Background

Pursuant to Chapter 552, Item 83.A of the Acts of Assembly of 2021, Special Session 1, this report details the changes to the state employee health benefits program involving premiums, benefits, carriers, or provider networks schedule affecting the 2022-2023 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 the associated networks. Delta Dental will administer the dental benefits and the dental provider network. Continuous Glucose Monitors will only 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 the associated networks. Delta Dental will administer the dental benefits and the dental provider network. Continuous Glucose Monitors will only 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). Continuous Glucose Monitors will continue to be available through the medical program as durable medical equipment and also 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 has been increased to $2,850.