Navigating Your Benefits

The South Carolina Public Employee Benefit Authority regularly distributes information guides to provide facts and overviews on various aspects of their services.

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    How the state health plan measures up
    (2024-02-28) South Carolina Public Employee Benefit Authority
    The State Health Plan is a self-funded insurance plan. That means employees’ and employers’ premiums are held in a trust fund, which pays for claims. PEBA regularly benchmarks the State Health Plan against other public and private sector insurance plans. As you can see in these charts, the State Health Plan compares favorably in cost while maintaining value.
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    What you need to know about well adult benefits
    (2023-12-05) South Carolina Public Employee Benefit Authority
    Well visits can be a key part of preventive care. They can reassure members they are as healthy as they feel, or prompt them to ask questions about their health. The State Health Plan offers many value-based benefits at no member cost to its primary members through PEBA Perks. Learn how to coordinate your PEBA Perks benefits with your adult well visit.
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    What you need to know about balance billing
    (2023-12-05) South Carolina Public Employee Benefit Authority
    Network providers agree to accept the State Health Plan’s negotiated rate, or allowed amount, as their total fee. It is better to stay in network if possible. If you choose to use an out-of-network provider, he may bill you the difference in its cost and the allowed amount.1 This is known as a balance bill. A balance bill does not count toward your annual deductible or coinsurance maximum, and will increase your out-of-pocket expenses. Outof- network payments go directly to the participant and not the provider.
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    How returning to work will impact your insurance benefits
    (2023-12-05) South Carolina Public Employee Benefit Authority
    After you retire, you may choose to return to work for a participating employer. If you are in an insurance-eligible position, and you, your spouse or your children are covered under PEBA’s retiree group insurance, you must elect active coverage or refuse all PEBA-sponsored coverage.
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    Get behavioral health care when you need it
    (2023-12-13) South Carolina Public Employee Benefit Authority
    Don’t let emotional difficulties affect your well-being. As a State Health Plan primary member, you can video chat with a licensed counselor, therapist, psychologist or psychiatrist from the comfort of your home.