Insurance Benefits

Anthem Plan information, including benefits, provider lists and prescription information are available through the Benefits Guide.

2022 Benefits Guide

2021 Benefits Guide
2022 Health and Dental Rates

Members can view their digital ID card at anthem.com or on our mobile app, anytime.  The digital ID card works just like the one members would get in the mail.  They can show, email or fax it to their doctor right from their phone or computer.  It’s always up to date.  And, they can share it with family members. Members have the option to get a digital ID card only, stopping any ID card from being mailed in the future.  Through various communications, members are encouraged to go digital and set their preferences.  A member can set their digital preference through anthem.com or the mobile app during Registration or through their Communication Preference Center.

 Anthem Member ID updates related to CAA

Our members rely on us for health benefit plans that provide access to healthcare services that are high quality and affordable. This is a responsibility we take very seriously. As we prepare for a new plan year, we want to let you know how we are changing our member ID cards to meet the requirements of the Consolidated Appropriations Act (CAA) for new and renewing plans effective on or after January 1, 2022.

Currently, our member ID cards include a telephone number and our website address through which an individual may obtain consumer assistance, such as information related to providers that are participating in their network.

To ensure members know where to access current information about their benefits, we will add directions to our ID cards advising the member where on our website they can find helpful, easy-to-understand information regarding their benefits. This information will include the amount of the in-network and out-of-network deductibles, the in-network and out-of-network out-of-pocket maximum limitations, as per the CAA provision. The updated member ID card (in a physical or digital format) will serve as confirmation that we adhered to the CAA mandate.

Per the federal mandate (Sec 107 e), we will reissue ID cards only to groups that have benefit changes. The statute applies prospectively to plans or identification cards issued to participants after the January 1, 2022 effective date. As a digital-first company, we continue to recommend the use of our digital solutions – like our website and apps – where members can access and download their member ID card in an easy-to-use digital format. Members who are reissued a physical ID card will receive it in the mail from us with a letter explaining why they are receiving it.

We’re committed to full compliance along with the timely implementation and execution of the regulations for our fully insured and self-insured employer groups. We are continuing to monitor the CAA as it moves through the regulatory process and will provide guidance and updates as more information becomes available.

Plans and Enrollment Information:

Suffolk Public Schools offers its employees two choices of health insurance plans through Anthem Blue Cross Blue Shield. The HealthKeepers 80/20 HMO/POS with open access (i.e. no referral required for many services) and a High Deductible Health Plan (HDHP Lumenos) with Health Savings Account. Videos on benefits and health savings accounts (HSA’s) are available. Please see Finance/Video Library –Benefits in the portal for more information.

Enrollment in any plan must be completed within 30 days of your official hire date, otherwise you will forfeit participation until the next plan year, for which open enrollment is held each Fall. Other qualifying status changes must also be applied for within 30 days of the change (see “Other Insurance Facts” below). The plan year begins on January 1st and ends on December 31st of each year.


 

Digital Doctor Visits with LiveHealth Online:

Talk to a doctor today, tonight, anytime — 365 days a year.  Enroll at www.livehealthonline.com or on the free mobile app. Click here for an information brochure. Click here for How-To Guide.

See below for employees who participate in Flexible Spending Account(FSA) with HealthEquity-WageWorks:

 
 

Summary of Benefits and Coverage (SBC)

The Affordable Care Act requires employers to distribute Summary of Benefits & Coverage (SBC) to their employees each year. Additional information on the health plans offered may also be found in the Benefits Guide. Paper copies of these files may be obtained by contacting the Payroll Office at 668220. For questions or concerns, please contact benefits@spsk12.net.

  • Suffolk Public Schools Summary of Benefits Plan 2022

      – Anthem KeyCare Plan

      – Anthem HealthKeepers HMO Plan

      – Anthem HealthKeepers POS Plan

      – High Deductable Health Plan (HDHP) with Health Savings Account (HSA)


Creditable Coverage Notice

The Centers for Medicare & Medicaid Services (CMS) requires employers who offer a group health plan to disclose whether the prescription drug coverage offered to Medicare Part D eligible individuals is creditable or non-creditable. Additional information on the health plans offered may also be found in the Benefits Guide. Paper copies of these files may be obtained by contacting the Payroll Office at 668220. For questions or concerns, please contact benefits@spsk12.net.


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