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On
January 27th at 10 am the DCH Board convened a special meeting to address
issues with the new SHBP insurance coverage. Commissioner Reese cited
confusion about the plan details and the financial stress caused to members
as the reasons for these changes. The board approved the following changes:
Co-pays
for prescriptions
- Tier
1- $20 for generic medication
- Tier
2- $50 for non-specialty medication
- Tier
3- $80 for specialty medication
Co-pays
for in network office visits
- Primary
care visits(family care, general care, internal medicine, pediatrics,
OB/GYN) - $35
- Specialists-
-$45
- Rehab(Physical
therapy, occupational therapy, cardiac rehab, etc.) - $25
- Emergency
room- $150
- Urgent
care- $35
These
changes apply to all tiers of coverage bronze, silver and gold. All changes
will be effective in March of 2014 but will be retroactive to January 1,
2014.
There
will be no change to the Blue Cross Blue Shield contract for 2014. We hope
DCH will release more written information immediately. Below is all
the written information we have at this time. Tune in to WXIA (NBC) and
WSB-TV (ABC) local news tonight to view a reaction from PAGE Director of
Legislative Affairs, Margaret Ciccarelli.
If
you have questions regarding this change, please contact Sean DeVetter at sdevetter@pageinc.org.
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