Medical and Prescription Drug Plans
BB电子的员工通过新泽西州养老金和福利部门参加国家健康福利计划(SHBP).
Full-time employees, spouses, civil-union partners, 某些同性家庭伴侣和受抚养子女有资格享受医疗保险.
Generally, 雇员及其符合资格的受养人可在连续受雇60天后获得保险. 9月1日开始聘任的全职教员可在学年开始时被覆盖. 在其他日期开始工作的教职员工在60天的等待期后有资格享受健康福利.
该计划的成本是根据雇员的基本工资和所选择的保险水平来确定的. For more details, 请审阅以下包含医疗计划说明的文件, costs and comparison charts.
SELECTING THE RIGHT PLAN FOR YOU
下面您将找到有用的资源和信息，以帮助您就您的健康福利做出明智的决定. 请注意，登录Benefitsolver可以找到更多的信息和指导, 为员工注册福利而设计的新网站, make plan changes, add new dependents, and upload documentation.
想要更改计划的员工将能够通过myNewJersey门户访问Benefitsolver. 那些没有myNewJersey帐户的人必须创建一个以便访问Benefitsolver.
For Managers, IFPTE & AFT (Faculty and Professional Staff)
- 选择员工类型:国家工会协商
- Select coverage type: family, single, etc.
- 选择处方计划:shbp员工处方药计划
这将产生可用计划的年度费用. 10个月的教职员工可以将总数除以22，以得到员工每两周扣除的估计数字. 12 month employees may divide by 26.
Schedule 2, for HMO & HDHP Plans
Schedule 3, for Tiered Network Plans
For CWA Members
CWA - Cost of Coverage Calculator
- Select Employee type: state cwa
- Select coverage type: family, single, etc.
- 选择处方计划:shbp员工处方药计划
这将产生可用计划的年度费用. CWA 12个月雇员可除以26，以获得每两周的雇员供款.
CWA - Rx – Plan Comparison Chart
CWA - Schedule 1, for PPO Plans
CWA - Schedule 2, for HMO & HDHP Plans
CWA - Schedule 3, for Tiered Network Plans
警察单位雇员(NJSPBA, NJLESA, NJSOLEA)
- Select Employee type: state all other
- Select coverage type: family, single, etc.
- 选择处方计划:shbp员工处方药计划
Medical Plan Side-by-Side Comparisons
http://www.state.nj.us/treasury/pensions/documents/hb/oe2023/2023-shbp-state-overview.pdf
Prescription Drug – Comparison Charts
http://www.state.nj.us/treasury/pensions/documents/hb/oe2023/ha1059.pdf
http://www.state.nj.us/treasury/pensions/documents/hb/oe2023/ha1035.pdf
http://www.state.nj.us/treasury/pensions/documents/hb/oe2023/ha0895.pdf
Additional Resources
Medical Plans - Web Addresses & Phone Numbers
Horizon Doctor and Hospital Finder
Summary of Benefits and Coverage
R-Health:
激励方案为分层网络计划
地平线OMNIA激励计划将扩展到国家雇员. 该计划将提供1美元的经济奖励,000至首次参加所有保险级别(i.e.，单身，成员和配偶，父母和孩子，或家庭保险). 奖励以礼品卡支付，不迟于当前纳税年度结束，并被视为应纳税的收入. 如果订户在至少一个计划年内未能继续注册分层网络计划，则奖励将被没收并退还给SHBP.
我如何检查我的医生是否在地平线网络?
Click on the Horizon Doctor & Hospital Finder. 然后，输入适当的邮政编码和计划前缀代码. See below for details.
- The card prefix is NJX for all of the PPO plans [All NJ DIRECT plans; CWA Unity DIRECT plans], 包括新泽西州直接高免赔健康计划].
- The card prefix is SNJ for all of the Horizon HMO plans.
- The card prefix is NJO for OMNIA.
PRESCRIPTION DRUG PLAN
员工处方药计划是针对在职员工的单独药物计划. OptumRx 现任药房福利管理员吗. For further information regarding the Prescription Drug Plan, please click here.
OptumRx: http://www.optumrx.com/oe_sonjactiveee/landing
关于非处方(OTC) COVID-19家庭检测覆盖率需要了解的情况: http://www.optumrx.com/content/rxmember/default/en_us/angular-free/optumrx/Information-Center/test-reimbursement.html?is=orxrd:orx:covidtest
OptumRx - Medication Home Delivery
员工将不再能够选择不同级别的医疗和处方计划覆盖范围. For example, 会员不得选择投保单一医疗保险及会员/配偶处方保险. 两种计划的保险范围必须相同.
会员还必须选择同时参加医疗和处方. 如果会员希望放弃保险，则必须同时放弃医疗和处方保险.
登记/更改您的健康福利
国家健康福利计划每年秋季(通常在10月)举行年度公开招生。. 在开放登记期间，员工可以改变计划或将受抚养人加入他们的保险范围. 有关开放注册的具体日期，请与人力资源办公室联系.
因生活事件造成的健康保险范围变化, such as marriage, birth of a child, divorce, 可以在活动日期60天内制作. 员工必须立即通知人力资源办公室任何个人状况的变化，可能会影响员工的福利覆盖. You may drop your coverage at any time.
所有健康福利选择更改必须通过福利解决程序提交, 为员工注册福利而设计的新网站, make plan changes, add new dependents, and upload documentation.
想要更改计划的员工将能够通过myNewJersey门户访问Benefitsolver. 那些没有myNewJersey帐户的人必须创建一个以便访问Benefitsolver. Click here for instructions.
Benefitsolver - login here
公司密钥为SHBP/SEHBP(全部大写字母)
如果您对您的福利有任何疑问，请与我们联系 benefits@mahichopra.com.