Nc Healthsmart Portal

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Updated: April 28, 2022

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Shpnc.org

Most Visited Official Pages

80/20 PPO Plan for Employees
2022 Retiree Benefits
Find a Doctor
eBenefits
Your Health & Wellness Resources - NC..

Social Handles

FAQs

1

Do NC teachers get health insurance when they retire?

North Carolina takes care of state employees and state retirees by offering health plan coverage to members of the Teachers' and State Employees' Retirement Systems (TSERS). The State Health Plan offers medical and prescription drug coverage.
2

Does NC state health plan cover 3D mammograms?

Benefits eligibility will become available on June 1, 2017, for 3D mammography services performed on dates beginning June 1, 2017. This applies to members enrolled in Blue Cross NC's commercially offered products, administrative services only products, and the North Carolina State Health Plan.
3

Does the NC state health plan cover chiropractic?

Chiropractic coverage is limited to 30 visits per benefit period. Skilled nursing care Deductible/ 20% coinsurance Deductible/ 40% coinsurance Coverage is limited to 100 visits per benefit period.
4

Does NC state health plan cover cologuard?

Please note that the Cologuard® FIT-DNA test, is not covered under our members' benefit plans at 100% coverage because the provider of Cologuard is not a Blue Cross NC in-network provider.
5

Does NC state health plan cover Covid testing?

The Plan is waiving the cost associated with the testing of COVID-19 regardless of site of service (where you receive the test).
6

What is a 70/30 plan?

The 70/30 PPO Plan is a Preferred Provider Organization (PPO) plan administered by Blue Cross and Blue Shield of North Carolina (Blue Cross NC). A PPO plan offers: freedom of choice among in-network providers and lower out-of-pocket costs (copay only for most in-network office visits)
7

Does the NC state health plan cover mental health?

In addition to providing coverage for mental health treatment, the State Health Plan also provides resources for plan members who need help facing life's challenges — available through NC HealthSmart and ValueOptions, the Plan's mental health case manager.
2. Healthsmart.com

HealthSmart is the premier provider of customizable and scalable health plan solutions for self-funded employers. We reduce costs and improve outcomes, ...

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