NC State Health Plan Approves New Tiered Network
Durham News Today | 2 Min News | The Daily News Now! · The Daily News Now!
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Show Notes
North Carolinas State Health Plan introduces a three-tier network, pushing employees towards preferred providers to reduce costs. The plan covers over 750,000 workers, retirees, and families, offering lower out-of-pocket costs for preferred providers and savings for the plan. Non-preferred providers cost more, while an access tier maintains options. The plan also expands into maternity care, dermatology, and independent pharmacies, with badging providers to assist members during open enrollment. Premium hikes for active employees may link to salary raises, closing a deficit and addressing a larger projected gap. The plan is seeking a new administrator and pharmacy manager in 2028, with negotiations for independent pharmacies ongoing.
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