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State Members

Benefits & Enrollment Information

Eligibility & Enrollment

Information about eligibility, enrollment periods, termination of coverage and premium payments.

Quick Links:

Change or Cancel Coverage

Detailed information about how to change or cancel coverage due to specific events, including retirement.

Medicare

Active employees and covered dependents generally do not need to enroll in Medicare Part B. Medicare-eligible members who are not actively employed should enroll in Medicare Part B.

Forms

Most MCHCP forms may be completed online by logging in to myMCHCP.

Other MCHCP and health plan forms may be downloaded from the Forms page.

Forms

Medical Plans

Plan options:

  • Health Savings Account (HSA) Plan
    [a qualified high deductible plan]
  • Preferred Provider Organization (PPO)
  • TRICARE Supplement Plan
    [for qualified military members]

Prescription coverage is included with medical plan enrollment.

Medical Benefit Details

Detailed information about medical plan services and how they are covered under the plans.

Prescription Drug Plans

Non-Medicare Plan
Non-Medicare members automatically receive prescription coverage with MCHCP medical plan enrollment.

Medicare Plan
The Medicare Prescription Drug Plan is a Medicare Part D Plan with expanded prescription coverage. Medicare members have the option to enroll in medical with prescription coverage or prescription-only coverage.

Strive for Wellness®

Strive for Wellness® is a program launched by MCHCP to encourage members to live healthier. The program includes wellness incentives and other resources.

Must be registered on myMCHCP to participate.

Dental Plan

Comprehensive dental benefits include: diagnostic and preventive care services, basic and restorative services, and major services through a nationwide network of participating providers. There is a one-year waiting period for major services.

The cost of dental insurance is paid by the employee.

Vision Plan

Vision benefits include: routine exams, allowances for lenses and frames or contact lenses.

The cost of vision insurance is paid by the employee.

Strive Employee Life & Family (SELF)

SELF is a confidential counseling and referral service that can help the employee and their family successfully deal with life’s challenges.

SELF services are available at no cost to the member.

Additional Benefit Information

Log in to myMCHCP or download the documents below for benefit information and premiums.

SBC, Premiums & Guides

Appeals

MCHCP provides appeal rights as required by law.

COBRA

The Consolidated Omnibus Budget Reconciliation Act (COBRA), a federal law, requires MCHCP to offer temporary coverage to members when coverage under the plan would otherwise end. Special COBRA enrollment deadlines and premiums apply.

Coordination of Benefits (COB)

Benefits payable by MCHCP medical plans are subject to coordination of benefits to prevent overlapping payments and claim delays.

 
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