Take full advantage of your insurance benefits to make 2022 your healthiest year yet. Review the following tips and changes for this year.
Reimbursement for at-home COVID tests
State Health Plan primary members are eligible to request reimbursement for over-the-counter COVID-19 tests authorized by the U.S. Food and Drug Administration. Reimbursements are limited to eight tests per covered member in a 30-day period.
Caims will be processed under the Plan’s pharmacy benefit through Express Scripts. BlueCross will no longer process claims for at-home tests.
- Members should call their local network pharmacy to see if they have over-the-counter COVID-19 tests available.
- At the local network pharmacy, members should take the COVID-19 test to the pharmacy counter just like they would when filling a prescription. Members should not use the regular checkout lane.
- Members should show the pharmacy their Express Scripts identification card.
- The over-the-counter COVID-19 test should automatically ring up at no cost to the member, which means the member does not need to file a claim.
To find a network pharmacy, members can log in to their Express Scripts account online or log in to the Express Scripts mobile app and select Find a Pharmacy.
Members who purchase an over-the-counter COVID-19 test at an out-of-network pharmacy or regular checkout lane can submit a receipt for reimbursement of up to $12 per test. Members can download the Prescription Drug Reimbursement form or submit the claim online through their Express Scripts account.
Please direct any questions about reimbursement of at-home tests to Express Scripts at 855.612.3128.
Visit PEBA's COVID-19 updates webpage to find the most recent information pertaining to COVID-19 and State Health Plan benefits.
DCSA Recurring Direct Pay Program
ASIFlex now offers a convenient Recurring Direct Pay Program for payments to dependent care providers. With Recurring Direct Pay, participants no longer need to submit a claim for every payment.
This service is available at no cost, and only requires a one-time initial setup between the participant, the provider and ASIFlex. After setup, ASIFlex will pay the dependent care provider directly from the participant’s ASIFlex Dependent Care Spending Account (DCSA) on the schedule the participant and dependent care provider choose.
It’s important to note that funds are available as participants contribute throughout the year, so ASIFlex will not pay dependent care providers until contributions are available. Review this flyer [pdf] for more information.
ASIFlex will email 2022 DCSA participants to let them know about this new program.
IRS Increases Deferred Comp Contribution Limits
The IRS recently announced an increase in the maximum deferral limit for 401(k) and 457 plans for 2022 from $19,500 to $20,500. You may contribute up to $20,500 in both plans, for a combined maximum of $41,000, or 100 percent of your includible compensation (as defined by Deferred Comp), whichever is less. If you have questions, please contact Empower Retirement.
Reminders for 2022
- Check your 2022 coverage in MyBenefits. Log in to your account at sc.gov to check your coverage and ensure your open enrollment changes were applied correctly.
- Download your mobile apps. Apps are available for health, dental, vision, prescription and flexible spending accounts.
- Make sure you have your ID cards. You can also access your ID cards in your mobile apps.
- Schedule checkups or doctors’ visits now. These can include preventive screenings, well visits, dentist appointments and eye exams.
- It is always good practice to review and update your beneficiary information. You can learn more about updating your beneficiaries and find helpful links at peba.sc.gov/update-beneficiary