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Health Insurance

PUBLIC EDUCATION EMPLOYEES’ HEALTH INSURANCE PLAN (PEEHIP)

Group#: 14000

Provider: Blue Cross Blue Shield of Alabama

450 Riverchase Parkway East

P.O. Box 995

Birmingham, AL 35298-0001 

Costomer Service: 1-800-327-3994

 

PEEHIP Premiums for Health Coverage:

PEEHIP Summary of Benefits and Coverage SBC_1012015.pdf

Effective for October 1, 2015 through September 30, 2016


Coverage/Surcharge


Premium/Surcharge Amount


Single Health Coverage


$15.00


Family Health Coverage


$177.00; with spouse $202.00


Tobacco User Surcharge


$50.00 - Employee; $50.00 - Spouse


​Dental

​$38.00 - Single; $50.00 - Family

​Vision

​$38.00 - Single or Family

Cancer

​$38.00 - Single or Family

​Hospital Indemnity

​$38.00 - Single or Family

​Supplemental

$50.00 - Single or Family​


Flexible Spending Account

Maximum limit is $2,500 for the year. IRS require participants to enroll every year.


PEEHIP OPTIONALS: Administers Dental, Vision, Cancer, and Indemnity.


MEDIMPACT: Administers the Core Pharmacy, Specialty Pharmacy, and EGWP Pharmacy Programs.  For additional prescription drugs coverage information call Medimpact at 1-877-606-0727.


PEEHIP WELLNESS 

Effective October 2015, eligible PEEHIP members will begin paying a $50 monthly wellness premium if they choose not to participated or fail to complete their requirements prior to the August 31, 2016 deadline.

If you miss the deadline, you will be chargeed the wellness premium beginning with the October coverage period.  If you complete your wellness requirements after August 31, the wellness premium will be waived prospectively (not retractively).

PEEHIP Contact Information: For more specific questions or concerns, you may contact PEEHIP directly by phone at (877) 517-0020. or (334) 571-7000.


PEEHIP Open Enrollment: July 1 - September 10
http://www.rsa-al.gov/index.php/members/peehip/open-enrollment/

Links to PEEHIP Forms and Handbook:

New Enrollment and Status Change Form

Flexible Spending Enrollment Form

Federal Poverty Level Discount Form

Provider Health Screening Form

PEEHIP_Member_Handbook_2015-2016.pdf


Member Online Services: