Exciting Cost Savings Opportunities for NC State Health Plan Employees

January 25th, 2021

North Carolina State Health Network

North Carolina State Health Plan Network Update

 

 

Happy New Year!

 

The State Health Plan (Plan) appreciates your partnership in the Clear Pricing Project (CPP) and for being part of the NC State Health Plan Network.

We have a few reminders for you about the exciting incentives offered to our members. These incentives were effective as of January 1, 2021.

  • The Plan has implemented new incentives for our members who choose to visit a CPP Provider.
  • Members who select a CPP Provider as their selected Primary Care Provider (PCP) have a $0 copay for that visit.
  • Members are able to change their selected PCP at any time and a new ID card will be generated for them. To change their selected PCP, members can either call the Plan’s Eligibility and Enrollment Support Center on the back of their ID Card or make the change online via the Plan’s online enrollment system.

Below is a chart of the copay incentives now offered to our members: 

 

CLEAR PRICING PROJECT PROVIDER COPAY COMPARISON CHART

Provider

80/20 Plan

70/30 Plan

Primary Care Provider (PCP)

$0 for Clear Pricing Project (CPP) PCP on ID card;

$10 for non-CPP PCP on ID card;

$25 for any other PCP

$0 for Clear Pricing Project (CPP) PCP on ID card;  

$30 for non-CPP PCP on ID card;

$45 for any other PCP

Specialist

$40 for CPP Specialist;

$80 for other Specialists

$47 for CPP Specialist;

$94 for other Specialists

Speech, Occupational, Chiropractor and Physical Therapy

$26 for CPP Providers;

$52 for other Providers

$36 for CPP Providers;

$72 for other Providers

 

The Plan has heard from some members that CPP Provider offices are not aware of the copay incentive nor are they aware of their participation in the NC State Health Plan Network which offers the CPP copay incentives.

Please ensure that your entire office staff is aware of the new copay incentives with the State Health Plan and remind them that your practice is participating in the Clear Pricing Project.

Members are able to view more information regarding CPP on the Plan’s

website.

Thank you again for your continued support!

 

 

 

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