Kansas Health Policy Authority
 

STATE EMPLOYEE HEALTH BENEFITS - PY 2008 HEALTH PLAN PROVIDERS

Plan Year 2008 Forms - Including HIPAA Forms

See 2008 Comparison by Plan Type (Active Employees Only)

The Schedule of Benefits below offered by the State of Kansas for Plans A and B through Blue Cross and Blue Shield, Coventry Health Care of Kansas and Preferred Health Systems may be modified as necessary.

Click on Provider Directory to find network physicians, dentists, optometrists, or hospitals for each health plan provider.


SCHEDULE OF BENEFITS FOR ALL CARRIERS

  • Plan A (2008) - PDF Version
  • Plan B (2008) - PDF Version

  • HEALTH PLAN PROVIDERS - ACTIVE AND NON-STATE


    BLUE CROSS AND BLUE SHIELD OF KANSAS BCBS

    2008 Benefit Description

    Blue Cross and Blue Shield Provider Directory

    TOLL FREE 800-332-0307
    Topeka Area 785-291-4185



    COVENTRY HEALTH CARE OF KANSAS    Coventry

    2008 Benefit Description- Plans A and B

    2008 Benefit Description - Qualified High Deductible Health Plan W/HSA

  • HSA Enrollment and Change Form - PDF Version
  • UMB HSA Enrollment Form/Agreement - PDF Version

    Coventry Provider Directory All Plans - Select State of Kansas PPO for Plan A, Plan B and the QHDHP

    Kansas City/Topeka Area - 800-969-3343
    Wichita/South Central Area - 866-320-0697



    PREFERRED HEALTH SYSTEMS Preferred Health Systems

    2008 Benefit Description

    Preferred Health Systems Provider Directory

    TOLL FREE - 866-618-1691
    Wichita Area - 316-609-2555


    QUEST DIAGNOSTICS LabCard Program Quest Diagnostics LabCard Available with Plan B ONLY
  • Benefit Description (2008) - COMING SOON

    TOLL FREE - 800-646-7788


    DENTAL PLAN

    Delta Dental Plan Delta Dental

    2008 Benefit Description

    Provider Directory

    Identification Cards

    All Areas - 800-234-3375
    Wichita 316-264-4511



    PRESCRIPTION DRUG PLAN

    Caremark Caremark

    2008 Benefit Description

    2008 Preferred Drug List Effective May 1, 2008

    2008 Preferred Drug List

    Preferred Drug List Changes Effective April 1, 2008

    List of Generics Available in 2007 and those anticipated in 2008

    Self-injectibles List

    2008 Asthma Drug List

    2008 Diabetic Drug List

    2008 Smoking Cessation Drug List

    2008 Weight Loss Drug List

    Toll Free Telephone Number - 800-294-6324


    VISION PLAN (OPTIONAL)

    Superior Vision    Superior Vision

    Enhanced  (2008) - Certificate of Coverage - PDF VERSION

    Basic (2008) - Certificate of Coverage - PDF VERSION

    Provider Directory

    ALL AREAS - 800-507-3800

    Contact lens by mail

    LASIK Surgery

    Kansas Refractive Surgeons - February 2008

    Lasik Plus

    TruVision




    PLANS FOR MEDICARE ELIGIBLE - RETIREES/DIRECT BILL ONLY


    BLUE CROSS AND BLUE SHIELD OF KANSAS    Kansaschoice1

    Kansas Senior Plan C

    2008 Benefit Description

    ALL AREAS 800-332-0307
    Topeka Area 785-291-4185



    SilverScript - Part D Drug Coverage

    2008 Certificate of Coverage

    2008 Formulary


    COVENTRY HEALTH CARE OF KANSAS Coventry

    Coventry Advantra Freedom Preferred Provider Organization (PPO)

    Schedule of Benefits (2008) - PDF VERSION

    Advantra Formulary (2008) - COMING SOON

    Provider Directory - For the Advantra Freedom plans, select the Advantra PPO option in the Provider Directory

    All Areas - 800-727-9712
    TDD - 866-347-2459


    Coventry Advantra Freedom Private Fee for Service Plan (PFFS)

    Advantra PFFS with Prescription Drug Coverage (2008) - PDF VERSION

    Advantra PFFS without Prescription Drug Coverage (2008) - PDF VERSION

    Provider Directory - For the Advantra Freedom plans, select the Advantra PPO option in the Provider Directory

    All Areas - 800-727-9712
    TDD - 866-347-2459





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