2016 Plan Options
As a result of the 2016 State Health Benefit Plan (SHBP) Plan Options, members will experience a number of positive enhancements.
Blue Cross and Blue Shield of Georgia (BCBSGa)
- Health Reimbursement Arrangement (HRA) without co-payments
- Gold HRA
- Silver HRA
- Bronze HRA
- Health Maintenance Organization (HMO), Statewide
UnitedHealthcare
- High Deductible Health Plan (HDHP)
- Health Maintenance Organization (HMO), Statewide
Express Scripts administers the prescription drug benefit for members enrolled in BCBSGa and UnitedHealthcare. Express Scripts provides benefits for retail prescription drug products, mail order, home delivery and specialty pharmacy services.
Healthways provides members enrolled in BCBSGa and UnitedHealthcare with comprehensive well-being resources and incentive programs. Healthways also administers the 2016 action-based health incentives that allow those SHBP members and covered spouses to additional well-being incentive credits.
Kaiser Permanente of Georgia (KP)
- Health Maintenance Organization (HMO), Regional
The Medical, Pharmacy and Wellness benefits are administered by KP for their members only.
Note: You must live or work in one of the below 27 counties within the Metro Atlanta Service Area to be eligible to enroll in KP:
| Barrow | Cherokee | Dawson | Forsyth | Heard | Newton | Rockdale |
| Barton | Clayton | DeKalb | Fulton | Henry | Paulding | Spalding |
| Butts | Cobb | Douglas | Gwinnett | Lamar | Pickens | Walton |
| Carroll | Coweta | Fayette | Haralson | Meriwether | Pike |
Other Plan Options (not administered by SHBP)
- The TRICARE Supplement is available to those members enrolled in TRICARE.
- PeachCare for Kids® continues to be available to the children of eligible SHBP members.
Additional Information
Member rates are established by the Board of Community Health. For the Board rate resolutions, which describe subsidized rates, unsubsidized rates and subsidy policies, see Plan Documents.
More information can be found on this website under Plan Documents and Health Plans and Programs. The complete terms and conditions of the plan options are set forth in the Plan Documents.