The State Health Benefit Plan (SHBP) is a comprehensive health insurance program designed to provide affordable and high-quality medical coverage to eligible state employees, retirees, and their dependents. The plan is administered by the Georgia Department of Community Health (DCH) and offers a range of benefits, including medical, prescription, dental, and vision coverage. With a focus on preventive care, wellness, and disease management, the SHBP aims to promote the health and well-being of its members while controlling healthcare costs.
Plan Overview
The SHBP offers a choice of health plans, including Health Reimbursement Arrangement (HRA) plans, Health Savings Account (HSA) plans, and traditional copay plans. Each plan has its own unique features, deductibles, copays, and coinsurance rates. Members can select the plan that best fits their individual or family needs, and can also choose from a range of provider networks, including the Blue Cross Blue Shield (BCBS) network. The SHBP also offers a range of additional benefits, including telemedicine services, fitness discounts, and health coaching programs.
Eligibility and Enrollment
To be eligible for the SHBP, individuals must be employed by the state of Georgia or be a retiree of the state. Eligible employees and retirees can enroll in the plan during the annual open enrollment period or within 30 days of becoming eligible. Dependents, including spouses and children, may also be eligible for coverage. The SHBP offers a range of enrollment options, including online, phone, and paper applications, making it easy for members to enroll and manage their benefits.
| Plan Option | Monthly Premium | Deductible | Copay |
|---|---|---|---|
| HRA Plan | $500 | $1,000 | $20 |
| HSA Plan | $400 | $2,000 | $30 |
| Copay Plan | $600 | $500 | $10 |
Benefits and Features
The SHBP offers a comprehensive range of benefits, including medical, prescription, dental, and vision coverage. Medical benefits include coverage for doctor visits, hospital stays, surgeries, and other medical services. Prescription benefits include coverage for generic and brand-name medications, as well as specialty medications. Dental benefits include coverage for routine cleanings, fillings, crowns, and other dental services. Vision benefits include coverage for eye exams, glasses, and contact lenses.
Wellness Programs
The SHBP offers a range of wellness programs and resources to help members stay healthy and manage chronic conditions. These programs include health coaching, fitness discounts, and disease management programs. Members can also participate in online health assessments and wellness challenges to earn rewards and incentives. The SHBP also offers a range of educational resources, including health articles, videos, and webinars, to help members make informed decisions about their health.
In addition to its comprehensive benefits and wellness programs, the SHBP also offers a range of tools and resources to help members manage their benefits and healthcare costs. These tools include an online portal, mobile app, and customer service hotline, making it easy for members to access their benefits, track their claims, and get help when they need it.
What is the State Health Benefit Plan?
+The State Health Benefit Plan is a comprehensive health insurance program designed to provide affordable and high-quality medical coverage to eligible state employees, retirees, and their dependents.
Who is eligible for the State Health Benefit Plan?
+To be eligible for the SHBP, individuals must be employed by the state of Georgia or be a retiree of the state. Eligible employees and retirees can enroll in the plan during the annual open enrollment period or within 30 days of becoming eligible.
What benefits are offered by the State Health Benefit Plan?
+The SHBP offers a comprehensive range of benefits, including medical, prescription, dental, and vision coverage. The plan also offers a range of wellness programs and resources to help members stay healthy and manage chronic conditions.
