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Insurance Plans
Health and Prescription Drug Plans
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State Health Plan PPO
State Health Plan PPO
Blue Cross Blue Shield
of Michigan (BCBSM)
800-843-4876
www.bcbsm.com/somCY2023
CY2022
Behavioral Health/Substance Use Disorder (BH/SUD) Administrator for the State Health Plan PPO
Blue Cross Blue Shield of Michigan (BCBSM) in partnership with LucetInquiries for Benefits, Claims, or ID Cards
800-843-4876 (BCBSM)Authorizations or Referrals
866-503-3158 (Lucet) -
Optum Rx (SHP PPO)
Optum Rx (SHP PPO)
www.optumrx.com/SOM
Specialty Pharmacy FAQs
Copay StructureActive Employees and Non-Medicare Retirees
866-633-6433Medicare Eligible Retirees
866-635-5941 -
Blue Care Network (BCN)
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McLaren Health Plan (MHP)
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State HDHP with HSA
State HDHP with HSA
Blue Cross Blue Shield
of Michigan (BCBSM)
800-843-4876
www.bcbsm.com/somCY2023
State HDHP with HSA Benefit Booklet
State HDHP with HSA Benefits-at-a-GlanceCY2022
State HDHP with HSA Benefit Booklet
State HDHP with HSA Benefits-at-a-GlanceBehavioral Health/Substance Use Disorder (BH/SUD) Administrator for the State HDHP
Blue Cross Blue Shield of Michigan (BCBSM) in partnership with New Directions
Inquiries for Benefits, Claims, or ID Cards
800-843-4876 (BCBSM)Authorizations or Referrals
866-503-3158 (New Directions) -
Optum RX (State HDHP with HSA)
Optum Rx (State HDHP with HSA)
www.optumrx.com/SOM
Copay Structure
Active Employees
866-633-6433 -
HealthEquity Health Savings Account (State HDHP with HSA)
HealthEquity Health Savings Account (HSA)
877-284-9840
Log in at www.bcbsm.com/som to manage your HSA from HealthEquity. -
Physicians Health Plan (PHP)
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Catastrophic Health
Catastrophic Health
Blue Cross Blue Shield of Michigan (BCBSM)
800-843-4876Discontinued effective 1/1/23
CY2022
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C.O.P.S. Health Trust (MSPTA represented only)
C.O.P.S. Health Trust
(MSPTA-represented only)
800-229-2210
248-524-0454
Fax: 248-524-2752www.bluewaterbenefitsadmin.com
RatesCY2023
- C.O.P.S. Trust 1
- C.O.P.S. Trust 1 Rx Copays
- C.O.P.S. Trust 2
- C.O.P.S. Trust 3
- C.O.P.S. Trust 2 & 3 Rx Copays
- C.O.P.S. Trust 4
CY2022
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Health Alliance Plan (HAP)
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Priority Health
Additional Health Plan Resources
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HMO Comparisons
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HMO ZIP Code Tool
To determine individual eligibility for HMO health plans, use the HMO ZIP Code Tool.
HMO ZIP Code Coverage Maps:
- Blue Care Network (BCN)
- Health Alliance Plan (HAP)
- McLaren Health Plan (MHP)
- Physicians Health Plan (PHP)
Dental and Vision Plan Resources
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Delta Dental
Delta Dental of Michigan
800-524-0150
www.deltadentalmi.com/som2023 State Dental Plan
Active and MSPTA Plan Booklet
Dental Plan Comparison ChartPreventive Dental Plan
Plan Booklet2022 State Dental Plan
Active and MSPTA Plan Booklet
Dental Plan Comparison Chart
Preventive Dental Plan
Plan Booklet
Flexible Spending Accounts, Long Term Disability, and Life Insurance Plans
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WageWorks
Flexible Savings Account (FSA)
Health Care & Dependent Carewww.healthequity.com/wageworks
877-924-3967Eligible Expenses:
Note: HealthEquity acquired WageWorks.
You will be seeing co-branding across their
web platforms and resources, including
www.healthequity.com/wageworks, the
member portal, emails, and other materials.
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Sedgwick
Long Term Disability (LTD)
Sedgwick
800-324-9901
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Securian Financial Group Inc
Employee & Dependent Life Insurance
Securian Financial Group, Inc.
Underwritten by Minnesota Life Insurance Company
877-867-5781
NOTE: Booklets not a contract
Note: These booklets are not a contract. Rather, they are intended to be a summary description of benefits. Every effort has been made to ensure the accuracy of this information. However, if statements in this description differ from the applicable coverage documents, then the terms and conditions of those documents will prevail.