Official Government Website
The State offers three medical plan options so that retirees can select the plan that best meets their needs as well as access providers in their geographic area. Each medical plan provides comprehensive coverage, with different levels of out-of-pocket expenses and premium contribution rates. Prescription Drug Coverage is included with medical plan enrollment. Retiree plans do not include Vision or EAP benefits or dental coverage. Deductibles and benefits for all plans are provided on a fiscal year, from July 1 through June 30.
Information about Regence BlueShield of Idaho Medical
Starting July 1, 2024, Regence BlueShield of Idaho will service the retiree medical plan.
Important Regence Benefit Information [PDF]
- Customer Service is now available to answer questions by phone and by email
- How to find a doctor
- How to find a medication
Benefit Highlights:
Retiree Medical Plan Comparison & Plan Contract
| Feature Name | PPO In-Network | PPO Out-of-Network | Traditional | High Deductible |
|---|---|---|---|---|
| FY24 Plan Contracts | Retiree PPO | Retiree PPO | Retiree PPO | Retiree PPO |
| FY24 Plan Summary | Retiree PPO SBC | Retiree PPO SBC | Retiree Traditional SBC | Retiree HDHP Single SBC Retiree Family HDHP SBC |
| Deductible - Individual | $350 | $600 | $450 | $2,000 |
| Deductible - Family | $950 | $1,700 | $1,250 | $4,000 |
| Out-of-Pocket Limit - Individual | $3,250 | $6,500 | $4,300 | $5,000 |
| Out-of-Pocket Limit - Family | $6,750 | $13,500 | $8,600 | $10,000 |
| Plan Payment (% of allowable charges after deductible) | $20 copay / 85% | 70% | 80% | 70% |
| Wellness/Preventive Care | No-copay for listed services | 70% | 100% | 100% |
| Telehealth/MDLive | No copay (Covered 100% during the Federal State of Emergency) | N/A | No copay (Covered 100% during the Federal State of Emergency) | 100% after deductible (Covered 100% during the Federal State of Emergency) |
Prescription Drug Coverage
Starting July 1, 2024, Regence BlueShield of Idaho will service the retiree medical and prescription drug plans.
The Regence formulary is a 6-tier formulary with the same copay structure that you are used to seeing. Please review the Drug List below to see where you medications may be on this State Health Plan-specific list.
Regence 6-Tier Drug List (Specific to the State of Idaho plan)
Prescription Drug Formulary
Regence 6-Tier Rx Benefit Information(Specific to the State of Idaho plan)
ATTENTION HDHP MEMBERS: The costs for all prescriptions not listed on the Optimum Value Medication List are subject to the HDHP deductible. Benefits will not begin until the deductible is met on the HDHP plan.