Pursuant to Item 83, A of Chapter 56, 2020 Special Session I, Virginia Acts of Assembly, this report details the changes to the state employee health benefits program involving premiums, benefits, carriers, or provider networks schedule affecting the 2021-2022 Plan Year.

COVA Care Plan

Anthem currently administers and will continue to administer medical, prescription (IngenioRx), behavioral health, Wellness and Employee Assistance Program (EAP) benefits, including associated networks. Delta Dental will administer the dental benefits and the dental provider network. Insulin prescription drugs will have a maximum payment of: $50 for up to a 34 day supply and $150 for up to a 90 day supply. Continuous Glucose Monitors will also be available through the IngenioRx pharmacy benefit.

COVA HDHP (High Deductible Health Plan)

Anthem currently administers and will continue to administer medical, prescription (IngenioRx), behavioral health, Wellness and Employee Assistance Program (EAP) benefits, including associated networks. Delta Dental will administer the dental benefits and the dental provider network. Insulin prescription drugs will have a maximum payment of: $50 for up to a 34 day supply and $150 for up to a 90 day supply. Continuous Glucose Monitors will also be available through the IngenioRx pharmacy benefit.

COVA HealthAware

Aetna currently administers and will continue to administer medical, behavioral health and the Health Reimbursement Arrangement (HRA). Insulin prescription drugs will have a maximum payment of: $50 for up to a 34 day supply and $150 for up to a 90 day supply. Continuous Glucose Monitors will also be available through the IngenioRx pharmacy benefit.

Kaiser Permanente HMO (Health Maintenance Organization)

This is a regional plan that services mostly Northern Virginia. The state has no control over the plan design because this is a fully insured plan, no changes.

Optima Health Vantage HMO

The state has no control over the plan design because this is a fully insured plan, no changes.

Flexible Spending Accounts (FSA)

The healthcare FSA limit continues to be $2,750.