Benefits coverage

View the Insurance Summary and Insurance Benefits Guide to learn about your health coverage and additional benefits. 

Prescriptions

Prescription drugs are a major benefit to you and a major part of the cost of our self-insured health plan. Prescription drugs are covered only at network pharmacies. After your initial enrollment, you will receive two identification cards from Express Scripts. If you have not created an account, you’ll be prompted to create one the first time you access your pharmacy benefits through My Health Toolkit. You can also access your digital identification card through the Express Scripts mobile app.

Dental

Taking care of your teeth isn't just about having a nice smile. Recent research has found several links between oral health and overall health. So, good oral hygiene should be a family affair. Learn more about dental benefits or find a dentist to schedule your next appointment. 

Vision

After your initial enrollment, you will receive two identification cards from EyeMed^®. You can also access your digital identification card through the EyeMed mobile app. If you need to order a replacement card, visit www.EyeMed.com or call EyeMed at 877.735.9314.

Coordination of benefits

All State Health Plan and dental benefits are subject to coordination of benefits, a process which is used to make sure a person covered by more than one insurance plan will not be reimbursed more than once for the same expenses. As part of coordination of benefits process, BlueCross BlueShield of South Carolina needs information about possible other health or dental coverage, including Medicare, to process your claims correctly. To update your insurance information, log in to your My Health Toolkit account or complete the other coverage questionnaire. 

Telehealth

Blue CareOnDemand^SM is a faster, easier way to connect with health care professionals. You can use this service to connect with U.S. board-certified physicians and other health care professionals 24 hours a day, seven days a week, 365 days a year, from your computer or smartphone. Learn more about how to register and how to download the mobile app. 

The Medical University of South Carolina (MUSC) Health Virtual Care is an easy way to be treated for common conditions such as allergies, pinkeye, sinus infections, skin rashes, sore throat, urinary tract infections and the flu. It is available 24/7, but it is not meant to replace your primary care provider. This service is available at no cost to all State Health Plan members, including Medicare primary members.

Learn more about your telehealth options.

Personalize Your Contact Preferences

Stay healthy, save money, and maximize your benefits with updates from your health plan. Choose how you receive messages — via text, mail, or email. You can select different methods for each type of notification.

Update your contact preferences by logging into My Health Toolkit. Go to My Profile, select My Account, then Contact Preferences. The sooner you set your preferences, the sooner we can connect in the way that works best for you.

My Health Planner

Ready to get on track with your health but not sure where to start? You don't have to figure it out on your own. As a State Health Plan primary member, you can get one-on-one coaching from a health care professional at no cost to you. My Health Planner is a free app that keeps track of what you need to do between doctor's visits, ensures you understand what you need to do to feel your best and more.

Search for My Health Planner in the App Store or Google Play. Download the app, select Create New Account, and use the access code SCHEALTH. For more details, you can call 855.838.5897. 

Adult well visits

State Health Plan primary members are eligible for one well visit each year at no member cost beginning Jan. 1, 2023. The benefit is available to all non-Medicare primary adults ages 19 and older who are covered by the Standard Plan or Savings Plan. Find out more on about adult well visits.