Open Enrollment is now active!

Open Enrollment will end on May 27, 2022

If you make no changes during Open Enrollment, you will continue in your current medical and dental plans unless you are currently enrolled in the State BlueCare Prime Plus POS plan (see below).

What You Need to Know

VIRTUAL OPEN ENROLLMENT EVENTS

A series of virtual events will be held to help you better understand your benefits, learn what’s new this year and help you make informed choices during Open Enrollment. A calendar of events, and information about how to join, is posted on this page. Missed one? Don’t worry, you can view past events on-demand or review materials on your own.

NEW PLAN NAMES

We heard your feedback. Health care can be confusing, and deciding which plan is right for you and your family can be challenging. To make it easier, we’ve included new, simple names that can help you compare plans.

NEW MEDICAL PLAN: QUALITY FIRST SELECT ACCESS

The Quality First Select Access plan will replace the State BlueCare Prime Plus POS. If you are currently enrolled in the State BlueCare Prime Plus POS, you will automatically be enrolled in the Quality First Select Access plan starting July 1, 2022, unless you make a plan election during Open Enrollment.

The Quality First Select Access plan uses the same Prime network as State BlueCare Prime Plus POS; however, you’ll no longer need to select a PCP or get a referral to see a specialist in the State BlueCare Prime network.

Search the State BlueCare Prime network to ensure your doctors and specialists are in this plan. To save on out-of-pocket costs, use providers marked Value Tier 1—you’ll pay a $0 copay. With a Tier 2 provider, you’ll pay more for care: $50 copay for PCPs and $100 copay for specialists. Hartford HealthCare facilities and providers are NOT in this plan’s network.

Quality First provider finder

FIND THE PLANS THAT ARE RIGHT FOR YOU

Not sure which medical or dental plans best meet your needs or fit your budget? The new Medical Decision Guide asks you some simple questions to recommend plans that meet your needs. Use Cigna’s Dental Decision Tool to do the same for your dental coverage.

INCREASED AGE LIMIT FOR DEPENDENT DENTAL

You can now keep your eligible dependents enrolled on your dental coverage until the end of the year in which they turn 26. The previous limit had been age 19. Open Enrollment is your opportunity to add (or remove) dependents from your coverage.

COST-SAVING FOR SPECIALTY DRUGS

Members that require specialty drugs will be enrolled in a new program called PrudentRx that will lower out-of-pocket costs to $0. They can opt out during Open Enrollment. View a list of specialty drugs.

COMPLETE YOUR ENROLLMENT ONLINE

Employees with access to Core-CT can now make changes during Open Enrollment on their own. If you want to make a change to your coverage for 2022/2023, log-in to Core-CT and select Self-Service > Benefits > Benefits Enrollment. Don’t have access to Core-CT? Complete the Open Enrollment CO-744 form.

Review Plans

Compare plans and find the ones that most fit your medical and financial needs.

Ask Questions

Care Compass can help answer all questions about your benefits including Open Enrollment. Attend a live virtual event or contact us to speak with a personal Health Navigator.

Make Changes

To make changes, use the Self-Service option in Core-CT or contact your agency personnel responsible for benefit changes.

Making Your Decision

MEDICAL DECISION GUIDE

DENTAL DECISION TOOL (CIGNA)

While your plan selections during Open Enrollment will determine which providers are in your network, and how you access them, the benefits of the state health plan are available to all members, regardless of which option you select.

 

CARE COMPASS

Care Compass is the centralized hub dedicated to the state health plan, providing access to all health benefits materials and contact information. You will notice the Care Compass logo on all benefit communications coming from the state. If you need help at any time, call us and speak to a personal Health Navigator at (866) 611-8005.

ORTHOPEDIC RESOURCES

Your health plan has resources to help you through all orthopedic injuries, from diagnosis to minor aches and pains to surgery and recovery. To figure out where to start, click here.

PROVIDERS OF DISTINCTION

The State of Connecticut has identified the highest quality doctors, hospitals and medical groups in the state for some of the most common procedures. Doctors and locations that meet these high quality standards are designated “Providers of Distinction.” By visiting one of these providers, you will automatically earn a cash incentive.

