State Health Plan:
The two available State Health Plan options are the Health Savings Plan and the Standard Plan. Both plans offer comprehensive coverage with preventive care features and the most participating providers in the state. See the following link to view the plan options and see the rates: http://www.eip.sc.gov/publications/2012ACTIVERATES.pdf
Health Maintenance Organizations (HMOs)
An alternative to State Health Plan coverage is offered through HMOs. HMOs generally use a gatekeeper approach to medical care. Each covered member must select a primary care physician (PCP) from the HMO's list of qualified physicians to provide all medical care and referrals. If the PCP is unable to treat you and feels that specialty care is needed, a referral may be made from the HMO's list of qualified physicians. The HMO's available in our area are: BlueChoice HMO and CIGNA HMO. See the following link to view the plan options and see the rates: http://www.eip.sc.gov/publications/2012ACTIVERATES.pdf
The State Dental Plan is provided to active employees at no cost. You may add your eligible dependents for an additional premium. You and your dependents do not have to be enrolled in a health plan to enroll in the State Dental Plan. See the following link to view the plan options and see the rates: http://www.eip.sc.gov/publications/2012ACTIVERATES.pdf
Dental Plus is a supplemental dental program that provides a higher level of dental coverage for the same services covered under the State Dental Plan (except orthodontia) at affordable rates. Dental Plus subscribers are required to carry the same level of coverage that they are enrolled in under the State Dental Plan. Dental Plus premiums are paid entirely by you with no contribution from the state. Dental Plus premiums are in addition to State Dental Plan premiums. See the following link to view the plan options and see the rates: http://www.eip.sc.gov/publications/2012ACTIVERATES.pdf
Vision Care Program
The State Vision Plan is available to eligible active employees, retirees, survivors, permanent, part-time teachers and COBRA subscribers and their covered dependents. Subscribers pay the premium without an employer contribution.
The program covers comprehensive eye examinations, frames, lenses and lens options, and contact lens services and materials. It also offers discounts on additional pairs of eyeglasses and contact lenses. A discount of 15 percent on the retail price and 5 percent on a promotional price is offered on LASIK and PRK vision correction through the U.S. Laser Network. Medical-related treatment of your eyes is covered by your health plan.
This program offers discounted vision care services. Participating providers throughout the state have agreed to charge no more than $60 for a routine, comprehensive eye examination. If you are fi tted for contact lenses, you may pay more because that can require additional services.Providers, including opticians, also have agreed to give a 20-percent discount on all eyewear except disposable contact lenses.
These amounts can change yearly. Contact your benefi ts offi ce, provider or EIP for the current amounts.
Full-time and part-time employees, retirees, survivors and COBRA subscribers,as well as their dependents, are eligible. You do not have to be enrolled in a health plan. You may need to show an employment-relatedidentifi cation to prove you are eligible for the program.