State Health Plan Changes Effective January 1, 2009

The Base coverage deductible has increased from $1,100 to $1,150 for employee and $2,200 to $2,300 for family. The select coverage deductible of $500 employee and $1,000 family will not change.

Adult Wellness coverage of up to $1,000 per calendar year has been expanded to out-of-area participants who are not in the network. In network benefits are provided at 100% with out of network provided at 75%. Participants must complete a health risk assessment on or after January 1 of each year and prior to the Wellness/preventive visit to be eligible for the benefit. For a complete list of eligible Wellness/preventive benefits or to complete the health risk assessment, visit the Plan's website at http://knowyourbenefits.dfa.state.ms.us. If the HRA is not complete prior to your visit 0 benefits will be paid.

The plan will begin providing coverage for certain smoking cessation prescription drugs. The prescribing physician must contact Catalyst Rx for prior authorization and the participant must be enrolled in the Plan's smoking cessation counseling program. The lifetime maximum is $350.

Co-payment amounts for diabetic testing strips and lancets will be $36 for non-preferred brand and $12 for preferred brand at a retail pharmacy. Those participants enrolled in the Diabetic Sense program will receive a 90 day supply of the above items for $24.

The maximum benefit for chiropractic services regarding manipulative therapy services (i.e., adjustments heat/cold pack therapy, traction) will increase to $2,000 per participant per calendar year.

Pulmonary rehabilitation services will be paid for participants enrolled in the Plan's Chronic Obstructive Pulmonary Disease (COPPED) or Asthma disease management programs. These benefits must be certified by Care Allies.

Well-Child Immunizations for dependents under age 18 will now be covered at 100% instead of 80%. An AHS State Network provider must be used.