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State Health Plan ditches Aetna, sends business back to Blue Cross

The NC State Health Plan is transitioning benefit administration back to Blue Cross NC while enacting a new preferred provider structure for its members.

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Visual summary for State Health Plan ditches Aetna, sends business back to Blue Cross
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The story so far

The State Health Plan board has voted to end its contract with Aetna, moving administration of member benefits back to Blue Cross NC. Alongside this transition, the board approved a new preferred provider structure that directs state workers toward UNC for care.

Coverage from outlets including EdNC, ABC11 News, CBS 17, The Raleigh News & Observer, and WRAL highlights that these changes will impact over 750,000 members. Reports also note that premiums for the plan are set to rise by 5%.

Future updates will track the implementation of the new administrative transition and the rollout of the preferred provider network. Coverage does not yet specify the timeline for the contract shift or the exact date when the adjusted premiums take effect.

Synthesized by headlinez.news from the headlines below under a strict no-invention contract. ✓ fact-checked: all claims supported by sources Updated 43d ago.

Coverage (6)

The obvious questions

Who will administer the State Health Plan?

The board has voted to return to Blue Cross NC as the plan's administrator.

Will plan costs change?

Yes, coverage confirms that premiums for the State Health Plan will rise by 5%.

How many people are affected?

The benefit changes and administrative switch will impact over 750,000 members.

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