New to the State Health Plan
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 CareOnDemandSM 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.
Member messaging
Text messages are a great way to keep up with kids, friends and appointments. They can help you stay on top of your health, too. Sign up for secure State Health Plan mobile messages. You’ll get benefits information, health and wellness reminders, and cost-saving tips. It’s a simple and secure way to get information you can use. To sign up, call 844.284.5417 from your mobile phone or text PERKS to 735-29.
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.
The Find Care tool provides doctor and hospital ratings, prices for a procedure by provider, the distance to providers, and more. This tool helps members make educated decisions when choosing a provider or when determining where to have a procedure.
For the most accurate network provider information, make sure to create a My Health Toolkit account.
Find CareMy Health Toolkit®
With My Health Toolkit, you have one convenient place for managing your health, dental and pharmacy benefits. Log in any time to:
- Learn more about your coverage.
- Submit and check the status of your claims.
- Find network health care providers.
- Access your digital ID card or order replacement cards.
- Manage your prescriptions by connecting to your Express Scripts account.
Registration is easy. Follow these steps to have everything you need at your fingertips:
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Select the Create An Account link in the member login box.
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Enter your member identification number on your State Health Plan ID card and your date of birth.
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Choose a username and password.
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Enter your email address and choose to go paperless.
You can use My Health Toolkit to access health and wellness programs that can help you live your best life every day. You can also log in to manage your contact preferences so we’ll know just how to reach you with important updates.
Who can use My Health Toolkit?
Download the My Health Toolkit app
With the My Health Toolkit mobile app, your benefits information goes with you wherever you go. The app is available at no cost. Download it from the App Store or Google Play.
You can use the same username and password for the app as you do to log in through the website. You can also register for an account through the app by selecting the Sign Up button.
If you have any questions about your My Health Toolkit account, call BlueCross BlueShield of South Carolina at 800.868.2520.
If you’re new to the State Health Plan, you may not realize the resources available to you. This information can help you make the most of your benefits.
Express Scripts is an independent company that contracts directly with PEBA.
EyeMed Vision Care is an independent company that administers vision benefits for PEBA.