- Emi – premier; advantage – copay; value – discounted plan emi choice plus emi health eighth district electric eight district electrical fund everst health plan fep blue dental first health fiserv health foreign services benefits foundation benefit admin geha (connection dental) geha federal gpa go direct dental great west health care.
- Advantage Co-Pay Educators Mutual Insurance Association, a Utah Company 9/1/2020 Contract Voluntary / Fully Insured EMIA.D.ADV COPAY.OUT.C Underwritten & Administered by: BENEFITS PROVIDED ARE SUPPLEMENTAL AND ARE NOT INTENDED TO COVER ALL DENTAL EXPENSES.
Emi Health Advantage Copay
Advantage Plus PPO Administered by Educators Health Plans Life, Accident & Health Notes 1) 2) 3) In-Network Group: Plan: Type 3 - Major 50% 40% Crowns, Bridges, Prosthodontics Type 4 - Orthodontics No Coverage No Coverage Dependent children up to age (19) Out-of-Network Type 1 - Preventive 100% 60% Oral Exams, Cleanings, X-rays, Fluoride Type 2.
Retiree Information
2020-2021 Plan Year Note: To ensure compliance with federal law for Medicare Advantage plans and provide for the continued similar treatment of deductibles, effective October 1, 2020, the State Health Plan for all retirees and dependents is amended to remove the practice of carrying over amounts accumulated toward deductibles for dates of service during the fourth quarter of plan years toward in-network deductibles for the following year.
2020-2021 Retiree Benefits Bulletin
2019-2020 Retiree Benefits Bulletin
Below are a number of resources you may find helpful regarding the transition from the State Health Plan PPO Medicare Supplemental plan to the Medicare Advantage plan taking effect January 1, 2020. These changes do not apply to State Police Troopers and Sergeants who retired on or after October 1, 1987.
- Medicare Advantage State of Michigan Retiree Video
Opting Out of the State Health Plan Medicare Advantage Coverage:
Retirees may opt out of the transition to the State Health Plan Medicare Advantage coverage (Medicare Plus Blue Group PPO). If a retiree (or their covered spouse or dependent) completes the Opt Out Form and does not provide proof of having other primary coverage (aside from original Medicare), they will be disenrolled from health coverage through the State of Michigan, including prescription drug coverage.
If a retiree (or their covered spouse or dependent) completes the Opt Out form and has other primary coverage, they may remain in the State Health PPO Medicare Supplemental plan by providing proof of the other primary coverage with their Opt Out Form.
CY 2021 (January 1, 2021 - December 31, 2021)
State Health Plan PPO:
- Blue Cross Blue Shield of Michigan
- Non-Medicare Retirees
HMOs:
- Blue Care Network
- Non-Medicare
- Health Alliance Plan (HAP)
- Physican's Health Plan
- Non-Medicare
- Priority Health
FY 2020–2021 (October 1, 2020 - December 31, 2020)
State Health Plan PPO:
- Blue Cross Blue Shield of Michigan
HMOs:
- Blue Care Network
- Health Alliance Plan (HAP)
- Physician's Health Plan (PHP)
- Priority Health
FY 2019–2020 (October 1, 2019 - September 30, 2020)
State Health Plan PPO:
- Blue Cross Blue Shield of Michigan
HMOs:
- Blue Care Network
- Health Alliance Plan (HAP)
- Physician's Health Plan (PHP)
- Priority Health
HMO Medicare Advantage (MA) Coverage Maps
Retirees or dependents enrolled in Medicare who wish to enroll in an HMO Medicare Advantage (MA) plan, please review the maps below to determine if there is coverage available in your area.
Blue Care Network (BCN) Coverage Map (PDF)
Health Alliance Plan (HAP) Coverage Map (PDF)
Priority Health Plan Coverage Map (PDF)
Please note if you or your dependents are not enrolled in Medicare and you wish to enroll in an HMO please use the Zip Code Tool to determine if there is coverage available in your area.
Emi Dental Insurance
Flu Shots - Participating Locations
(For State Health Plan PPO Enrollees)
Every year, as much as 20% of the U.S. population comes down with the flu. As a result, the Centers for Disease Control (CDC) recommends an annual flu vaccine for everyone over the age of six months. OptumRx provides resources for Medicare and non-Medicare eligible retirees enrolled in the State Health Plan PPO to find locations for an annual flu shot and other routine vaccinations in their Make Your Health a Priority flyer.
Behavioral Health and Substance Abuse Administrator
Emi Health Dental
Effective October 1, 2019, Blue Cross Blue Shield of Michigan, in partnership with New Directions, will be replacing Magellan Health as the State Health Plan (SHP) PPO Behavioral Health/Substance Abuse carrier. Current SHP PPO enrollees will be automatically transitioned with no gap or changes in coverage. New SHP PPO membership ID cards will be mailed in September.
Prescription Drug Plan Information
Formularies:
Active Employees and Non-Medicare Retirees
866-633-6433
Emi Health Advantage Ppo
Medicare Eligible Retirees
866-635-5941
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Dental, Vision, and Life Benefits
Retiree Benefit Booklets
- 20-21 Dental Retiree Benefit Booklet
- 20-21 Vision Retiree Benefit Booklet
- 20-21 Vision Retiree Benefit Summary
Retiree Benefit Rates
HMO Retiree Eligibility
Blue Cross Blue Shield of Michigan (BCBSM) Information
BCBSM Preventive Services Booklet
Medical Resources
Life Insurance Beneficiary Designation: Change your life insurance beneficiary by submitting the Life Insurance Beneficiary Designation (R0782GHB) to the Office of Retirement Services
Additional Benefits
Benefits for Life
Long Term Care Insurance
Other Retirement Information
- Office of Retirement Services (ORS) Information: