. In some cases, these drug prices are lower than the Medical Plan rates. SHOP and COMPARE!
Click here for a list of $4.00 drugs from Walmart
Click here for a list of $4.00 drugs from Kroger
Click here for Publix Pharmacy Information including some free drugs
Click here for Target Pharmacy list of $4.00 drugs
2014 Disease Management Program
As a State Health Benefit Plan member, if you enroll and actively participate in a Blue Cross and Blue Shield Personal Health Coaching program for asthma, diabetes or cardiac disease management (DM), you may be eligible to receive the products listed below at no cost. Please call the BCBSGa Member Services number 855.641.4862 for more details about program participation requirements.
Click here to see flyer with information on covered drugs
Mail Order or 90 Day Retail Pharmacy Drug Savings
Ordering your prescription drugs through the mail order service or from a 90 Day Retail Pharmacy can achieve savings of $40 to $160 per drug per year based upon the required co-payment.
Express Scripts mail order delivery pharmacy services
- 1. Ask your doctor to write a 90 day prescription with 1 year of refills
- 2. To fill the prescription, you may:
- Mail your prescription(s) along with the required form in the envelope provided with your Welcome Package.
- Ask your doctor to call 888.327.9791 for instructions on how to fax the prescription
- Your doctor must have your member ID number (your new SHBP member ID card) to fax your prescription
- Order through the Express Scripts website after registering at Express-Scripts.com.
Participating 90-day retail pharmacy
- More than 60,000 retail pharmacies in the 90-day retail network.
- Visit Express-Scripts.com/GeorgiaSHBP and click “Locate a pharmacy.”
- 90-day retail pharmacy have the following statement “Dispenses a maintenance supply: YES”.
- Locate participating pharmacies on the Express Scripts mobile app or call Express Scripts at 877.841.5227.