The City's health benefit plan is much more than traditional medical insurance. The only true and lasting solution to the medical insurance crisis is in each individual taking personal responsibility for managing their personal health. The City's health plan is designed to motivate, educate and provide the resources to employees and their family members to do that.
The medical plan is administered by BlueCross BlueShield of Tennessee (BCBST). When you enroll in coverage, you have three choices to make:
1) Your Network
-- BCBST offers two very large provider networks to choose from:
* Network S
- Effective 3/1/16, University of Tennessee Medical Center (UTMC) will no longer participate in this Network.
* Network P
- includes 98% of physicans in Knox County and all area hospitals.
2) Your Deductible
-- While both options have the same coinsurance amount (80%) and the same out-of-pocket maximum ($2,500), you can choose between either a $500 deductible or a $1,000 deductible.
3) Participation in the Wellness Program
- The City's My Health Wellness Program is a voluntary program that rewards participants who commit to leading a health-conscious lifestyle. Participants who meet the program requirements receive a wellness credit reducing their payroll deductions, as well as HRA Dollars, which can be used to help you pay for eligible medical expenses for you and your tax dependents.
The City's Pharmacy Benefit Manager is OptumRx. You will have a different ID card for medical and prescription drugs. Please be sure to present your OptumRx ID card at the pharmacy. Please visit www.optumrx.com
for a list of network pharmacies and other pharmacy benefit information.
The City provides on-site medical services through The Center, designed to emphasize education, prevention and self-care. The Center is staffed by Premise Health with medical expertise in fitness, nutrition and chronic disease management. The Center includes a full-time medical doctor who provides treatment of acute injuries and illnesses. The Center also provides annual comprehensive medical exams for uniformed employees, and comprehensive annual medical screenings for non-uniformed employees. The Center provides both one-on-one health coaching and group health classes.