July 2017 is Employee Benefits Information Month
The purpose of Employees Benefit Information Month is to show what
medical benefits that MaineDOT employees have, who administers the coverage, and who to contact with any questions.
For any additional information, please visit the Division of Employee Health's benefits web page.
- Changes for the new plan year
- Premium Rates Effective July 1, 2017
- The dental and vision premiums, coverage and carrier will remain the same
- The State of Maine health plan for active employees and non-Medicare retirees will have a premium increase of approximately 3% for both the employee and the employer. The coverage changes are as follows:
- Specialist office visit copay*: Increase from $30 to $40. *Copays are waived for preventive visits.
- No changes will be made to the following services: office visit copays for primary care doctor, walk-in clinic, emergency room, deductible amounts, coinsurance rates and out-of-pocket maximums.
- Anthem Blue Cross and Blue Shield will be the new administrator of the State of Maine Health Plan. ID cards will be issued before July 1st.
- Express Scripts will be the new pharmacy benefit manager of the State of Maine Health Plan. Express Scripts will also issue ID cards before July 1st.
- Specialty medications will be 25% coinsurance (max $150 for a 1-31 days' supply)
- Copay amounts for medication categories (generic, preferred, non-preferred and lifestyle medications) will remain the same. Note, the formulary will be updated for July 1st.
Level of Coverage |
Employee Deduction w/ Health Credit |
State Contribution w/ Health Credit |
Employee Deduction w/o Health Credit |
State Contribution w/o Health Credit |
Employee Only | $0.00 | $427.57 |
$21.38 |
$406.19 |
Employee & Spouse/Domestic Partner |
$178.86 | $715.44 | $201.22 | $693.08 |
Employee, Spouse/Domestic Partner & Child(ren) |
$246.78 | $817.31 | $269.14 | $794.95 |
Employee & Child(ren) | $102.50 | $600.89 | $124.86 | $578.53 |
Family Contract (both employee, spouse/domestic partner work for the State and share children) |
$0.00 | $532.05 | $22.36 | $509.69 |
Level of Coverage |
Employee Deduction w/ Health Credit |
State Contribution w/ Health Credit |
Employee Deduction w/o Health Credit |
State Contribution w/o Health Credit |
Employee Only | $21.38 | $406.19 |
$42.76 |
$384.81 |
Employee & Spouse/Domestic Partner |
$201.22 | $693.08 | $223.57 | $670.73 |
Employee, Spouse/Domestic Partner & Child(ren) |
$269.14 | $794.95 | $291.49 | $772.60 |
Employee & Child(ren) | $124.86 | $578.53 | $147.21 | $556.18 |
Family Contract (both employee, spouse/domestic partner work for the State and share children) |
$22.36 | $509.69 | $44.71 | $487.34 |
Level of Coverage |
Employee Deduction w/ Health Credit |
State Contribution w/ Health Credit |
Employee Deduction w/o Health Credit |
State Contribution w/o Health Credit |
Employee Only | $42.76 | $384.81 |
$64.14 |
$363.43 |
Employee & Spouse/Domestic Partner |
$223.57 | $670.73 | $245.93 | $648.37 |
Employee, Spouse/Domestic Partner & Child(ren) |
$291.49 | $772.60 | $313.85 | $750.24 |
Employee & Child(ren) | $147.21 | $556.18 | $169.57 | $533.82 |
Family Contract (both employee, spouse/domestic partner work for the State and share children) |
$44.71 | $487.34 | $67.07 | $464.98 |
Level of Coverage |
Monthly Pension Deduction |
Monthly State Contribution |
Retiree | $0.00 | $855.14 |
Retiree & Spouse | $894.30 | $894.30 |
Retiree, Spouse & Child(ren) | $1,233.88 | $894.30 |
Retiree & Child(ren) | $512.48 | $894.30 |
Surviving Spouse | $855.14 | $0 |
Retiree on Medicare & Spouse under age 65 |
$855.14 | $287.02 |
- Active Employees and Non-Medicare Retirees
- Medicare Retirees
Administrative Carrier: Anthem Blue Cross and Blue Shield
Coverage Dates | Member Services and Hours | Website | Other Important Contact Information |
Begin: 07/01/2017 | 1-844-273-4614 1-888-671-4333 TTY M-F 8am-5pm |
Anthem.com |
24/7 NurseLine: International Service: Grand Rounds: |
Administrative Carrier: Express Scripts
Coverage dates | Member Services and Hours | Website | Other Important Contact Information |
Begin: 07/01/2017 | 1-800-595-0817 1-800-759-1089 TTY Available 24/7 |
Express-Scripts.com |
Specialty Pharmacy: |
Administrative Carrier: Aetna
Coverage Dates | Member Services and Hours | Website | Other Important Contact Information |
Begin: 01/01/2013 | 1-888-267-2637 TTY users dial 711 M-F 8am-6pm |
Anthem.com |
Prescription Services: Silver Sneakers: |
- Northeast Delta Dental
- Anthem Blue View Vision
- Flexible Spending Accounts
Member Services and Hours | Website | Other Important Contact Information |
1-844-273-4614 1-888-671-4333 TTY M-F 8am-5pm |
NEDelta.com |
HOW Program: Delta Dental/EyeMed Discounts |
Member Services and Hours | Website | Other Important Contact Information |
1-866-723-0515 1-888-671-4333 TTY Mon-Sat 7:30am-11pm Sunday 11am-8pm |
1-800-CONTACTS: |
Note: Blue View Vision is |
Member Services and Hours | Website | Other Important Contact Information |
Navia Benefit Solutions 1-800-669-3539 M-F 5am-5pm PST |
Company Code: SOM |
- Living Resources Program
- On-Site Wellness Centers
- Gym Reimbursement
Phone Numbers and Hours | Website |
1-844-207-LINK (5465) Available 24/7 |
GuidanceResources.com Web ID: LivingME |
Phone Numbers and Hours | Website |
Augusta: (207)287-4278 Bangor: (207)941-4419 Mon-Thurs: 6am-6pm Fri: 6am-2pm |
Phone Numbers and Hours | Website |
Employee Health & Benefits 1-800-422-4503 M-F 8am-4:30pm |