Health Care

Wellness Programs | Health Plan Resources | Forms | Health Plan Documents

Affordable Care Act (ACA) | FAQs

Henrico County offers health care coverage through Anthem. There are four plan choices:

• Premier HMO (Anthem HealthKeepers)
• Standard HMO (Anthem HealthKeepers)
• POS (Point of Service) (Anthem HealthKeepers)
• Out-of-Area PPO (Anthem KeyCare)

Each plan provides coverage for medical, hospitalization, prescription drugs, vision, behavioral health, and wellness services. Click here to view the Anthem HealthKeepers booklet, which outlines the benefits for the HMO and POS plans.

Express Scripts will be the 2013 pharmacy provider for retail and mail order prescription drugs. Using the mail order pharmacy benefit provides savings on generic maintenance drugs. This applies to all four Anthem plans.

Wellness Programs

Healthy Lifestyles:

• Anthem Tutorial for Accessing Healthy Lifestyles via Anthem.com
• Healthy Lifestyles Online Video
• Healthy Lifestyles Rewards Highlights
• Healthy Lifestyles – Member Experience

NurseLine and MyHealth Advantage:

• 24/7 NurseLine Video
• MyHealth Advantage Video (Gaps in Care)

ConditionCare (Disease Management):

• Condition Care Flyer
• Condition Care FAQs
• Condition Care Video

Future Moms (Maternity Management):

• Healthy Moms Flyer
• Healthy Moms Video

Henrico County Health Plan Resources

Anthem Web site
About anthem.com
How to Register for anthem.com
Special Offers at Anthem (discounts available)

• 2013 Anthem HealthKeepers Enrollment Guide (HMO and POS plans)
• 2013 Anthem KeyCare Enrollment Guide (Out-of-Area PPO plan)
• 2013 Anthem Service Area Map
• 2013 Anthem Health Care—What’s New?
• Information You Need to Know
• Find a Doctor
• Transition of Care (form can be found under "2013 Health Care Forms" below)
• Plan Summaries—see enrollment guides above for detailed information
• Side-by-Side Comparison of HMO & POS Plans
• Rates
  • 2013 Health Care Rates
  • 2013 Double Contribution Rates
• Compare Plans
  Summary of Benefits and Coverage (SBCs) - A new format required by health reform to help you compare plan benefits:
  • HealthKeepers Standard HMO
  • HealthKeepers Premier HMO
  • HealthKeepers POS
  • KeyCare Out-of-Area PPO
  • Glossary of Health Coverage and Medical Terms
• Pharmacy
  • 2013 Prescription Drug List
  • 2013 Home Delivery Pharmacy Services FAQs
  • 2013 Anthem Pharmacy Immunization Program Flyer (includes flu shots)
  • 2013 Specialty Pharmacy Flyer
• Additional Services
  • 2013 BlueVision Flyer (vision benefits)
  • 2013 List of Registered Dietitians (nutritional counseling benefit)
  • 2013 Guest Membership (similar to Southern Health Passport Program)
• Age 26 FAQs
• Deductible Q&A - coming soon

2013 Health Care Forms

• Enrollment/Change Form
• Qualifying Event Change Form
• Prescription Mail Order Form
• Transition of Care Form

Health Plan Documents

• Plan Document for County of Henrico Health Plan
• Amendment One to the County of Henrico Health Plan - Effective January 1, 2011
• Amendment Two to the County of Henrico Health Plan - Effective January 1, 2012
• Compliance Notices
• Notice of Privacy Practices

COBRA

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Affordable Care Act (ACA) Resources

• Memo to Agency Heads & Key Officials - April 12, 2013
• Message to Supervisors - April 22, 2013
• Message to Employees - May 2, 2013

Health Care FAQs

What qualifying events allow me to make changes to my present coverage?
Qualifying events that allow changes to present health care coverage are:

• Marriage or divorce, of the employee
• Birth or adoption of a child by the employee
• Obtaining custody of a child (court documents must be provided)
• Death of employee's spouse or dependent
• Change in employment status of the employee or spouse
• Unpaid leave of absence of the employee or spouse
• Significant change in spouse's employer-provided health care coverage
• Dependent child no longer eligible for coverage

When can I make changes to my health care coverage if I have a qualifying event?
You may make a change to your coverage within thirty-one (31) days of the effective date of an approved qualifying event. If you have questions about qualifying events or other employee benefits, contact the Benefits Division of the Department of Human Resources at 501-7371 or benefits@co.henrico.va.us.

When can I expect to receive my ID card?
If you are a new employee, you should receive an ID card within ten (10) days. If you have made a change to your coverage, please allow seven to ten days.

I'm having a problem with a claim. Who can I call?
For all plans, call Anthem Member Services at 1-800-421-1880. You may also review your claims by visiting the Anthem Web site.

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