Live Virtual Q&A Events

Have questions about your benefits, your coverage or your Open Enrollment options? Join a live event! Can’t make it? Watch on-demand at any time or read the FAQ document (when available). Events will be held via Microsoft Teams. You do not need an account to participate.

Active Employees Q&A Sessions

Tuesday, May 10, 2022

10am- 11am

for Active Employees

Wednesday, May 11, 2022

noon – 1pm

for Active Employees

Wednesday, May 18, 2022

10am – 11am

for Active Employees

Thursday, May 26, 2022

noon – 1pm

for Active Employees

Retiree Q&A Sessions

Thursday, May 19, 2022

for Retirees only

12:30pm – 1:30pm

for Retirees

Wednesday, May 25, 2022

for Retirees only

12:30pm – 1:30pm

for Retirees

Carrier Spotlight Events

Pharmacy/HEP Spotlight

with CVS & HEP

Thurs., April 21

Noon – 1pm

Dental Spotlight

with Cigna

Tues., April 26

Noon – 1pm

Medical Spotlight

with Anthem

Thurs., April 28

Noon – 1pm

New Plan Names

We heard your feedback. Health care can be confusing, and deciding which plan is right for you and your family can be challenging. To make it easier, we’ve included new, simple names that can help you compare plans. 

Quality First Select Access | Anthem name: State BlueCare Prime Tiered [POS]

This plan is the most affordable because it has the smallest network of doctors and providers. However, every provider in the network has a proven history of success in patient care, putting quality first.

Primary Care Access | Anthem name: State BlueCare Point of Enrollment Plus [POE-G Plus]

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 | Anthem name: State BlueCare Point of Enrollment [POE]

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 | Anthem name: State BlueCare Point of Service [POS]

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.

The State Preferred plan is closed to new enrollment.

Active Employee Rates

July 1, 2022 Through June 30, 2023 (26 Pay Periods)

If you do not enroll in HEP, you’ll pay an additional $46.15 per paycheck for the cost of coverage. (Employees on semimonthly pay schedules will have slightly higher premiums.)

MEDICAL

PLAN Employee Employee +1 Family FLES**
Biweekly Rate Annual Total Biweekly Rate Annual Total Biweekly Rate Annual Total Biweekly Rate Annual Total

Quality First Select Access

Anthem name: State BlueCare Prime Tiered POS

 

 $39.19 $1,018.94 $105.38 $2,739.88 $135.21 $3,515.46 $77.73 $2,020.98

Primary Care Access

Anthem name: State BlueCare Point of Enrollment Plus (POE-G Plus)
 $49.83 $1,295.58 $134.44 $3,495.44 $170.97 $4,445.22 $93.48 $2,430.48

Standard Access

Anthem name: State BlueCare Point of Enrollment (POE)
 $54.12 $1,407.12 $151.50 $3,939.00 $198.42 $5,158.92 $104.49 $2,716.74

Expanded Access

Anthem name: State BlueCare Point of Service (POS)
 $64.11 $1,666.86 $172.39 $4,482.14 $204.60 $5,319.60 $113.48 $2,950.48

State Preferred POS*

 $112.20 $2,917.20 $327.68 $8,519.68 $385.15 $10,013.90 $224.66 $5,841.16

Out-of-Area

 $67.79 $1,762.54 $210.18 $5,464.68 $245.86 $6,392.36 $119.62 $3,110.12

DENTAL

PLAN Employee Employee +1 Family FLES**
Biweekly Rate Annual Total Biweekly Rate Annual Total Biweekly Rate Annual Total Biweekly Rate Annual Total
Total Care DHMO $0.00 $0.00 $5.01 $130.26 $7.10 $184.60 $2.93 $76.18
Enhanced $0.00 $0.00 $9.47 $246.22 $9.47 $246.22 $4.85 $126.10
Cigna Dental Care DHMO $0.00 $0.00 $4.02 $104.52 $5.70 $148.20 $2.34 $60.84
Basic $0.00 $0.00 $11.20 $291.20 $11.20 $291.20 $5.74 $149.24

* Closed to new enrollment

** The Family Less Employed Spouse (FLES) rate is available only when both spouses are enrolled in active coverage, eligible for health insurance, and enrolled in the same plan, along with at least one child. If you are enrolled in the FLES coverage level, both you and your spouse must enroll in order to participate in the Health Enhancement Program.