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Employee Health Care Plans

Medical Benefits

CareFirst BlueChoice POS (OA)

The POS plan offers a local network of providers, with access to out-of-network providers nationwide. You must designate a participating primary care provider (PCP) who coordinates your care. Pharmacy benefits are provided through Express Scripts, Inc.

CareFirst BluePreferred PPO

The PPO plan offers a nationwide network of providers. You can seek care at in- or out-of-network providers. You do not need a referral to see a specialist, nor do you have to choose a PCP. Pharmacy benefits are provided through Express Scripts, Inc.

Kaiser Permanente HMO

The HMO plan are in centers in the metropolitan Washington D.C. and Baltimore area. You must select a primary care physician who coordinates your care, including referrals to specialists when needed. Out-of-network services are not covered, except for emergency care. Pharmacy benefits are provided directly through Kaiser Permanente HMO.

Related Materials for Medical Plans

• Health Premiums Chart 2012 | 2013
• Medical Plan Coverage Comparison Chart 2012 | 2013
• Summary of Plan Coverage (SBC) for BC/BS POS (OA), PPO, and Kaiser
• Medical Forms
• Medical Publications
• Disclosures
• Health Plan Dependent Eligibility Chart

NOTE: This information is not intended to be a comprehensive reference and should be reviewed in conjunction with other FCPS benefits materials. In the event of any conflict between official benefit plan documents, benefit contracts, and this information, the official information will govern.

Prescription Plans

The two available prescription plans are provided through your medical insurance plan. Enrollment in prescription coverage is automatic when you enroll in medical coverage.

Express Scripts Inc. (ESI)

Express Scripts manages the prescription drug benefits for employees in the Carefirst PPO and POS (OA) plans. They offer services through a network of 56,000 pharmacies, including major chains and independent pharmacies, a specialty pharmacy, and a mail-service pharmacy.

Kaiser Rx

Kaiser manages its own retail and mail service pharmacy plan, which is only available to Kaiser Permanente Signature HMO insurance plan participants.

Related Materials for Presciption Plans

• Prescription Cost Comparison Chart
• Prescription Forms

Vision Benefits

You will automatically have UnitedHealthcare Vision plan coverage when you enroll in any FCPS medical plan option.

Related Materials for Vision Plans

• Vision Coverage Comparison Chart
• Vision Forms
• Vision Publications

Dental Benefits

We offer employees a choice of two dental insurance plans, both provided by Aetna. Employees may enroll in a dental plan through FCPS without enrolling in a medical plan through FCPS.

Related Materials for Dental Plans

• Health Premiums Chart 2012 | 2013
• Dental Plan Coverage Comparison Chart
• Dental Forms
• Dental Publications
• Medical and Dental Plans Dependent Eligibility Chart

What's New in Benefits

• Express-Scripts.com has made some upgrades to online services. Notice of changes. Visit the Express Scripts summary page.
• Will your family be growing soon? See the Maternity/Paternity checklist to make sure your benefits and leaves forms and requests are submitted in time!
• Thrive! is back. If you are participating remember to log your minutes daily!