As an employee in a full-time permanent, or limited term benefit eligible position, you are eligible to participate in one of the State’s health care plans as listed below. You may participate as of the date of hire or on the first of the month following your date of hire provided you pay the full cost of the premium, State Share and Employee Share, OR you may wait until the first of the month following three full months of employment and pay only the Employee Share. If you are employed in a permanent part-time benefit eligible position, you are eligible to participate but you must pay the full cost of the premium. Your Benefit Representative may provide you with more details on your eligibility, enrollment date and other important information to accommodate your needs. Plan rates are effective July 1, 2009. Aetna’s HMO Plan is a managed care plan in which each member selects a primary care physician (PCP) to coordinate the care of the member and his/her dependents. Members and dependents are responsible for paying a co-pay at the time of service to the provider. The member’s PCP must submit a referral when member uses the services of other participating health care professionals. Additional information on this plan may be reviewed at http://ben.omb.delaware.gov/medical/aetna/index.shtml.
Blue Cross Blue Shield of Delaware (BCBSD) offers three health care plans for you to choose from. BCBSD’s First State Basic Plan provides you with the opportunity to use both in- and out-of-network providers. When using an in- or out-of-network provider you will pay a deductible per individual and per family for each plan year. When the deductible is paid, future services are paid at 100 percent. Pharmacy benefit expenses do not accumulate toward your deductible. Additional information on this plan may be reviewed at http://ben.omb.delaware.gov/medical/bcbs/index.shtml
BCBSD’s Comprehensive Preferred Provider Organization (PPO) Plan provides you with the freedom of choice in using in-network providers from an expansive national network or going out-of-network. When providers are in-network members pay a co-pay/co-insurance and when using an out-of-network provider members first pay a deductible for each plan year and then any applicable co-pays or coinsurances. Additional information on this plan may be reviewed at http://ben.omb.delaware.gov/medical/bcbs/index.shtml
BCBSD’s Blue Care – HMO is a managed care plan in which each member selects a primary care physician (PCP) to coordinate the care of the member and his/her dependents. Members and dependents are responsible for paying a co-pay at the time of service to the provider. The member’s PCP must submit a referral when member uses the services of other participating health care professionals. Additional information on this plan may be reviewed at http://ben.omb.delaware.gov/medical/bcbs/index.shtml
Additional important information about the Enrollment and Eligibility Rules associated with the Group Health Plan can be found at http://ben.omb.delaware.gov/documents. |
