Health Insurance
An overview of health insurance options available to employees.
Below is an overview of plan features:
Wellness/Preventive Services
Adult Care
Wellness and preventive care benefits are provided at 100% of the allowable charge for certain diagnostic tests and up to two office visits each year. Wellness services are not subject to the calendar year deductible. Diagnostic tests are based on the participant’s age and gender. Wellness and preventive care benefits are only provided when a participating provider renders the service, and the wellness services are filed with a wellness diagnosis.
Well-Child Care
Benefits are provided for well-child care services for covered dependents up to age 18 at 100%. Services are not subject to the calendar year deductible. Benefits are only provided when a participating provider renders the service and the wellness services are filed with a wellness diagnosis.
Well-newborn nursery care is covered at 100 percent while a newborn is hospital-confined after birth. Well-newborn nursery care includes room, board and other normal care provided for which a network hospital or physician makes a charge. Also, well-child physician office visits, certain diagnostic tests and immunizations are covered at 100 percent.
If you have questions about this coverage, please contact Blue Cross & Blue Shield of Mississippi at 800-709-7881.
Wellness/Preventive Coverage Guidelines
Pharmacy Benefits
CVS Caremark is the pharmacy benefit manager (PBM) for the Plan’s prescription drug program and serves approximately 26 million members across the country. CVS Caremark processes prescription claims from participating pharmacies, mail order claims and paper claims filed by participants and is focused on keeping prescriptions affordable while providing a customer service experience that makes it easy to get necessary medicines.
Please note, you are not required to use CVS for your pharmacy needs. You are free to choose any pharmacy you prefer.
Online Provider Visits (Telemedicine)
Employees and their family members who are enrolled in the State and School Employees’ Health Insurance Plan have the opportunity to seek online services for minor medical care. Telemedicine services through UMMCU provides an opportunity to consult with a board-certified medical care provider for common medical issues, such as headache, fever, rashes, sore throat, cold, flu and insect bites.
Generally, a diagnosis can be made and treatment prescribed but in some cases, the patient may receive a referral for in-office services. There are times when symptoms alone are not enough to provide diagnosis so lab work or diagnostics may be necessary.
Find a Provider
Health benefits are administered by Blue Cross & Blue Shield of Mississippi through the AHS State Network of physicians, hospitals and other healthcare providers, available exclusively only to Plan participants. BCBSMS provides participants with an online medical explanation of benefits and many other tools to manage their healthcare.
Health insurance overview of options
This is a pre-tax insurance benefit. The premium is deducted from the employee’s gross wages prior to taxes being withheld.
| Provider | The State and School Employees’ Health Plan |
| Contact Information | The State and School Employees’ Health Plan |
| Eligibility | Benefits-eligible employees, their spouses and dependent children |
| 12-month employee | 9-month employee | |
Employee | 100% covered by the University. | |
| Employee and Spouse | $502.00 | $669.34 |
| Employee and 1 Child | $130.00 | $173.34 |
| Employee and Children (2 or more) | $333.00 | $444.00 |
| Employee, Spouse and Children | $764.00 | $1016.68 |
| 12-month employee | 9-month employee | |
Employee | $48.00 | $64.00 |
| Employee and Spouse | $619.00 | $825.34 |
| Employee and 1 Child | $249.00 | $332.00 |
| Employee and Children (2 or more) | $450.00 | $600.00 |
| Employee, Spouse and Children | $882.00 | $1,176.00 |
| 12-month employee | 9-month employee | |
Employee | $20.00 | $26.68 |
| Employee and Spouse | $591.00 | $788.34 |
| Employee and 1 Child | $221.00 | $294.68 |
| Employee and Children (2 or more) | $422.00 | $562.68 |
| Employee, Spouse and Children | $854.00 | $1,138.68 |
Frequently asked questions
Your coverage will begin on your first day of employment or date of eligibility. If you don't enroll or choose to waive coverage within 31 days of starting your job or date of eligibility, you can only apply during an open enrollment or special enrollment period.
- Visit www.bcbsms.com or download the myBlue app.
- Register your account using your Social Security Number, date of birth, and zip
- Done! You can now access your EOB, digital insurance card, etc. You will also need to utilize this app to designate beneficiaries if you enroll in State Life Insurance.
Contact the HR Service Center
If you have a question, need help, or are dealing with an HR problem, the HR Service Center is here for you. Whether it's about benefits, pay, leave, insurance, tuition waivers, or anything else, our team of experienced HR Service Coordinators is ready to get you the answers you need as quickly as possible.
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