State Health Plan Major Medical
The State Health Plan's Preferred Provider Organization (PPO) plans offer freedom of choice among in-network providers, lower out-of-pocket costs and a strong emphasis on preventive health. There are two levels of PPO coverage:
Plan summaries and Benefits Booklets
Summaries of Coverage
All permanent full-time employees who work 30 or more hours per week are eligible for coverage. Employees selecting the Standard plan will pay an additional monthly premium for employee only coverage. Spouses and legally dependent children up to age 26 (if not eligible for their own or their spouse's employer sponsored health coverage or be in the military) are also eligible for coverage under both plans at group rates.
To receive the maximum coverage under the PPO plan, you must see in-network providers. The State Health Plan's local provider network for the PPO is managed by Blue Cross and Blue Shield of North Carolina. To locate a doctor or hospital near you, use SHNPC Find a Doctor BCBSNC PPO Plan Provider Search.
The State Health Plan's Prescription Drug coverage is managed by Medco. To locate a listing of participating pharmacies, visit the State Health Plan's prescription drug web site.