NCSHP Retirees – Enrollment information
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Enroll in a plan

Enrollment is easy

If you are currently enrolled in the UnitedHealthcare® Group Medicare Advantage (PPO) Base plan and you are happy with your plan, you do not need to do anything. Your membership will automatically renew for 2020.

If you are currently enrolled in the UnitedHealthcare® Group Medicare Advantage (PPO) Enhanced plan and wish to remain in that plan starting January 1, 2020, or make other changes, you will need to do so during the Annual Enrollment Period and elect the Enhanced plan for 2020. You must make your changes either online through the ORBIT online system or by calling the Eligiblity and Enrollment Support Center at 1-855-859-0966, TTY 711, 8 a.m. to 5 p.m. ET, each state business day (extended to 8 p.m. during Annual Enrollment). Please note that UnitedHealthcare cannot accept enrollment changes directly.

If you are just becoming eligible for this plan, the State Health Plan will automatically enroll you in the UnitedHealthcare Group Medicare Advantage (PPO) Base plan. If you are satisfied with this selection, you do not need to do anything. If you wish to make a change, you may do so online or by calling the Eligibility and Enrollment Support Center. Your enrollment will become effective on January 1, 2020 or your next available date.


Frequently Asked Questions:

  1. I have heard the NC State Health Plan will be offering your Medicare Advantage plans? True?
    Yes, the NC State Health Plan will be offering Medicare primary retirees two Medicare Advantage options for plan year 2020. Medicare Advantage options will be available from UnitedHealthcare.
  2. How can I learn about what Medicare Advantage plans are being offered by the NC State Health Plan?
    The State Health Plan is currently working on an educational outreach campaign to inform their retired members of the upcoming options for 2020. You should receive a State Health Plan newsletter which will include important information about the Medicare Advantage products. It will be important for you to be sure your address is current with the State's Retirement System and to read any mail you receive from the NC State Health Plan.
  3. Will I have to pay a monthly premium for a Medicare Advantage plan?
    The State Health Plan offers members a premium-free Medicare Advantage option along with a buy-up option that will have a member monthly premium.
  4. When can I enroll in the Medicare Advantage plan?
    You will have the opportunity to enroll in your plan choice during the NC State Health Plan's Fall enrollment period, November 2 - November 19, 2019.
  5. Will information be posted on the NC State Health Plan website?
    Yes, the State Health Plan will be posting information about plan options for 2020 before the Annual Enrollment Period begins.
  6. Are there informational meetings being planned that I could attend where I live?
    The State Health Plan is working on an educational outreach campaign that will include meetings across the state. The locations, dates and times for these meetings will be posted on the State Health Plan website and will be included in the information you will receive in the mail.
  7. If I don't want to enroll in a Medicare Advantage plan, will I be able to enroll in a 70/30 or 80/20 plan with the State Health Plan?
    Medicare-primary retirees will still have the option to enroll in the 70/30 plan. However, the 80/20 plan will not be available as the Medicare Advantage options are comparable to the current PPO 80/20 with additional benefits (Silver Sneakers, disease and case management assistance).
  8. My doctor does not accept Medicare Advantage plans as insurance. What can I do?
    The Medicare Advantage plans will include a passive network meaning even if your doctor is not in the Medicare Advantage plan's network of providers, the doctor could still treat you and file a claim with the Medicare Advantage plan you select. Your out-of-pocket cost will not be greater.

Need help or have questions?

Eligibility questions? Call Benefit Focus at 1-855-859-0966, 8 a.m. - 5 p.m. ET, each state business day. TTY users, call 711.  

Medicare Advantage plan questions? For general questions regarding your plan benefits, call 1-866-747-1014, 8 a.m.–8 p.m., local time, Monday through Friday. TTY users, call 771.


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Group retiree benefits for the North Carolina State Health Plan

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Last updated: 09.02.2020 at 12:01 AM CT H2001_090220HMR