For members enrolled in the Base PPO Plan (70/30) and Enhanced PPO Plan (80/20):
- Virtual State Health Plan ID cards are available and can be accessed by logging into Blue Connect via eBenefits, the Plan’s enrollment system. This is also available via the Blue Connect app. For assistance with medical benefits, members can call Blue Cross NC Customer Service at 888-234-2416.
- CVS Caremark, the Plan’s Pharmacy Benefit Manager is also available to help members in need of assistance with their medications, members can call CVS Caremark at 888-321-3124.
For Plan members enrolled in one of the Humana Medicare Advantage Plans:
- Humana is available to assist members with their benefit needs. Members can call Humana if they need assistance with their benefits at 888-700-2263.
Aetna, the Plan’s TPA as of Jan. 1, 2025, has offered State Health Plan members the use of Teladoc services for free during this time. Please click below for information on how to access this service.
Aetna Teladoc Informational Flyer →
Open Enrollment
2025 Open Enrollment ended Oct. 25, 2024. The Plan will, however, continue to assist members impacted by Helene via the enrollment exceptions process. Here are a few detailed notes of how this will work.
- Tobacco Credit: For the members in the counties listed below that do not take action during Open Enrollment, the Plan will be placing them in the Base PPO Plan (70/30) for the 2025 benefit year with the tobacco credit applied. Therefore, members will not be charged the tobacco surcharge.
- Enrollment Changes: After November 1, 2024, members that would like to change plans, add or remove dependents or cancel their enrollment for 2025, can make that request through their Human Resources department who can submit an exception. This is the only way to process updates after the enrollment window is closed. This includes retirees in the designated counties that didn’t complete their enrollment will also be able to receive an enrollment exception by calling the State Health Plan at 919-814-4400.
North Carolina Counties included in the Helene Exception
Based on FEMA Disaster Designation and subscriber residential address.
Alexander, Alleghany, Ashe, Avery, Buncombe, Burke, Cabarrus, Caldwell, Catawba, Cherokee, Clay, Cleveland, Forsyth, Gaston, Graham, Haywood, Henderson, Iredell, Jackson, Lincoln, Macon, Madison, McDowell, Mecklenburg, Mitchell, Polk, Rowan, Rutherford, Stanly, Surry, Swain, Transylvania, Union, Yadkin, Yancey, Watauga, and Wilkes.
There are areas outside of North Carolina that are also included in the Helene exception. These areas are designated by the FEMA Disaster Designation and subscriber residential address as well.