2020-2021 Plan Year Note: To ensure compliance with federal law for Medicare Advantage plans and provide for the continued similar treatment of deductibles, effective October 1, 2020, the State Health Plan for all retirees and dependents is amended to remove the practice of carrying over amounts accumulated toward deductibles for dates of service during the fourth quarter of plan years toward in-network deductibles for the following year.
2020-2021 Retiree Benefits Bulletin
2019-2020 Retiree Benefits Bulletin
Below are a number of resources you may find helpful regarding the transition from the State Health Plan PPO Medicare Supplemental plan to the Medicare Advantage plan taking effect January 1, 2020. These changes do not apply to State Police Troopers and Sergeants who retired on or after October 1, 1987.
- Medicare Advantage Presentation
- Medicare Advantage State of Michigan Retiree Video
- Provider Resource - Billing Information
- TruHearing Information
- SilverSneakers Information
- Watchful Waiting Information
- Going Paperless Information
- Insurance Rates
- Medicare Advantage Claim Reimbursement Form
Opting Out of the State Health Plan Medicare Advantage Coverage:
Retirees may opt out of the transition to the State Health Plan Medicare Advantage coverage (Medicare Plus Blue Group PPO). If a retiree (or their covered spouse or dependent) completes the Opt Out Form and does not provide proof of having other primary coverage (aside from original Medicare), they will be disenrolled from health coverage through the State of Michigan, including prescription drug coverage.
If a retiree (or their covered spouse or dependent) completes the Opt Out form and has other primary coverage, they may remain in the State Health PPO Medicare Supplemental plan by providing proof of the other primary coverage with their Opt Out Form.
- State Health Plan Medicare Advantage Opt-Out Form
- State Health Plan Medicare Advantage Other Primary Coverage Scenarios
- www.bcbsm.com/statemedicare
CY 2021 (January 1, 2021 - December 31, 2021)
State Health Plan PPO:
- Blue Cross Blue Shield of Michigan
- www.bcbsm.com/statemedicare
- ?Non-Medicare Retirees
HMOs:
- HMO-Availability Zip Code Tool
- Blue Care Network
- Medicare
- ?Non-Medicare
- Health Alliance Plan (HAP)
- Medicare
- Non-Medicare
- ?Physican's Health Plan
- Medicare
- ?Non-Medicare
- Priority Health
- Medicare
- Non-Medicare
FY 2020-2021 (October 1, 2020 - December 31, 2020)
State Health Plan PPO:
- Blue Cross Blue Shield of Michigan
- www.bcbsm.com/statemedicare
- Non-Medicare Retirees
HMOs:
- HMO-Availability Zip Code Tool
- Blue Care Network
- Medicare
- Non-Medicare
- Health Alliance
Plan (HAP)
- Medicare
- Non-Medicare
- Physician's Health Plan (PHP)
- Non-Medicare
- Priority Health
- Medicare
- Non-Medicare
FY 2019-2020 (October 1, 2019 - September 30, 2020)
State Health Plan PPO:
- Blue Cross Blue Shield of Michigan
- www.bcbsm.com/som
- Non-Medicare
HMOs:
- HMO-Availability Zip Code Tool
- Blue Care Network
- Medicare
- Non-Medicare
- Health Alliance Plan (HAP)
- Medicare
- Non-Medicare
- Physicians Health Plan (PHP)
- Non-Medicare
- Priority Health
- Medicare
- Non-Medicare
HMO Medicare Advantage (MA) Coverage Maps
Retirees or dependents enrolled in Medicare who wish to enroll in an HMO Medicare Advantage (MA) plan, please review the maps below to determine if there is coverage available in your area.
Blue Care Network (BCN) Coverage Map (PDF)
Health Alliance Plan (HAP) Coverage Map (PDF)
Physicians Health Plan (PHP) Coverage Map (PDF)
Priority Health Plan Coverage Map (PDF)
Please note if you or your dependents are not enrolled in Medicare and you wish to enroll in an HMO please use the Zip Code Tool to determine if there is coverage available in your area.
Flu Shots - Participating Locations
(For State Health Plan PPO Enrollees)
Every year, as much as 20% of the U.S. population comes down with the flu. As a result, the Centers for Disease Control (CDC) recommends an annual flu vaccine for everyone over the age of six months. OptumRx provides resources for Medicare and non-Medicare eligible retirees enrolled in the State Health Plan PPO to find locations for an annual flu shot and other routine vaccinations in their Make Your Health a Priority flyer.
Behavioral Health and Substance Abuse Administrator
Effective October 1, 2019, Blue Cross Blue Shield of Michigan, in partnership with New Directions, will be replacing Magellan Health as the State Health Plan (SHP) PPO Behavioral Health/Substance Abuse carrier. Current SHP PPO enrollees will be automatically transitioned with no gap or changes in coverage. New SHP PPO membership ID cards will be mailed in September.
- State Health Plan PPO - Behavioral Health/Substance Abuse Frequently Asked Questions
Prescription Drug Plan Information
- www.optumrx.com
- Copay Structure
- Specialty Pharmacy FAQs
Formularies:
- Active Employee & Non-Medicare Retiree Formulary
- Medicare-Eligible Retiree Formulary
- Medicare-Eligible Wrap Coverage Drug List
Active Employees and Non-Medicare Retirees
866-633-6433
Medicare Eligible Retirees
866-635-5941
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Dental, Vision, and Life Benefits
Retiree Benefit Booklets
- 20-21 Dental Retiree Benefit Booklet
- 19-20 Dental Retiree Benefit Booklet
- 20-21 Dental Retiree Benefit Features
- ?20-21 Vision Retiree Benefit Booklet
- 20-21 Vision Retiree Benefit Summary
- 19-20 Vision Retiree Benefit Booklet
- 19-20 Vision Retiree Benefit Summary
- Life Retiree Benefit Booklet
Retiree Benefit Rates
HMO Retiree Eligibility
Blue Cross Blue Shield of Michigan (BCBSM) Information
BCBSM Preventive Services Booklet
Medical Resources
Life Insurance Beneficiary Designation: Change your life insurance beneficiary by submitting the Life Insurance Beneficiary Designation (R0782GHB) to the Office of Retirement Services
Additional Benefits
Benefits for Life
Long Term Care Insurance
Other Retirement Information
- Office of Retirement Services (ORS)
Information:
- Defined Benefit Plan (Pension)
- Defined Contribution Plan (401k and 457)
- ORS Retiree Newsletters and Bulletins
- Michigan State Employee Retirees Association (MI-SERA)
- Benefit Newsletters and Bulletins
- miAccount Login