HealthFlex is a private health plan, not an insurance company. It contracts with BCBS of Illinois to provide the PPO network and to pay claims ONLY; and with Express Scripts to be the pharmacy benefits provider. If you have a question about your benefits or because you cannot satisfactorily settle a claims issue with a vendor, contact Ann Marie Jedlicka, our Willis C.A.R.E. Advocate, at our broker’s office (888) 676-6767. You may also contact the Health Team at the General Board of Pension and Health Benefits (800) 851-2201. Press 2 at the 1st prompt; 0 at the 2nd prompt. Contact the vendors (BCBS,Express Scripts, etc) for claims or pharmacy issues.
Enrollment: Within 31 days of hire/initial appointment/newly eligible; during annual Benefits Election Period; within 31 days of a qualifying Life Event
Type of Plan: PPO using Blue Cross/Blue Shield national PPO network
Eligibility: All clergy* under FULL-TIME APPOINTMENT, including FULL-TIME local pastors serving a conference church ARE REQUIRED TO ENROLL IN THE PLAN. Dependents may be included to age 26.
Premium:
| Category | Annual Premium | Monthly Premium |
|---|---|---|
| Employee | $16,000 | $1,333.00 |
| Employee and Child(ren) | $16,000 | $1,333.00 |
| Employee and Spouse | $16,000 | $1,333.00 |
| Employee and Family | $16,000 | $1,333.00 |
| Non-Participation Fee | $16,000 | $1,333.00 |
Pharmacy:
|
- No deductible - Mandatory mail order for maintenance drugs after 3 retail fills |
Generics Mandatory if available |
Preferred | Non-Preferred |
|---|---|---|---|
| In-Network Retail Pharmacy | $12 | 20% copay Minimum $15 Maximum $45 |
20% copay Minimum $30 Maximum $90 |
| Out-of-Network Retail Pharmacy | Contact Express Scripts/Medco 1 (800) 841-2806 | ||
| Medco (mail-order) up to 90-day supply | $20 | 20% copay Minimum $40 Maximum $120 |
25% copay Minimum $75 Maximum $225 |
Vision: Annual comprehensive vision exam using Vision Service Plan participating physician. Vision Hardware Discount Program is also available through VSP.
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Making Disciples of Jesus Christ for the Transformation of the World
