Once the deductible has been met, covered expenses are reimbursed based on a specified percentage. Covered services include, but are not limited to, office visits, immunizations, outpatient surgery, services of specialists, x-rays, and limited wellness and preventive benefits. Coverage for the employee and dependents may be continued after termination of employment by paying the full monthly premium plus a surcharge as permitted by federal law. An amount determined by the NC General Assembly will be paid by the Teachers' and State Employees' Retirement System for retirees in the State Retirement System. Eligible dependents may also be covered.
Retirees are responsible for the difference paid by the university and the total premium.
Premiums may be withheld from the monthly retirement benefit for retirees in the State Retirement System. These plans emphasize preventive care, in addition to providing medical care when the employee is sick. All medical treatment must be provided by doctors or hospitals affiliated with the HMO, except in the event of an emergency. The university pays an amount determined by the NC General Assembly toward the cost of coverage. Employees are responsible for the difference paid by the university and the total premium.