State of Connecticut
Benefit Information

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Non-Medicare Retiree Medical Plans

TO GET ANSWERS TO YOUR BENEFIT QUESTIONS, FIND DOCTORS/PROVIDERS AND MORE, CONTACT US AND SPEAK WITH A PERSONAL CARE COORDINATOR AT 833-740-3258.

Clinical Health Programs

As of July 1, 2023, medications prescribed for weight loss or weight management will only be covered if they are prescribed by a Flyte physician. Flyte is a medical weight loss program offered to eligible State health plan members and their enrolled family members. Learn More

Diabetes Management & Diabetes Reversal
Get help managing your A1c level with a personal health coach and remote glucose monitoring or opt into the Diabetes Reversal program that includes a low-carb nutrition plan and on-gong medical monitoring. Learn More
Diabetes Prevention Program
A free, 12-month program focused on improving lifestyle behaviors to reduce diabetes risk. The program brings powerful education and motivating support through to your computer, smartphone or tablet. Learn More

Virtual service available seven days per week where licensed medical professionals via video chat or can be reached by phone in under 15 minutes for assistance with acute or chronic musculoskeletal pain or joint mobility and stability issues. Learn More

Get confidential emotional support virtually with a licensed therapist. You must be at least 18 years old, or if between age 10-17, be accompanied online with a parent. A $5 copay payment is required at the time of each appointment. Learn More

The state of Connecticut has identified providers that meet the highest patient care standards for specific procedures and conditions as “Providers of Distinction”. By completing your care with a provider that is tagged as a “Provider of Distinction” in the Find Provider tool, you will receive a cash incentive in the mail. Learn More

The Health Enhancement Program (HEP) encourages retirees and their enrolled family members to take charge of their health and their health care by providing guidelines to follow for preventative and chronic care management. HEP is designed to positively impact the overall health of its participants. Learn More

Our Plans

Quality First Select Access

[Tiered POS]
State BlueCare Prime network

This is the most affordable plan because it has the smallest network of providers. Providers in this network have a proven history of quality patient care. This plan’s provider network is Connecticut-based and does not include Hartford Healthcare providers or facilities. Visiting a Tier 1 or non-tiered provider in this network will result in a $0 copay.

Primary care Select Access

[POE PLUS]
State BlueCare network

In this plan, you save on premiums by working directly with your Primary Care Provider (PCP) to coordinate your care. Your PCP will be required to refer you to specialists in the network.

Standard access

[POE]
State BlueCare Network

This plan covers all your care within the network and does not require referrals from your PCP. Out-of-network care is only covered for emergencies.

Expanded access

[POS]
State BlueCare Network

The most expensive plan is also the most comprehensive. You can see any in-network provider with no referrals, and have up to 80% of costs covered outside the network.

OUT OF AREA [OOA]

This plan is available when you (the retiree) relocates out of Connecticut for more than 90 days. Contact the Retiree Health Unit for assistance at 860-702-3533.

state preferred

The State Preferred plan is closed to new enrollment.

non-medicare retiree Plan Information

Non-Medicare Retiree Eligibility:
You must meet age and minimum service requirements to be eligible for retiree health coverage. Service requirements vary. For more about eligibility for retiree health benefits, contact the Retiree Health Insurance Unit at 860-702-3533. Eligible dependents generally include:
  • Your legally married spouse or civil union partner.
  • Your children: Medical and dental coverage through the end of the year they turn age 26.
  • Children residing with you for whom you are legal guardian (to age 18) unless proof of continued dependency is provided. Disabled children may be covered beyond age 26 for medial and dental, with proper documentation from the medical insurance carrier.
Documentation of an eligible relationship is required when you enroll a family member. It is your responsibility to notify the Retiree Health Insurance Unit when any dependent is no longer eligible for coverage.

Your health coverage as an active employee does NOT automatically transfer to your coverage as a retiree. You must enroll prior to your retirement date if you want retiree health coverage for yourself and any eligible dependents. Complete the Retiree Health Enrollment/Change Form (CO-744-R) included in your retirement packet provided by your agency.

Once enrolled, you can make changes to your medical and/or dental plans, add or drop coverage for your eligible family members or enroll if you previously waived coverage during the following times:
  • Qualifying Life Event
    • If you have a qualifying status change, you must notify the Retiree Health Insurance Unit within 30 days after the event and submit a Retiree Health Enrollment/Change Form (CO-744-R). If the required information is not received within 30 days, you must wait until the next Open Enrollment to make the change.
  • Open Enrollment
    • This is your annual chance to adjust your health care benefit choices. It’s a good time to take a fresh look at the plans, consider how your and your family’s needs may have changed, and choose the best plan option for you. Open Enrollment usually takes place in May.
Visit the Benefits Enrollment page for all the resources to make your changes.

See medical and dental rates. If you opt out of the Health Enhancement Program (HEP), or are deemed non-compliant with the annual HEP requirements, you will not qualify for lower monthly premiums and reduced copays.

  • Group 1: Retirement date prior to July 1999
  • Group 2: Retirement date July 1, 1999 – May 1, 2009, and those who retired under the 2009 Retirement Incentive Plan
  • Group 3: Retirement date June 1, 2009 – October 1, 2011
  • Group 4: Retirement date October 2, 2011 – October 1, 2017
  • Group 5: Retirement date October 2, 2017 – July 1, 2022; 25 or more years of service OR hazardous duty
  • Group 6: Retirement date October 2, 2017 – July 1, 2022 (fewer than 25 years of service OR non-hazardous duty)
  • Group 7: Senior Judges and Trial Referees (Not Included in Retiree Benefits, See Active Employee Benefits)
  • Group 8: Retirement date August 1, 2022 or later (Hazardous Duty)
  • Group 9: Retirement date August 1, 2022 or later (Non- Hazardous Duty)

medical Plan Documents

Summary of Benefits and Coverage
Forms
State Employee
Benefits Enrollment