Under the Dome

January 30, 2014

State workers face another glitch in health plan coverage

A new insurance plan offered by the state designed to save on health care cost is facing early troubles, the latest in a list of issues that has plagued the State Health Plan.

UPDATED: A new insurance plan offered by the state designed to save on health care cost is facing early troubles, the latest in a list of issues that has plagued the State Health Plan.

The State Treasurer’s office disclosed Thursday that employees in the high-deductible plan are not getting timely reimbursements for their prescription costs. “The State Health Plan has learned that there is an issue with the reimbursement file from Express Scripts to Blue Cross and Blue Shield of North Carolina, which is causing a delay in getting members reimbursed,” officials wrote in a notice to state workers.

A spokesman said the problem was discovered the first week of January and the problem remains without a solution. It’s unclear how many state workers are affected but officials have received a few complaints.

“The issue is with a file transfer and has been given top priority,” said Schorr Johnson, a spokesman for Democratic State Treasurer Janet Cowell, whose office manages the plan. “The State Health Plan is working diligently with its vendors on a resolution.”

The prescription coverage for the Consumer-Directed Health Plan is managed by Express Scripts. Johnson said the plan’s members can still received their medication but the reimbursement for out-of-pocket expenses is the problem.

The State Health Plan’s problems began in October during the enrollment period as hours-long delays and computer glitches prevented state workers and retirees from getting health coverage. It continued into 2014 when thousands didn’t get the insurance cards needed to obtain medical care.

Editors Note: The original post has been updated to clarify who manages the prescription plan.

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